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Pub Date: |
2011-12-00 |
Pub Type(s): |
Journal Articles; Reports - Research |
Peer Reviewed: |
Yes |
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Descriptors:
Acquired Immunodeficiency Syndrome (AIDS); Learning Readiness; Intervals; Sexually Transmitted Diseases; Parent Child Relationship; Sexuality; Program Effectiveness; African Americans; Preadolescents; Prevention; Intervention; Parent Attitudes; Comparative Analysis; Contraception; Scores; Risk
Abstract:
We examine efficacy of the Parents Matter! Program (PMP), a program to teach African-American parents of preadolescents sexual communication and HIV-prevention skills, through a multicenter, randomized control trial. A total of 1115 parent-child participants were randomized to one of three intervention arms (enhanced, brief, control). Percentages and 95% confidence intervals compare parents' perception of child readiness to learn about sexual issues, communication effectiveness, and dyad concordance from baseline to 12 months postintervention. Wilcoxon rank sum tests compare the changes in scores measuring communication content in HIV/AIDS, abstinence, and condom use. Compared to control, parents in the enhanced arm increased perception of child readiness to learn about sex (16% vs. 29%; p less than 0.001), and a greater proportion of parent-child dyads reported concordant responses on communication topics: HIV/AIDS (15%, 95% CI = 8-21%; p less than 0.001), abstinence (13%, 95% CI = 7-20%; p less than 0.001), condoms (15%, 95% CI = 9-22%; p less than 0.001). Increases in communication scores in HIV/AIDS, abstinence, and condom use were greater in the enhanced arm than control (p less than 0.01). We conclude that the enhanced PMP can help parents educate children about HIV and prepare children to avoid sexual risk.
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Pub Date: |
2011-02-00 |
Pub Type(s): |
Journal Articles; Reports - Research |
Peer Reviewed: |
Yes |
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Descriptors:
Intervention; Prevention; Risk; Parent Child Relationship; Acquired Immunodeficiency Syndrome (AIDS); Predictor Variables; Sexuality; Preadolescents; African Americans; Individual Characteristics; Parent Attitudes; Correlation; Family Income; Program Effectiveness
Abstract:
Predictors of change in the number of sexual topics parents discussed and responsiveness during sex communication with their preadolescent after participating in a five-session sexual risk reduction intervention for parents were examined. Data were from 339 African American parents of preadolescents enrolled in the intervention arm of a randomized-controlled trial of the Parents' Matter! Program (PMP). Four categories of predictors of success were examined: time and resource constraints, personal characteristics, the parent-child relationship, and parent perceptions of child readiness for sex communication. There were only sporadic associations between success and time and resource constraints for either outcome. Parent perception of child readiness for sex communication was positively associated with discussions of sex topics (b = 1.11, confidence interval [CI]: 0.24-1.97) and parental responsiveness (b = 0.68, CI:0.22-1.15). Although parents face time and resource constraints, most attended at least four sessions, and demographics such as income had limited effects on program success.
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Pub Date: |
2010-08-00 |
Pub Type(s): |
Journal Articles; Reports - Evaluative |
Peer Reviewed: |
Yes |
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Descriptors:
Intervention; Child Rearing; Risk; Foreign Countries; Sexuality; Parenting Skills; Acquired Immunodeficiency Syndrome (AIDS); Prevention; Parent Child Relationship; Program Effectiveness; Pilot Projects; Community Needs
Abstract:
Evidence-based interventions (EBIs) are critical for effective HIV prevention, but time and resources required to develop and evaluate new interventions are limited. Alternatively, existing EBIs can be adapted for new settings if core elements remain intact. We describe the process of adapting the Parents Matter! Program, an EBI originally developed for African American parents to promote effective parent-child communication about sexual risk reduction and parenting skills, for use in rural Kenya. A systematic process was used to assess the community's needs, identify potential EBIs, identify and make adaptations, pilot-test the adapted intervention, and implement and monitor the adapted EBI. Evaluation results showed the adapted EBI retained its effectiveness, successfully increasing parent-child sexual communication and parenting skills. Our experience suggests an EBI can be successfully adapted for a new context if it is relevant to local needs, the process is led by a multidisciplinary team with community representation, and pilot-testing and early implementation are well monitored.
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