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Adapting an HIV Risk Reduction Curriculum: Processes and Outcomes
Melissa K Miller1, Joi Wickliffe2, Sharon G Humiston1
11 Children's Mercy Hospitals and Clinics, Kansas City, MO, USA.
Adapting the Becoming a Responsible Teen (BART) curriculum to include on-site sexual health services improved HIV risk knowledge and safer sex self-efficacy in adolescents. The revised program demonstrated high satisfaction and acceptability among participants and staff.
Area of Science:
- Public Health
- Adolescent Health
- HIV Prevention
Background:
- The Becoming a Responsible Teen (BART) curriculum effectively reduces HIV risk behaviors in African American adolescents.
- Existing BART lacks components addressing barriers to sexual healthcare access, potentially limiting its impact.
- A community-engaged approach is crucial for adapting health interventions to enhance relevance and outcomes.
Purpose of the Study:
- To adapt the BART curriculum by incorporating community feedback and on-site health services.
- To improve the ecological relevance and efficacy of HIV risk reduction for adolescents.
- To assess the acceptability and preliminary impact of the adapted BART program.
Main Methods:
- A community-engaged adaptation process involving adolescent and staff advisory boards.
- Incorporation of on-site services like sexually transmitted infection (STI) testing and condom provision.
- A pilot trial of the adapted BART curriculum (8 weeks) with 36 adolescents.
Main Results:
- Adolescents showed significant improvements in safer sex self-efficacy (p < .02), AIDS risk knowledge (p < .001), condom knowledge (p < .001), and condom attitudes (p < .04).
- High rates of on-site STI testing (61%) and condom receipt (70%) were observed.
- Adolescents and staff reported satisfaction with the revised curriculum and acceptability of on-site services.
Conclusions:
- The adapted BART curriculum, with integrated health services, shows promise for improving adolescent sexual health knowledge and self-efficacy.
- Community engagement is vital for tailoring interventions to address real-world barriers and enhance health outcomes.
- Further research is warranted to evaluate the efficacy and long-term sustainability of the adapted BART program.
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