AIDS PREVENTION FOR GIRLS IN THERAPY FOR DEPRESSION

Project: Research project

Project Details

Description

The goal of this study is to implement and to evaluate the effectiveness
of a prevention program designed to delay the initiation of sexual
activity and/or to eliminate/reduce HIV-related risk behaviors among
adolescents with high-risk profiles: psychiatrically disturbed Latina
adolescent girls living in a major AIDS epicenter. A central question
in this AIDS prevention program is whether mothers can enhance the
effectiveness of the program. Two hundred forty girls ages 13-18
enrolled in the Child Psychiatry Outpatient Clinic at Columbia
Presbyterian Medical Center will receive brief, standard psychiatric
treatment and be randomly assigned to one of three conditions for
receiving an intensive HIV prevention program: Adolescent Alone; 2)
Adolescent-Mother Intervention; or 3) No-Intervention Control Condition.
Based on a social action model, this project considers HIV in the context
of reproductive health and health promotion, rather than a disease
prevention model, considers the potential role that the mother can play
to help shape her daughter's skills to protect herself and serve as a
source of social rewards for effective problem solving, and includes
behavioral, emotional and contextual determinants of risk behavior in
addition to cognitive-perceptual factors. The Adolescent Alone and the
Adolescent-Mother Conditions are comprised to two modules: 1) a Family
Life Module aimed at enhancing the benefits for self-protective health
actions, self-regulatory skills, and identifying the contextual factors
that place the adolescent at risk, particularly when adolescents are
depressed and anxious or using alcohol and drugs. This module will be
comprised of four 6-hour workshops. 2) A Maintenance Module that
reinforces maintenance of behavior change delivered during two 6-hour
workshops. The relative effectiveness of the Adolescent Alone and the
Adolescent-Mother Intervention Conditions will be evaluated by changes
in HIV sexual risk behaviors, non-HIV risk acts, and positive health
practices over two years. Effectiveness will also be examined as a
function of background factors: 1) the adolescents' age, acculturation,
and depression; and 2) mother's acculturation and depression. The
mediating factors that will be assessed are: 1) the adolescent's
acquisition of skills, attitudes, and norms taught in the intervention;
and 2) the mother's comfort with daughter's sexuality and mother-daughter
communication regarding sexuality.
StatusActive
Effective start/end date1/1/011/31/22

Funding

  • National Institute of Mental Health
  • National Institute of Mental Health
  • National Institute of Mental Health
  • National Institute of Mental Health
  • National Institute of Mental Health
  • National Institute of Mental Health
  • National Institute of Mental Health

ASJC

  • Public Health, Environmental and Occupational Health
  • Communication
  • Infectious Diseases
  • Health Policy
  • Epidemiology
  • Decision Sciences(all)
  • Psychiatry and Mental health
  • Social Sciences(all)
  • Psychology(all)
  • General
  • Medicine(all)
  • Social Psychology
  • Law
  • Gender Studies
  • Virology
  • Statistics and Probability
  • Sociology and Political Science
  • Statistics, Probability and Uncertainty
  • Public Administration

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