A Multimodal Behavioral Intervention to Impact Adherence and Risk Behavior among Perinatally and Behaviorally HIV-Infected Youth: Description, Delivery, and Receptivity of Adolescent Impact

Autor/inn/en	Chandwani, Sulachni; Abramowitz, Susan; Koenig, Linda J.; Barnes, William; D'Angelo, Lawrence
Titel	A Multimodal Behavioral Intervention to Impact Adherence and Risk Behavior among Perinatally and Behaviorally HIV-Infected Youth: Description, Delivery, and Receptivity of Adolescent Impact
Quelle	In: AIDS Education and Prevention, 23 (2011) 3, S.222-235 (14 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0899-9546
DOI	10.1521/aeap.2011.23.3.222
Schlagwörter	Acquired Immunodeficiency Syndrome (AIDS); Intervention; Prevention; Sexually Transmitted Diseases; At Risk Persons; Health Behavior; Compliance (Psychology); Perinatal Influences; Adolescents; Young Adults; Minority Groups; Attendance Patterns; Communicable Diseases + Suchen Sie Ihr Suchwort? Prävention; Vorbeugung; Sexual transmitted disease; Geschlechtskrankheit; Risikogruppe; Health behaviour; Gesundheitsverhalten; Perinatalperiode; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Young adult; Junger Erwachsener; Ethnische Minderheit; Contagious disease; Contagious diseases; Communicable disease; Infektionskrankheit
Abstract	Secondary prevention programs are needed to help HIV-positive youth reduce risk behavior and improve adherence to HIV medications. This article provides an overview of Adolescent Impact, a secondary HIV prevention intervention, including its description, delivery, and receptivity among the two unique groups of participants. Adolescent Impact, a 12-session behavioral intervention incorporating individual and group components was designed to increase HIV knowledge, disease management and risk reduction skills, and motivate healthy lifestyles among HIV-infected adolescents. A standardized protocol was implemented at three sites in the northeastern United States. One hundred sixty-six HIV-positive youth, aged 13-21 (mean = 16.8 years), enrolled in the study were randomized to receive either the intervention (n = 83) or standard of care (n = 83). Participants were predominantly of minority race/ethnicity (94% African American or Hispanic); 53% were female and 59.6% were perinatally infected. Perinatally infected youth were significantly more likely to be young, had experienced HIV Class C-related symptoms and had CD4-positive T lymphocyte counts of fewer than 200 cells (all p values less than 0.01). The mean number of sessions attended was 9.4, with most (83.3%) participants attending at least half (greater than or equal to 6) of the intervention sessions (86% perinatally infected, 78.6% behaviorally infected, p = 0.5). Participants' sociodemographic and clinical characteristics mirrored those of the larger HIV adolescent cohort in the United States Relatively high attendance rates suggest that youth were receptive to the program and its content. Through use of multiple intervention modalities, Adolescent Impact was able to accommodate a diverse group of clinic-attending HIV-positive youth and address the need for a compact intervention for use in the clinical setting. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10