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Article
Preliminary Efficacy of a Computer-Delivered HIV Prevention Intervention for African American Teenage Females
AIDS Education & Prevention
  • Charles H Klein, Portland State University
  • Josefina J. Card
Document Type
Article
Publication Date
1-1-2011
Subjects
  • HIV infections -- Prevention,
  • Clinical trials,
  • Confidence intervals,
  • Computers in medicine,
  • Multimedia systems,
  • Probability theory,
  • Questionnaires,
  • Risk-taking (Psychology),
  • Scale analysis (Psychology),
  • t-test (Statistics),
  • Therapeutics,
  • Adolescence
Abstract

This study translated SiHLE (Sisters Informing, Healing, Living, and Empowering), a 12-hour Centers for Disease Control and Prevention evidence based group-level intervention for African American females 14-18 years of age, into a 2-hour computer-delivered individual-level intervention. A randomized controlled trial (n = 178) was conducted to examine the efficacy of the new Multimedia SiHLE intervention. Average condom-protected sex acts (proportion of vaginal sex acts with condoms, last 90 days) for sexually active participants receiving Multimedia SiHLE rose from M = 51% at baseline to M = 71% at 3-month follow-up (t = 2.06, p = .05); no statistically significant difference was found in the control group. Non-sexually active intervention group participants reported a significant increase in condom self-efficacy (t = 2.36, p = .02); no statistically significant difference was found in the control group. The study provides preliminary support for the efficacy of a computer-delivered adaptation of a proven HIV prevention program for African American teenage women. This is consistent with meta- analyses that have shown that computer-delivered interventions, which can often be disseminated at lower per-capita cost than human-delivered interventions, can influence HIV risk behaviors in positive fashion.

Description

This is the publisher's final PDF. This paper was published in AIDS Education & Prevention and is made available as an electronic reprint with the permission of Guilford Publications Inc. The paper can be found at the following URL on the Guilford website: http://www.guilford.com/. Copyright Guilford Press. Reprinted with permission of The Guilford Press.

DOI
10.1521/aeap.2011.23.6.564
Persistent Identifier
http://archives.pdx.edu/ds/psu/11133
Citation Information
Klein, C. H., & Card, J. J. (2011). Preliminary Efficacy of a Computer-Delivered HIV Prevention Intervention for African American Teenage Females. AIDS Education & Prevention, 23(6), 564-576. doi:10.1521/aeap.2011.23.6.564.