Efficacy of a parent-based sexual-risk prevention program for African American preadolescents
Efficacy of a parent-based sexual-risk prevention program for African American preadolescents
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DOI：
10.1001/archpedi.161.12.1123
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发表时间：
2007-12-01
影响因子：
--
通讯作者：
Miller, Kim S.
中科院分区：
文献类型：
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作者：
Forehand, Rex;Armistead, Lisa;Miller, Kim S.
目标：设计：随机对照试验。设置：社区为基础的研究在雅典，格鲁吉亚，亚特兰大，格鲁吉亚和小石城，阿肯色州从2001年至2004年。参与者：从1545次调查中，1115名非裔美国人的父母-青春期前的二人组干预：参与者被随机分为3个研究组之一：加强沟通干预（5次，每次21/2小时），单次沟通干预（一次21/2小时的会议）和一般健康干预（对照，一次21/2小时的会议）。在干预前、干预后以及6个月和12个月的随访中，持续测量父母-青春期前的性沟通和父母对性相关问题的反应;和二分法测量青春期前的性风险（从事或打算从事性交，在12个月的随访）。结果：使用意向治疗的参与者，平均变化从基线的连续措施和相对风险的二分法测量的性风险的差异进行了计算。参与者在加强干预有较高的平均变化，从基线得分，表明更多的性沟通和性沟通的反应，在每次评估后，所有连续的措施比那些在控制干预和单次干预。在12个月的随访中，父母参加了所有5次强化干预的学龄前儿童的性风险可能性小于父母参加对照组的儿童的1.00（相对风险，0.65; 95%置信区间，0.41-1.03）和单次治疗（相对风险，0.62; 95%可信区间，0.40-0.97）干预。这些结果提供了初步的证据，证明了一项旨在教授性沟通技巧以预防性风险的父母教育计划的有效性。preadolescents.Trial Registration：clinicaltrials.政府标识符：NCT 00137943。
Objective: To evaluate the efficacy of a parent-based sexual-risk prevention program for African American preadolescents.Design: Randomized controlled trial.Setting: Community-based study conducted in Athens, Georgia; Atlanta, Georgia; and Little Rock, Arkansas from 2001 to 2004.Participants: From 1545 inquiries, 1115 African American parent-preadolescent dyads (child, aged 9-12 years) formed the analytic sample.Intervention: Participants were randomized into 1 of 3 study arms: enhanced communication intervention (five 21/2-hour sessions), single-session communication intervention ( one 21/2-hour session), and general health intervention (control, one 21/2-hour session).Outcome Measures: Continuous measures of parentpreadolescent sexual communication and parental responsiveness to sex-related questions at preintervention, postintervention, and at 6- and 12-month follow-ups; and dichotomous measure of preadolescent sexual risk (having engaged in or intending to engage in sexual intercourse at 12-month follow-up).Results: Using intent-to-treat participants, differences of mean change from baseline for continuous measures and relative risk for the dichotomous measure of sexual risk were calculated. Participants in the enhanced intervention had higher mean changes from baseline scores, indicating more sexual communication and responsiveness to sexual communication at each assessment after intervention for all continuous measures than those in the control intervention and single-session intervention. Preadolescents whose parents attended all 5 sessions of the enhanced intervention had a likelihood of sexual risk at the 12-month follow-up of less than 1.00 relative to those whose parents attended the control ( relative risk, 0.65; 95% confidence interval, 0.41-1.03) and single-session ( relative risk, 0.62; 95% confidence interval, 0.40-0.97) interventions.Conclusions: These results provide preliminary evidence for the efficacy of a parenting program designed to teach sexual communication skills to prevent sexual risk in preadolescents.Trial Registration: clinicaltrials. gov Identifier: NCT00137943.