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Tracking high-risk adolescents longitudinally.

M Gwadz1, M J Rotheram-Borus

  • 1HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute, Columbia-Presbyterian Medical Center, Columbia University.

AIDS Education and Prevention : Official Publication of the International Society for AIDS Education
|January 1, 1992
PubMed
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This study details successful longitudinal tracking of at-risk youth for an AIDS prevention program. Key strategies ensured high participant retention in a challenging urban setting.

Area of Science:

  • Public Health
  • Adolescent Health
  • Epidemiology

Background:

  • Longitudinal tracking methods are crucial for evaluating health interventions but are infrequently documented.
  • Assessing the effectiveness of interventions with high-risk populations presents unique challenges.
  • Adolescents, particularly those in urban environments, often exhibit unstable living situations, complicating long-term follow-up.

Purpose of the Study:

  • To document and discuss tracking methods and strategies for a four-year AIDS prevention intervention evaluation.
  • To assess the feasibility and success rate of following a cohort of high-risk adolescents.
  • To identify critical factors contributing to successful participant retention in longitudinal studies.

Main Methods:

  • The study involved a four-year longitudinal tracking of high-risk adolescents participating in an AIDS prevention intervention.

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  • Methods focused on strategic recruitment, interviewer selection, and participant motivation.
  • Information gathering also utilized social service agencies and cooperation-eliciting techniques.

    • Main Results:

    • The study successfully maintained contact with 92% of the unstable youth sample over four years.
    • Participant retention was significantly influenced by project structure, interviewer choice, and motivational incentives.
    • Effective collaboration with social service agencies was vital for recontacting participants.

    Conclusions:

    • Robust longitudinal tracking is achievable even with highly mobile and vulnerable adolescent populations.
    • Strategic planning in recruitment, interviewer training, and participant engagement are essential for successful follow-up.
    • Ethical considerations, including confidentiality, must be carefully managed throughout longitudinal studies.