Effects of a culturally adapted HIV prevention intervention in Haitian youth.
This study assessed the impact of an 8-week community-based translation of Becoming a Responsible Teen (BART), an HIV intervention that has been shown to be effective in other at-risk adolescent populations. A sample of Haitian adolescents living in the Miami area was randomized to a general health education control group (n = 101) or the BART intervention (n = 145), which was based on the information-motivation-behavior (IMB) model. Improvement in various IMB components (i.e., attitudinal, knowledge, and behavioral skills variables) related to condom use was assessed 1 month after the intervention. Longitudinal structural equation models using a mixture of latent and measured multi-item variables indicated that the intervention significantly and positively impacted all IMB variables tested in the model. These BART intervention-linked changes reflected greater knowledge, greater intentions to use condoms in the future, higher safer sex self-efficacy, an improved attitude about condom use, and an enhanced ability to use condoms after the 8-week intervention.
Malow
Robert M
RM
Department of Health Promotion and Disease Prevention, Stempel School of Public Health, Florida International University, Miami, USA.
Stein
Judith A
JA
McMahon
Robert C
RC
Dévieux
Jessy G
JG
Rosenberg
Rhonda
R
Jean-Gilles
Michèle
M
D000293:Adolescent; D003469:Culture; D005260:Female; D005431:Florida / Q000453:epidemiology; D015658:HIV Infections / Q000517:prevention & control*; D006205:Haiti / Q000208:ethnology; D006293:Health Promotion; D006801:Humans; D008297:Male; D009042:Motivation; D010353:Patient Education as Topic; D040242:Risk Reduction Behavior