Faculty Collaboration Database

Randomized trial of group interventions to reduce HIV/STD risk and change theoretical mediators among detained adolescents. J Consult Clin Psychol 2009 Feb;77(1):38-50

Date

01/28/2009

Pubmed ID

19170452

Pubmed Central ID

PMC9017688

DOI

10.1037/a0014513

Scopus ID

2-s2.0-61349151145 (requires institutional sign-in at Scopus site)   124 Citations

Abstract

Criminally involved adolescents engage in high levels of risky sexual behavior and alcohol use, and alcohol use may contribute to lack of condom use. Detained adolescents (n = 484) were randomized to (1) a theory-based sexual risk reduction intervention (GPI), (2) the GPI condition with a group-based alcohol risk reduction motivational enhancement therapy component (GPI + GMET), or (3) an information-only control (INFO). All interventions were presented in same-sex groups in single sessions lasting from 2 to 4 hr. Changes to putative theoretical mediators (attitudes, perceived norms, self-efficacy, and intentions) were measured immediately following intervention administration. The primary outcomes were risky sexual behavior and sexual behavior while drinking measured 3 months later (65.1% retention). The GPI + GMET intervention demonstrated superiority over both other conditions in influencing theoretical mediators and over the INFO control in reducing risky sexual behavior. Self-efficacy and intentions were significant mediators between condition and later risky sexual behavior. This study contributes to an understanding of harm reduction among high-risk adolescents and has implications for understanding circumstances in which the inclusion of GMET components may be effective.

Author List

Schmiege SJ, Broaddus MR, Levin M, Bryan AD

Author

Michelle R. Broaddus PhD Associate Professor in the Psychiatry and Behavioral Medicine department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adolescent
Attitude to Health
Condoms
Female
HIV Infections
Humans
Juvenile Delinquency
Male
Motivation
Prisoners
Psychological Theory
Psychotherapy, Group
Risk Factors
Sexually Transmitted Diseases
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