title: Cross-cultural adaptation of an adolescent HIV prevention program: social validation of social contexts and behavior among Botswana adolescents.
abstract: An evidence-based HIV prevention intervention was adapted for Botswana youth with qualitative interviews, input from an adolescent panel, and social validation. Qualitative interviews were conducted with 40 boys and girls ages 13-19. An adolescent panel then drafted scenarios reflecting social situations described in the interviews that posed risk for HIV. A social validation sample (N = 65) then indicated the prevalence and difficulty of each situation. Youth described informational needs, pressures to use alcohol and drugs, peer pressure for unprotected sex, and intergenerational sex initiations as risk-priming situations. From 17% to 57% of the social validation sample had personally experienced the situations drafted by the adolescent panel. There were no differences in the ratings of boys versus girls, but youth over age 16 more often reported that they had experienced these risky situations. The results were embedded into the intervention. Major changes to the intervention resulted from this three-phase process.
authors.affiliation: Mississippi State University, Meridian, MS 39307, USA. jlawrence@meridian.msstate.edu
authors.forename: Janet S
authors.initials: JS
authors.lastname: St Lawrence
authors.forename: Esther
authors.initials: E
authors.lastname: Seloilwe
authors.forename: Mabel
authors.initials: M
authors.lastname: Magowe
authors.forename: Kefalotse
authors.initials: K
authors.lastname: Dithole
authors.forename: Billy
authors.initials: B
authors.lastname: Kgosikwena
authors.forename: Elija
authors.initials: E
authors.lastname: Kokoro
authors.forename: Dipuo
authors.initials: D
authors.lastname: Lesaane
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D001902:Botswana; D003469:Culture; D005260:Female; D015658:HIV Infections / Q000208:ethnology / Q000517:prevention & control*; D006266:Health Education / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D010379:Peer Group; D016730:Program Development; D036301:Qualitative Research; D012309:Risk-Taking; D012725:Sexual Behavior; D012931:Social Environment; D047568:Unsafe Sex