title: Integrating condom skills into family-centered prevention: efficacy of the Strong African American Families-Teen program.
abstract: OBJECTIVE
  The Strong African American Families-Teen (SAAF-T) program, a family-centered preventive intervention that included an optional condom skills unit, was evaluated to determine whether it prevented unprotected intercourse and increased condom efficacy among rural African American adolescents. Ancillary analyses were conducted to identify factors that predicted youth attendance of the condom skills unit.
  
  
  METHODS
  Sixteen-year-old African American youths (N = 502) and their primary caregivers were randomly assigned to SAAF-T (n = 252) or an attention control (n = 250) intervention. SAAF-T families participated in a 5-week family skills training program that included an optional condom skills unit. All families completed in-home pretest, posttest, and long-term follow-up interviews during which adolescents reported on their sexual behavior, condom use, and condom efficacy. Because condom use was addressed only in an optional unit that required caregiver consent, we analyzed efficacy using complier average causal effect analyses.
  
  
  RESULTS
  Attendance in both SAAF-T and the attention control intervention averaged 4 of 5 sessions; 70% of SAAF-T youth attended the condom skills unit. Complier average causal effect models indicated that SAAF-T was efficacious in reducing unprotected intercourse and increasing condom efficacy among rural African American high school students. Exploratory analyses indicated that religious caregivers were more likely than nonreligious caregivers to have their youth attend the condom skills unit.
  
  
  CONCLUSIONS
  Results suggest that brief condom skills educational modules in the context of a family-centered program are feasible and reduce risk for sexually transmitted infections and unplanned pregnancies.
authors: Department of Child and Family Development, University of Georgia, Athens, Georgia 30602, USA. smkogan@uga.edu
authors: Steven M
authors: SM
authors: Kogan
authors: Tianyi
authors: T
authors: Yu
authors: Gene H
authors: GH
authors: Brody
authors: Yi-fu
authors: YF
authors: Chen
authors: Ralph J
authors: RJ
authors: DiClemente
authors: Gina M
authors: GM
authors: Wingood
authors: Phaedra S
authors: PS
authors: Corso
mesh_terms: D000293:Adolescent; D001288:Attention; D017280:Condoms; D003268:Contraception Behavior / Q000208:ethnology*; D005260:Female; D006801:Humans; D008297:Male; D010353:Patient Education as Topic; D011247:Pregnancy; D049168:Pregnancy, Unplanned; D012424:Rural Population; D020377:Self Efficacy; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000517:prevention & control; D047568:Unsafe Sex / Q000517:prevention & control*