Sexually Transmitted Diseases, Substance-Related Disorders
Conditions
Keywords
Adolescent, Adolescent behavior, Health behavior, Sexual Behavior, Incarceration, Behavioral Intervention, Risk Reduction Behavior
Brief summary
The purpose of this study is to develop and pilot test a partner-specific HIV risk reduction intervention for currently or recently incarcerated adolescents who report problematic substance use.
Detailed description
Incarcerated adolescents represent a group at high risk for health consequences associated with risky sexual behaviors. Condom use is more common with non-main than main sex partners and substance use in conjunction with sexual risk also appears to vary by partner type. The research team will conduct a small randomized trial to pilot test a partner-specific HIV risk reduction intervention for currently or recently incarcerated adolescents who report problematic substance use. Participants will be randomized to a 5 session HIV risk reduction group intervention based on the Information-Motivation-Behavioral Skills model, or a 5 session healthy lifestyles psychoeducation intervention, and then reassessed 3 months after their access to the general community is reinstated. The main hypothesis is that participants in the HIV risk reduction intervention condition will have lower levels of sex-related HIV risk behavior and of substance use in conjunction with sexual risk, relative to those in a healthy lifestyles psychoeducation intervention.
Interventions
BEHAVIORALPartner-Specific IMB-based HIV risk reduction intervention
5 session partner-specific HIV risk reduction group intervention based on the Information-Motivation-Behavioral Skills model.
BEHAVIORALHealthy Lifestyle
5 session psychoeducational group, designed to provide equivalent time and attention, that focuses on the importance of maintaining a good diet, exercise, and developing health skills.
Sponsors
University of Rhode Island
Women and Infants Hospital of Rhode Island
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
15 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* English-speaking ability * unprotected vaginal, anal, or oral intercourse at least once in the 6 months prior to incarceration or placement * marijuana use disorders, other non-injection drug use disorders, or substance use by a sexual partner during a sexual episode in the six months prior to incarceration or placement * sentence or placement length between 2 and 12 months * must plan to remain in the area for the 6 months following their release from the facility * must be willing to provide two pieces of contact information for follow-up
Exclusion criteria
* signs of psychosis (assessed through clinical assessment)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| lower levels of sex-related HIV risk behavior | 3 months |
Secondary
| Measure | Time frame |
|---|---|
| knowledge about STI transmission | 3 months |
| partner-specific perceptions of STI risks | 3 months |
| social norms, expectations and personal attitudes regarding partner-specific sexual behavior | 3 months |
| partner-specific behavioral and communication skills | 3 months |
Countries
United States
Outcome results
None listed