Couple-focused human immunodeficiency virus prevention for young Latino parents: Randomized clinical trial of efficacy and sustainability

Deborah Koniak-Griffin, Janna Lesser, Sumiko Takayanagi, William G. Cumberland

    Research output: Contribution to journalArticle

    11 Citations (Scopus)

    Abstract

    Objective: To evaluate the efficacy and sustainability of acouple-focused human immunodeficiency virus (HIV) prevention intervention in reducing unprotected sex and increasing intent to use condoms and knowledge about AIDS. Design: Randomized controlled trial. Setting: Urban community settings in Southern California. Participants: Primarily Latino couples (168 couples; 336 individuals) who were aged 14 to 25 years, English or Spanish speaking, and coparenting a child at least 3 months of age. Intervention: A 12-hour theory-based, couple-focused HIV prevention program culturally tailored for young Latino parents, with emphasis on family protection, skill building, and issues related to gender and power. The 1 1/2-hour control condition provided basic HIV-AIDS information. Main Outcome Measures: Primary outcome measures included self-report of condom use during the past 3 months; secondary, intent to use condoms and knowledge about AIDS. Results: The HIV prevention intervention reduced the proportion of unprotected sex episodes (odds ratio, 0.87 per month from baseline to 6 months; 95% confidence interval [CI], 0.82-0.93) and increased intent to use condoms (slope increase, 0.20; 95% CI, 0.04-0.37) at the 6-month follow-up; however, these effects were not sustained at 12 months. Knowledge about AIDS was increased in both groups from baseline to 6 months (slope estimate, 0.57;95% CI, 0.47-0.67) and was maintained in the intervention group only through 12 months. Female participants in both groups had higher intent to use condoms and knowledge about AIDS than male participants (P≤.01). Conclusions: The couple-focused HIV prevention intervention reduced risky sexual behaviors and improved intent to use condoms among young Latino parents at the 6-month evaluation. A maintenance program is needed to improve the sustainability of effects over time.

    Original languageEnglish (US)
    Pages (from-to)306-312
    Number of pages7
    JournalArchives of Pediatrics and Adolescent Medicine
    Volume165
    Issue number4
    DOIs
    StatePublished - Apr 2011

    Fingerprint

    Condoms
    Hispanic Americans
    Randomized Controlled Trials
    Parents
    HIV
    Acquired Immunodeficiency Syndrome
    Unsafe Sex
    Confidence Intervals
    Outcome Assessment (Health Care)
    compound A 12
    Sexual Behavior
    Self Report
    Odds Ratio
    Maintenance

    ASJC Scopus subject areas

    • Pediatrics, Perinatology, and Child Health

    Cite this

    Couple-focused human immunodeficiency virus prevention for young Latino parents : Randomized clinical trial of efficacy and sustainability. / Koniak-Griffin, Deborah; Lesser, Janna; Takayanagi, Sumiko; Cumberland, William G.

    In: Archives of Pediatrics and Adolescent Medicine, Vol. 165, No. 4, 04.2011, p. 306-312.

    Research output: Contribution to journalArticle

    Koniak-Griffin, Deborah ; Lesser, Janna ; Takayanagi, Sumiko ; Cumberland, William G. / Couple-focused human immunodeficiency virus prevention for young Latino parents : Randomized clinical trial of efficacy and sustainability. In: Archives of Pediatrics and Adolescent Medicine. 2011 ; Vol. 165, No. 4. pp. 306-312.
    @article{35130eb39f304762a2eb90b79acd9687,
    title = "Couple-focused human immunodeficiency virus prevention for young Latino parents: Randomized clinical trial of efficacy and sustainability",
    abstract = "Objective: To evaluate the efficacy and sustainability of acouple-focused human immunodeficiency virus (HIV) prevention intervention in reducing unprotected sex and increasing intent to use condoms and knowledge about AIDS. Design: Randomized controlled trial. Setting: Urban community settings in Southern California. Participants: Primarily Latino couples (168 couples; 336 individuals) who were aged 14 to 25 years, English or Spanish speaking, and coparenting a child at least 3 months of age. Intervention: A 12-hour theory-based, couple-focused HIV prevention program culturally tailored for young Latino parents, with emphasis on family protection, skill building, and issues related to gender and power. The 1 1/2-hour control condition provided basic HIV-AIDS information. Main Outcome Measures: Primary outcome measures included self-report of condom use during the past 3 months; secondary, intent to use condoms and knowledge about AIDS. Results: The HIV prevention intervention reduced the proportion of unprotected sex episodes (odds ratio, 0.87 per month from baseline to 6 months; 95{\%} confidence interval [CI], 0.82-0.93) and increased intent to use condoms (slope increase, 0.20; 95{\%} CI, 0.04-0.37) at the 6-month follow-up; however, these effects were not sustained at 12 months. Knowledge about AIDS was increased in both groups from baseline to 6 months (slope estimate, 0.57;95{\%} CI, 0.47-0.67) and was maintained in the intervention group only through 12 months. Female participants in both groups had higher intent to use condoms and knowledge about AIDS than male participants (P≤.01). Conclusions: The couple-focused HIV prevention intervention reduced risky sexual behaviors and improved intent to use condoms among young Latino parents at the 6-month evaluation. A maintenance program is needed to improve the sustainability of effects over time.",
    author = "Deborah Koniak-Griffin and Janna Lesser and Sumiko Takayanagi and Cumberland, {William G.}",
    year = "2011",
    month = "4",
    doi = "10.1001/archpediatrics.2011.28",
    language = "English (US)",
    volume = "165",
    pages = "306--312",
    journal = "JAMA Pediatrics",
    issn = "2168-6203",
    publisher = "American Medical Association",
    number = "4",

    }

    TY - JOUR

    T1 - Couple-focused human immunodeficiency virus prevention for young Latino parents

    T2 - Randomized clinical trial of efficacy and sustainability

    AU - Koniak-Griffin, Deborah

    AU - Lesser, Janna

    AU - Takayanagi, Sumiko

    AU - Cumberland, William G.

    PY - 2011/4

    Y1 - 2011/4

    N2 - Objective: To evaluate the efficacy and sustainability of acouple-focused human immunodeficiency virus (HIV) prevention intervention in reducing unprotected sex and increasing intent to use condoms and knowledge about AIDS. Design: Randomized controlled trial. Setting: Urban community settings in Southern California. Participants: Primarily Latino couples (168 couples; 336 individuals) who were aged 14 to 25 years, English or Spanish speaking, and coparenting a child at least 3 months of age. Intervention: A 12-hour theory-based, couple-focused HIV prevention program culturally tailored for young Latino parents, with emphasis on family protection, skill building, and issues related to gender and power. The 1 1/2-hour control condition provided basic HIV-AIDS information. Main Outcome Measures: Primary outcome measures included self-report of condom use during the past 3 months; secondary, intent to use condoms and knowledge about AIDS. Results: The HIV prevention intervention reduced the proportion of unprotected sex episodes (odds ratio, 0.87 per month from baseline to 6 months; 95% confidence interval [CI], 0.82-0.93) and increased intent to use condoms (slope increase, 0.20; 95% CI, 0.04-0.37) at the 6-month follow-up; however, these effects were not sustained at 12 months. Knowledge about AIDS was increased in both groups from baseline to 6 months (slope estimate, 0.57;95% CI, 0.47-0.67) and was maintained in the intervention group only through 12 months. Female participants in both groups had higher intent to use condoms and knowledge about AIDS than male participants (P≤.01). Conclusions: The couple-focused HIV prevention intervention reduced risky sexual behaviors and improved intent to use condoms among young Latino parents at the 6-month evaluation. A maintenance program is needed to improve the sustainability of effects over time.

    AB - Objective: To evaluate the efficacy and sustainability of acouple-focused human immunodeficiency virus (HIV) prevention intervention in reducing unprotected sex and increasing intent to use condoms and knowledge about AIDS. Design: Randomized controlled trial. Setting: Urban community settings in Southern California. Participants: Primarily Latino couples (168 couples; 336 individuals) who were aged 14 to 25 years, English or Spanish speaking, and coparenting a child at least 3 months of age. Intervention: A 12-hour theory-based, couple-focused HIV prevention program culturally tailored for young Latino parents, with emphasis on family protection, skill building, and issues related to gender and power. The 1 1/2-hour control condition provided basic HIV-AIDS information. Main Outcome Measures: Primary outcome measures included self-report of condom use during the past 3 months; secondary, intent to use condoms and knowledge about AIDS. Results: The HIV prevention intervention reduced the proportion of unprotected sex episodes (odds ratio, 0.87 per month from baseline to 6 months; 95% confidence interval [CI], 0.82-0.93) and increased intent to use condoms (slope increase, 0.20; 95% CI, 0.04-0.37) at the 6-month follow-up; however, these effects were not sustained at 12 months. Knowledge about AIDS was increased in both groups from baseline to 6 months (slope estimate, 0.57;95% CI, 0.47-0.67) and was maintained in the intervention group only through 12 months. Female participants in both groups had higher intent to use condoms and knowledge about AIDS than male participants (P≤.01). Conclusions: The couple-focused HIV prevention intervention reduced risky sexual behaviors and improved intent to use condoms among young Latino parents at the 6-month evaluation. A maintenance program is needed to improve the sustainability of effects over time.

    UR - http://www.scopus.com/inward/record.url?scp=79953770755&partnerID=8YFLogxK

    UR - http://www.scopus.com/inward/citedby.url?scp=79953770755&partnerID=8YFLogxK

    U2 - 10.1001/archpediatrics.2011.28

    DO - 10.1001/archpediatrics.2011.28

    M3 - Article

    C2 - 21464378

    AN - SCOPUS:79953770755

    VL - 165

    SP - 306

    EP - 312

    JO - JAMA Pediatrics

    JF - JAMA Pediatrics

    SN - 2168-6203

    IS - 4

    ER -