title: Effects on condom use of an HIV prevention programme 36 months postintervention: a cluster randomized controlled trial among Bahamian youth.
abstract: Data are lacking on long-term effects of HIV behavioural intervention programmes. In this study, we report intervention effects 36 months postintervention on condom use and relevant outcome variables from the theory-based programme 'Focus on Youth in the Caribbean' (FOYC). Participants (1360 sixth-grade youth) were randomized by school into: (1) FOYC, plus one of two brief parent interventions or (2) the control condition 'Wondrous Wetlands', plus a brief parent intervention. Mixed effect analysis demonstrated significant programme effects, including enhanced HIV/AIDS knowledge (effect size D = 0.44, 95% confidence interval [CI]: 0.43, 0.46), increased self-efficacy of (D = 0.42, 95% CI: 0.30, 0.54), skills for (D = 0.62, 95% CI: 0.56, 0.64) and intention to use a condom (D = 0.20, 95% CI: 0.03, 0.37). Youth who received FOYC plus the parental monitoring intervention had higher condom use rates (odds ratio = 1.49, 95% CI: 0.97, 2.28). Feedback effects from key variables were also detected, supporting the sustained effect.
authors.affiliation: The Carman and Ann Adams Department of Pediatrics, Wayne State University, Detroit, MI, USA. jimchen@med.wayne.edu
authors.forename: X
authors.initials: X
authors.lastname: Chen
authors.forename: B
authors.initials: B
authors.lastname: Stanton
authors.forename: P
authors.initials: P
authors.lastname: Gomez
authors.forename: S
authors.initials: S
authors.lastname: Lunn
authors.forename: L
authors.initials: L
authors.lastname: Deveaux
authors.forename: N
authors.initials: N
authors.lastname: Brathwaite
authors.forename: X
authors.initials: X
authors.lastname: Li
authors.forename: S
authors.initials: S
authors.lastname: Marshall
authors.forename: L
authors.initials: L
authors.lastname: Cottrell
authors.forename: C
authors.initials: C
authors.lastname: Harris
mesh_terms: D000293:Adolescent; D017691:Caribbean Region; D002648:Child; D017280:Condoms / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D010290:Parents; D021841:Safe Sex; D012574:Schools; D012725:Sexual Behavior / Q000706:statistics & numerical data*