title: The impact of parent involvement in an effective adolescent risk reduction intervention on sexual risk communication and adolescent outcomes.
abstract: Parent involvement in prevention efforts targeting adolescents increases the impact of such programs. However, the majority of risk-reduction intervention programs that are implemented through schools do not include parents, in part because most existing parental interventions require significant time commitment by parents. We designed a brief parent-adolescent sexual risk communication intervention to be delivered with an effective HIV prevention intervention as part of a randomized, controlled trial among 2,564 grade 10 students and their parents in the Bahamas. Mixed effects modeling analysis was conducted to evaluate the effect of the brief parent-adolescent communication intervention using four waves of longitudinal data. Results indicate that a brief parent-adolescent communication intervention is effective in improving parent-adolescent communication on sex-related issues and perceived parental monitoring as well as the youth's condom use skills and self-efficacy. There is a marginal effect on consistent condom use. In addition, there is an apparent dose effect of the brief parent intervention on perceived parent-adolescent sexual risk communication and adolescent outcomes. These findings suggest that adolescent risk reduction interventions should include a brief parent-adolescent communication intervention that should be reinforced by periodic boosters in order to enhance the impact of adolescent HIV prevention programs.
authors.forename: Bo
authors.initials: B
authors.lastname: Wang
authors.forename: Bonita
authors.initials: B
authors.lastname: Stanton
authors.forename: Lynette
authors.initials: L
authors.lastname: Deveaux
authors.forename: Xiaoming
authors.initials: X
authors.lastname: Li
authors.forename: Veronica
authors.initials: V
authors.lastname: Koci
authors.forename: Sonja
authors.initials: S
authors.lastname: Lunn
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D000328:Adult; D001444:Bahamas; D003142:Communication; D017280:Condoms / Q000706:statistics & numerical data; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D010287:Parent-Child Relations; D016487:Parenting / Q000523:psychology; D010290:Parents / Q000193:education* / Q000523:psychology; D040242:Risk Reduction Behavior; D012309:Risk-Taking; D012725:Sexual Behavior / Q000523:psychology; D011795:Surveys and Questionnaires