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Cognitive-behavioral group intervention to assist substance-dependent adolescents in lowering HIV infection risk.
St. Lawrence JS; Jefferson KW; Banks PG; Cline TR; Alleyne E; Brasfield
April 30, 1995
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