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Cognitive-behavioral group intervention to assist substance-dependent adolescents in lowering HIV infection risk.


AIDS Educ Prev. 1994 Oct;6(5):425-35. Unique Identifier : AIDSLINE

Substance dependent adolescents (N = 19), court referred into a residential drug treatment facility received a five-session HIV risk-reduction intervention that provided risk education, social competency skills (sexual assertion, partner negotiation, and communication skills), technical skills (condom use), and problem-solving training. Before and after the intervention, subjects completed measures of AIDS risk knowledge, health locus of control, social support, attitudes toward HIV prevention, attitudes toward condoms, self-efficacy, and perceptions of risk in addition to role-play assessments of behavioral skill resisting high-risk coercions. Postintervention, subjects exhibited increased knowledge about HIV/AIDS, more favorable attitudes toward prevention, greater internal and lower external locus of control scores, more favorable attitudes toward condom use, increased self-efficacy, and greater recognition of HIV vulnerability. Following intervention, the percentage of participants reporting sexual activity in high-risk contexts decreased, substantiating the intervention's effectiveness. Self-report data were corroborated by sexually transmitted disease treatment records. This uncontrolled demonstration effort suggests that skills training based on cognitive-behavioral principles may be a promising intervention strategy to lower vulnerable adolescents' risk of HIV infection.

Adolescence Attitude to Health Cognitive Therapy/*METHODS/STATISTICS & NUMER DATA Comparative Study Female Human HIV Infections/*PREVENTION & CONTROL/PSYCHOLOGY *HIV-1 Interpersonal Relations Knowledge, Attitudes, Practice Male Mississippi Psychotherapy, Group/*METHODS/STATISTICS & NUMER DATA Residential Treatment/METHODS/STATISTICS & NUMER DATA Risk Factors *Risk-Taking *Sex Behavior/PSYCHOLOGY/STATISTICS & NUMER DATA Substance Dependence/PSYCHOLOGY/*THERAPY Support, U.S. Gov't, P.H.S. JOURNAL ARTICLE


Information in this article was accurate in April 30, 1995. The state of the art may have changed since the publication date. This material is designed to support, not replace, the relationship that exists between you and your doctor. Always discuss treatment options with a doctor who specializes in treating HIV.