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Accepted (AM)Open Access (License Unspecified), Open
Journal article
The development of an innovative, theory-driven, psychoeducational HIV/STI prevention intervention for heterosexually active black adolescents with mental illnesses
Vulnerable children and youth studies, v 14(2), pp 151-165
03 Apr 2019
PMID: 31687041
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Sexually transmitted infections (STIs), including human immunodeficiency virus (HIV), continue to disproportionately affect Black adolescents. Those experiencing the psychological sequelae of mental illnesses are at increased risk. Here, we outline the development of an HIV/STI prevention intervention for heterosexually active Black adolescents with mental illnesses. This research was guided by a psychosocial expansion of the Theory of Planned Behavior, nested within a broader social determinants of health framework. A youth community advisory board provided study oversight. Heterosexually active Black adolescents aged 14-17 were recruited from community-based outpatient mental health providers for focus groups, surveys and two 'dress rehearsals' of the intervention protocol (N = 68). The qualitative and quantitative findings indicated that knowledge, attitudes and skills related to consistent condom use, reduced number of sexual partners, routine HIV/STI testing, abstinence and emotion regulation were important areas to target. These elicitation data provided insight into the context of HIV/STI risk for the study population, and were used to develop the intervention content. 'Project GOLD: We are Kings and Queens' was designed to be delivered over two days (3 hours per day), with eight, 45-min modules. The activities address behaviors, as well as cognitive, emotional, psychological and social processes associated with HIV/STI risk. Alongside evidence-based HIV/STI prevention strategies (e.g. sexual partner communication skills), the intervention activities are rooted in principles of Cognitive Behavioral Therapy. Dress rehearsal participants were in favor of the intervention and provided feedback on activity length, gender and cultural relevance and strategies to sustain attention; this information was used to finalize the curriculum. In partnership with the community, we developed a theoretically driven, gender and culturally relevant, developmentally and psychologically appropriate HIV/STI prevention program. Our ultimate goal is to standardize sexual health assessment and intervention in outpatient mental health treatment settings to meet sexual health needs in this underserved population.
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Details
- Title
- The development of an innovative, theory-driven, psychoeducational HIV/STI prevention intervention for heterosexually active black adolescents with mental illnesses
- Creators
- Bridgette M. Brawner - University of PennsylvaniaSarah Abboud - University of Illinois ChicagoJanaiya Reason - University of PennsylvaniaGina Wingood - Columbia UniversityLoretta Sweet Jemmott - Drexel University
- Publication Details
- Vulnerable children and youth studies, v 14(2), pp 151-165
- Publisher
- Taylor & Francis
- Grant note
- P30MH097488 / National Institute of Mental Health (10.13039/100000025) U01PS003304 / National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (10.13039/100005258)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Nursing and Health Professions
- Web of Science ID
- WOS:000470004200005
- Scopus ID
- 2-s2.0-85060444303
- Other Identifier
- 991019330801304721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Family Studies