Predictors of responsiveness among early adolescents to a school-based risk reduction intervention over 3 years.
This study assesses potential predictive factors for unresponsiveness to the "Focus on Youth in the Caribbean (FOYC)" intervention using longitudinal data from 1,360 Bahamian sixth-grade youth. Results from hierarchical logistic regression analyses indicate that the intervention had a greater impact on knowledge, skills, self-efficacy, and condom use intention among low and medium initial scorers. High initial scores in knowledge, skills, self-efficacy, and intention were predictive of relative unresponsiveness to the intervention. Advanced age and male sex were predictive of unresponsiveness to the intervention for HIV/AIDS knowledge. Female gender was predictive of unresponsiveness to the intervention for self-efficacy. High academic self-evaluation was predictive of unresponsiveness to the intervention for condom use intention. The greatest intervention impact was observed at the 6-month post-intervention follow-up; these intervention-related gains were sustained over the subsequent follow-up periods. Youth with higher risk attributes (lower knowledge, skills and self-efficacy) were more likely to respond to a risk reduction intervention.
Pediatric Prevention Research Center, Department of Pediatrics, Wayne State University School of Medicine, 4707 St. Antoine, Suite W534, Detroit, MI 48201, USA. bwang@med.wayne.edu
Bo
B
Wang
Bonita
B
Stanton
Xinguang
X
Chen
Xiaoming
X
Li
Veronica
V
Dinaj-Koci
Nanika
N
Brathwaite
Lynette
L
Deveaux
Sonja
S
Lunn
D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D001444:Bahamas / Q000453:epidemiology; D002648:Child; D017280:Condoms / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control*; D006266:Health Education / Q000379:methods; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D011237:Predictive Value of Tests; D040242:Risk Reduction Behavior; D021841:Safe Sex; D012574:Schools; D020377:Self Efficacy; D013334:Students; D011795:Surveys and Questionnaires