Project STYLE: A Multisite RCT for HIV Prevention Among Youths in Mental Health Treatment
Project STYLE: A Multisite RCT for HIV Prevention Among Youths in Mental Health Treatment
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DOI：
10.1176/appi.ps.201300095
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发表时间：
2014-03-01
影响因子：
3.8
通讯作者：
Oster, Danielle
中科院分区：
文献类型：
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作者：
Brown, Larry K.;Hadley, Wendy;Oster, Danielle
目的：该研究检查了以家庭为基础的艾滋病毒预防计划在降低艾滋病毒风险和改善父母监督以及青少年心理健康治疗中的性沟通方面的有效性。研究方法：在一项随机对照试验（RCT）中，来自美国三个城市精神卫生机构的721名青少年（13-18岁）及其照顾者被随机分配到三种基于理论的结构化群体干预措施之一：基于家庭的艾滋病毒预防，仅预防艾滋病毒，仅促进健康。干预措施是在全天讲习班期间提供的。在基线和干预后三个月完成评估。结果如下：与健康干预组相比，艾滋病预防干预组青少年报告的不安全性行为较少（调整后比率= 0.49，p= 0.01），安全套使用较多（调整后相对变化0.59%，p= 0.01），避免性行为的可能性较大（调整后比值比=1.44，p= 0.05）。他们还表现出艾滋病毒知识的提高（p
Objective: The study examined the efficacy of family-based and adolescent-only HIV prevention programs in decreasing HIV risk and improving parental monitoring and sexual communication among youths in mental health treatment. Methods: A randomized controlled trial (RCT) with 721 adolescents (ages 13-18 years) and their caregivers from mental health settings in three U.S. cities were randomly assigned to one of three theory-based, structured group interventions: family-based HIV prevention, adolescent-only HIV prevention, and adolescent-only health promotion. Interventions were delivered during an all-day workshop. Assessments were completed at baseline and three months postintervention. Results: Compared with those in the health intervention, adolescents in the HIV prevention interventions reported fewer unsafe sex acts (adjusted rate ratio=.49, p=.01), greater condom use (adjusted relative change.59%, p=.01), and greater likelihood of avoiding sex (adjusted odds ratio=1.44, p=.05). They also showed improved HIV knowledge (p