Evaluating the Role of Family Context Within a Randomized Adolescent HIV-Risk Prevention Trial.
Project STYLE is a multi-site 3-arm RCT comparing family-based, adolescent-only, and general health promotion interventions with 721 adolescents in mental health treatment. This study reports 12-month outcomes for family context and sexual risk behaviors, and explores the role of baseline family con...
| Publicado en: | AIDS & Behavior Vol. 23; no. 5; pp. 1195 - 1210 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
May2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=136404825&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 136404825 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: May2019 vid: 23 iid: 5 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 136404825 136404825 136404825 10.1007/s10461-019-02400-3 136404825 ppf: 1195 ppct: 15 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Evaluating the Role of Family Context Within a Randomized Adolescent HIV-Risk Prevention Trial. aug: au: Barker, David H. Hadley, Wendy Brown, Larry K. McGee, Heather Donenberg, Geri R. DiClemente, Ralph J. affil: Department of Psychiatry, Rhode Island Hospital, Providence, RI, USA sug: subj: HIV Infections Risk Factors HIV Infections Prevention and Control Family Role Evaluation Sexuality Risk Taking Behavior Adolescent Health Human Mental Disorders Health Promotion Latent Structure Analysis Communication Adolescence Parental Behavior Adolescent Behavior Treatment Outcomes Adolescent: 13-18 years ab: Project STYLE is a multi-site 3-arm RCT comparing family-based, adolescent-only, and general health promotion interventions with 721 adolescents in mental health treatment. This study reports 12-month outcomes for family context and sexual risk behaviors, and explores the role of baseline family context in modifying treatment response. Using the full sample, there were sustained benefits for parent-reported sexual communication (d = 0.28), and adolescent-reported parental monitoring (d = 0.24), with minimal differences in risk behaviors. Latent profile analysis identified four family context classes: struggling (n = 177), authoritative (n = 183), authoritarian (n = 175), and permissive (n = 181). The authoritarian and permissive classes were also distinguished by disagreement between parent and adolescent report of family context. Classes differed in terms of baseline mental health burden and baseline sexual risk behavior. Classes showed different patterns of treatment effects, with the struggling class showing consistent benefit for both family context and sexual risk. In contrast, the authoritarian class showed a mixed response for family context and increased sexual risk. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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