title: Outcomes of a Comprehensive Youth Program for HIV-infected Adolescents in Thailand.
abstract: We developed an intervention program for HIV-infected Thai adolescents with two group sessions and two individual sessions, focusing on four strategies: health knowledge, coping skills, sexual risk reduction, and life goals. An audio computer-assisted self-interview (ACASI) was administered to assess knowledge, attitudes, and practices (KAP) regarding antiretroviral therapy management, reproductive health, and HIV-associated risk behavior. The program was implemented in two HIV clinics; 165 (84%) adolescents (intervention group) participated in the program; 32 (16%) completed the ACASI without participating in the group or individual sessions (nonintervention group). The median age was 14 years, and 56% were female. Baseline KAP scores of the intervention and nonintervention groups were similar. Two months after the intervention, knowledge and attitude scores increased (p < .01) in the intervention group, and the increase was sustained at 6 months. KAP scores did not change from baseline in the nonintervention group at 6 or 12 months after enrollment.
authors.forename: Kulkanya
authors.initials: K
authors.lastname: Chokephaibulkit
authors.forename: Jariya
authors.initials: J
authors.lastname: Tarugsa
authors.forename: Rangsima
authors.initials: R
authors.lastname: Lolekha
authors.forename: Pimsiri
authors.initials: P
authors.lastname: Leowsrisook
authors.forename: Boonying
authors.initials: B
authors.lastname: Manaboriboon
authors.forename: Thananda
authors.initials: T
authors.lastname: Naiwatanakul
authors.forename: Warunee
authors.initials: W
authors.lastname: Punpanich
authors.forename: Wipada
authors.initials: W
authors.lastname: Nuchanard
authors.forename: Sarika
authors.initials: S
authors.lastname: Pattanasin
authors.forename: Vitharon
authors.initials: V
authors.lastname: Boon-yasidhi
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D044966:Anti-Retroviral Agents / Q000627:therapeutic use; D018791:CD4 Lymphocyte Count; D002648:Child; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000188:drug therapy / Q000523:psychology*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D010043:Outcome and Process Assessment, Health Care; D015397:Program Evaluation; D060728:Reproductive Health; D040242:Risk Reduction Behavior; D012309:Risk-Taking; D012649:Self Concept; D012736:Sex Education; D012725:Sexual Behavior / Q000523:psychology*; D012747:Sexual Partners; D012749:Sexually Transmitted Diseases / Q000517:prevention & control; D011795:Surveys and Questionnaires; D013785:Thailand; D019562:Viral Load
chemical_list: D044966:Anti-Retroviral Agents
keywords: HIV; Happy Teen; adolescents; disclosure; education; positive prevention program; transition to adult care