title: Pre-risk HIV-prevention paradigm shift: the feasibility and acceptability of the parents matter! Program in HIV risk communities.
abstract: OBJECTIVE
  Many youth begin human immunodeficiency virus (HIV) sexual risk behaviors in preadolescence, yet risk-reduction programs are typically implemented in middle or late adolescence, missing an important window for prevention. Parent-based programming may play an important role in reaching youth early with prevention messages. One such program is the Parents Matter! Program (PMP), a five-session theory- and evidence-based intervention for parents of children aged 9 to 12 years. A randomized controlled trial showed PMP to be efficacious in promoting effective parent-child communication about sexuality and sexual risk reduction. We assessed the feasibility and acceptability of PMP when implemented under typical programmatic circumstances in communities at high risk for HIV infection.
  
  
  METHODS
  We selected 15 sites (including health departments, local education agencies, community-based organizations, and faith-based organizations) throughout the U.S. and Puerto Rico to participate in delivering PMP. Sites were provided training, program materials, and ongoing technical assistance. We collected multilevel data to assess the feasibility of program implementation and delivery, program relevance, and satisfaction with PMP activities and materials.
  
  
  RESULTS
  PMP was successfully implemented and evaluated in 13 of 15 sites; 76% of parents attended at least four of five sessions. Organization-, facilitator-, and parent-level data indicated the feasibility and acceptability of PMP, and overall high satisfaction with PMP activities and materials.
  
  
  CONCLUSIONS
  The results of this project demonstrate that HIV pre-risk prevention programs for parents can be implemented and embraced by a variety of community organizations in HIV at-risk communities. The time to embrace parents as partners in public health HIV-prevention efforts has come.
authors.affiliation: Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Rd. NE, MS E-45, Atlanta, GA 30333, USA. kmiller@cdc.gov
authors.forename: Kim S
authors.initials: KS
authors.lastname: Miller
authors.forename: Karl D
authors.initials: KD
authors.lastname: Maxwell
authors.forename: Amy M
authors.initials: AM
authors.lastname: Fasula
authors.forename: J Terry
authors.initials: JT
authors.lastname: Parker
authors.forename: Shannon
authors.initials: S
authors.lastname: Zackery
authors.forename: Sarah C
authors.initials: SC
authors.lastname: Wyckoff
mesh_terms: D000328:Adult; D001741:Black or African American; D002648:Child; D005260:Female; D015658:HIV Infections / Q000208:ethnology / Q000517:prevention & control*; D006266:Health Education / Q000379:methods*; D006630:Hispanic or Latino; D006801:Humans; D008297:Male; D010287:Parent-Child Relations / Q000208:ethnology; D010290:Parents; D015397:Program Evaluation; D011647:Puerto Rico; D040242:Risk Reduction Behavior; D014481:United States
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