Effectiveness of an HIV/STD Risk-Reduction Intervention for Adolescents When Implemented by Community-Based Organizations

A Cluster-Randomized Controlled Trial

Bibliographic Data

ID11029087
AuthorsJohn B Jemmott (0000-0003-2831-8240, John B. Jemmott III is with the Department of Psychiatry, School of Medicine, and the Annenberg School for Communication, University of Pennsylvania, Philadelphia. Loretta S. Jemmott is with the School of Nursing, University of Pennsylvania. Geoffrey T. Fong is with the Department of Psychology, University of Waterloo, Waterloo, Ontario, Canada. Knashawn H. Morales is with the Department of Biostatistics and Epidemiology, School of Medicine, University of Pennsylvania.), Loretta Sweet Jemmott (0000-0001-8509-5827, University of Pennsylvania), Geoffrey T Fong (0000-0001-9098-6472, John B. Jemmott III is with the Department of Psychiatry, School of Medicine, and the Annenberg School for Communication, University of Pennsylvania, Philadelphia. Loretta S. Jemmott is with the School of Nursing, University of Pennsylvania. Geoffrey T. Fong is with the Department of Psychology, University of Waterloo, Waterloo, Ontario, Canada. Knashawn H. Morales is with the Department of Biostatistics and Epidemiology, School of Medicine, University of Pennsylvania.), Knashawn H Morales (0000-0001-5008-1353, John B. Jemmott III is with the Department of Psychiatry, School of Medicine, and the Annenberg School for Communication, University of Pennsylvania, Philadelphia. Loretta S. Jemmott is with the School of Nursing, University of Pennsylvania. Geoffrey T. Fong is with the Department of Psychology, University of Waterloo, Waterloo, Ontario, Canada. Knashawn H. Morales is with the Department of Biostatistics and Epidemiology, School of Medicine, University of Pennsylvania.)
Year2010
Volume100
Issue4
Pages720-726
Publication date2010-04-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2008.140657
PMID20167903
PMCIDPMC2836337
OpenAlexW2124261878
LanguageEN
Citations received23
References cited30

Objectives. We evaluated the effectiveness of an HIV/STD risk-reduction intervention when implemented by community-based organizations (CBOs). Methods. In a cluster-randomized controlled trial, 86 CBOs that served African American adolescents aged 13 to 18 years were randomized to implement either an HIV/STD risk-reduction intervention whose efficacy has been demonstrated or a health-promotion control intervention. CBOs agreed to implement 6 intervention groups, a random half of which completed 3-, 6-, and 12-month follow-up assessments. The primary outcome was consistent condom use in the 3 months prior to each follow-up assessment, averaged over the follow-up assessments. Results. Participants were 1707 adolescents, 863 in HIV/STD-intervention CBOs and 844 in control-intervention CBOs. HIV/STD-intervention participants were more likely to report consistent condom use (odds ratio [OR] = 1.39; 95% confidence interval [CI] = 1.06, 1.84) than were control-intervention participants. HIV/STD-intervention participants also reported a greater proportion of condom-protected intercourse (β = 0.06; 95% CI = 0.00, 0.12) than did the control group. Conclusions. This is the first large, randomized intervention trial to demonstrate that CBOs can successfully implement an HIV/STD risk-reduction intervention whose efficacy has been established

Cluster (spacecraft) · Cluster randomised controlled trial · Condom · Confidence interval · Family medicine · Human immunodeficiency virus (HIV) · Intervention (counseling) · Odds ratio · Psychological intervention · Randomized controlled trial · Adolescent Sexual and Reproductive Health · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Internal Medicine · Medicine · Nursing

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