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Comparison of a theory-based (AIDS Risk Reduction Model) cognitive behavioral intervention versus enhanced counseling for abused ethnic minority adolescent women on infection with sexually transmitted infection: results of a randomized controlled trial.
Int J Nurs Stud. 2012 Feb; 49(2):138-50.IJ

Abstract

BACKGROUND

Ethnic minority adolescent women with a history of sexual or physical abuse and sexually transmitted infections represent a vulnerable population at risk for HIV. Community-based interventions for behavior modification and subsequent risk reduction have not been effective among these women.

OBJECTIVES

To evaluate the effects of a theory-based (AIDS Risk Reduction Model) cognitive behavioral intervention model versus enhanced counseling for abused ethnic minority adolescent women on infection with sexually transmitted infection at 6 and 12 months follow-up.

DESIGN

Controlled randomized trial with longitudinal follow-up.

SETTINGS

Southwestern United States, Metropolitan community-based clinic.

PARTICIPANTS

Mexican-and-African American adolescent women aged 14-18 years with a history of abuse or sexually transmitted infection seeking sexual health care.

METHODS

Extensive preliminary study for intervention development was conducted including individual interviews, focus groups, secondary data analysis, pre-testing and feasibility testing for modification of an evidence-based intervention prior to testing in the randomized controlled trial. Following informed consents for participation in the trial, detailed interviews concerning demographics, abuse history, sexual risk behavior, sexual health and physical exams were obtained. Randomization into either control or intervention groups was conducted. Intervention participants received workshop, support group and individual counseling sessions. Control participants received abuse and enhanced clinical counseling. Follow-up including detailed interview and physical exam was conducted at 6 and 12 months following study entry to assess for infection. Intention to treat analysis was conducted to assess intervention effects using chi-square and multiple regression models.

RESULTS

409 Mexican-(n=342) and African-(n=67) American adolescent women with abuse and sexually transmitted infection histories were enrolled; 90% intervention group attendance; longitudinal follow-up at 6 (93%) and 12 (94%) months. Intervention (n=199) versus control (n=210) group participants experienced fewer infections at 0-6 (0% versus 6.6%, p=.001), 6-12 (3.6% versus 7.8%, p=.005, CI 95% lower-upper .001-.386) and 0-12 (4.8% versus 13.2%, p=.002, CI 95% lower-upper, .002-.531) month intervals.

CONCLUSIONS

A cognitive behavioral intervention specifically designed for ethnic minority adolescent women with a history of abuse and sexually transmitted infection was effective for prevention of infection. These results provide evidence for development of evidence-based interventions for sexually transmitted infection/HIV. Implications include translation to community-clinic-based settings for prevention of adverse outcomes regarding sexual health of adolescent women.

Authors+Show Affiliations

Texas Tech University Health Science Center, School of Nursing, Lubbock, TX, USA. jane.dimmitt-champion@ttuhsc.eduNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

21937041

Citation

Champion, Jane Dimmitt, and Jennifer L. Collins. "Comparison of a Theory-based (AIDS Risk Reduction Model) Cognitive Behavioral Intervention Versus Enhanced Counseling for Abused Ethnic Minority Adolescent Women On Infection With Sexually Transmitted Infection: Results of a Randomized Controlled Trial." International Journal of Nursing Studies, vol. 49, no. 2, 2012, pp. 138-50.
Champion JD, Collins JL. Comparison of a theory-based (AIDS Risk Reduction Model) cognitive behavioral intervention versus enhanced counseling for abused ethnic minority adolescent women on infection with sexually transmitted infection: results of a randomized controlled trial. Int J Nurs Stud. 2012;49(2):138-50.
Champion, J. D., & Collins, J. L. (2012). Comparison of a theory-based (AIDS Risk Reduction Model) cognitive behavioral intervention versus enhanced counseling for abused ethnic minority adolescent women on infection with sexually transmitted infection: results of a randomized controlled trial. International Journal of Nursing Studies, 49(2), 138-50. https://doi.org/10.1016/j.ijnurstu.2011.08.010
Champion JD, Collins JL. Comparison of a Theory-based (AIDS Risk Reduction Model) Cognitive Behavioral Intervention Versus Enhanced Counseling for Abused Ethnic Minority Adolescent Women On Infection With Sexually Transmitted Infection: Results of a Randomized Controlled Trial. Int J Nurs Stud. 2012;49(2):138-50. PubMed PMID: 21937041.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of a theory-based (AIDS Risk Reduction Model) cognitive behavioral intervention versus enhanced counseling for abused ethnic minority adolescent women on infection with sexually transmitted infection: results of a randomized controlled trial. AU - Champion,Jane Dimmitt, AU - Collins,Jennifer L, Y1 - 2011/09/21/ PY - 2011/04/17/received PY - 2011/08/24/revised PY - 2011/08/27/accepted PY - 2011/9/23/entrez PY - 2011/9/23/pubmed PY - 2012/6/29/medline SP - 138 EP - 50 JF - International journal of nursing studies JO - Int J Nurs Stud VL - 49 IS - 2 N2 - BACKGROUND: Ethnic minority adolescent women with a history of sexual or physical abuse and sexually transmitted infections represent a vulnerable population at risk for HIV. Community-based interventions for behavior modification and subsequent risk reduction have not been effective among these women. OBJECTIVES: To evaluate the effects of a theory-based (AIDS Risk Reduction Model) cognitive behavioral intervention model versus enhanced counseling for abused ethnic minority adolescent women on infection with sexually transmitted infection at 6 and 12 months follow-up. DESIGN: Controlled randomized trial with longitudinal follow-up. SETTINGS: Southwestern United States, Metropolitan community-based clinic. PARTICIPANTS: Mexican-and-African American adolescent women aged 14-18 years with a history of abuse or sexually transmitted infection seeking sexual health care. METHODS: Extensive preliminary study for intervention development was conducted including individual interviews, focus groups, secondary data analysis, pre-testing and feasibility testing for modification of an evidence-based intervention prior to testing in the randomized controlled trial. Following informed consents for participation in the trial, detailed interviews concerning demographics, abuse history, sexual risk behavior, sexual health and physical exams were obtained. Randomization into either control or intervention groups was conducted. Intervention participants received workshop, support group and individual counseling sessions. Control participants received abuse and enhanced clinical counseling. Follow-up including detailed interview and physical exam was conducted at 6 and 12 months following study entry to assess for infection. Intention to treat analysis was conducted to assess intervention effects using chi-square and multiple regression models. RESULTS: 409 Mexican-(n=342) and African-(n=67) American adolescent women with abuse and sexually transmitted infection histories were enrolled; 90% intervention group attendance; longitudinal follow-up at 6 (93%) and 12 (94%) months. Intervention (n=199) versus control (n=210) group participants experienced fewer infections at 0-6 (0% versus 6.6%, p=.001), 6-12 (3.6% versus 7.8%, p=.005, CI 95% lower-upper .001-.386) and 0-12 (4.8% versus 13.2%, p=.002, CI 95% lower-upper, .002-.531) month intervals. CONCLUSIONS: A cognitive behavioral intervention specifically designed for ethnic minority adolescent women with a history of abuse and sexually transmitted infection was effective for prevention of infection. These results provide evidence for development of evidence-based interventions for sexually transmitted infection/HIV. Implications include translation to community-clinic-based settings for prevention of adverse outcomes regarding sexual health of adolescent women. SN - 1873-491X UR - https://www.unboundmedicine.com/medline/citation/21937041/Comparison_of_a_theory_based__AIDS_Risk_Reduction_Model__cognitive_behavioral_intervention_versus_enhanced_counseling_for_abused_ethnic_minority_adolescent_women_on_infection_with_sexually_transmitted_infection:_results_of_a_randomized_controlled_trial_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0020-7489(11)00333-6 DB - PRIME DP - Unbound Medicine ER -