Abstract
The purpose of the current study was to test an interactive DVD and workbook specifically designed for African-American parents and adolescents (ages 13–18), based on an efficacious face-to-face intervention, to address key factors associated with risk. A total of 170 parent-adolescent dyads were enrolled and randomly assigned to receive either the “Work It Out Together” DVD or a General Health Promotion DVD (HP). Parents and adolescents completed measures of HIV knowledge, self-efficacy, and parenting behaviors. Immediately after receiving the Work It Out Together intervention, parents and adolescents demonstrated higher HIV knowledge and greater HIV prevention self-efficacy. Three months after receiving the Work It Out Together intervention, parents and adolescents reported higher levels of parental monitoring and sexually active adolescents reported higher levels of condom use self-efficacy and a lower rate of recent sex. These outcomes provide preliminary evidence that the “Work It Out Together” DVD impacted individual attitudes and protective parenting behaviors.
Similar content being viewed by others
References
Health Science Services USDoH. HIV impact: a closing the gap newsletter. Washington, DC: Office of Minority Health; 2001.
CDC. Youth risk behavior surveillance-United States, 2007. Morb Mortal Wkly Rep. 2008;57(SS-4).
Donenberg G, Wilson H, Emerson E, Bryant F. Holding the line with a watchful eye: the impact of perceived parental permissiveness and parental monitoring on risky sexual behavior among adolescents in psychiatric care. AIDS Educ Prev. 2002;14:138–57.
Fisher L, Feldman S. Familial antecedents of young adults health risk behavior: a longitudinal study. J Fam Psychol. 1998;12:66–80.
Jemmott L, Jemmott J. Family structure, parental strictness, and sexual behavior among inner-city black male adolescents. J Adolesc Res. 1992;7:192–207.
Miller B, Benson B, Gailbraith K. Family relationships and adolescent pregnancy risk: a research synthesis. Dev Rev. 2001;21:1–38.
Miller B, Fox G. Theories of adolescent heterosexual behavior. J Adolesc Res. 1987;2:269–82.
Biglan A, Metzler C, Wirt R, Ary D, Noel J, Ochs L, et al. Social and behavioral factors associated with high-risk behavior among adolescents. J Behav Med. 1990;13:245–61.
Wills T, Vaccaro D, McNamara G. The role of life event, family support, and competence in adolescent substance use: a test of vulnerability and protective factors. Am J Community Psychol. 1992;20:349–74.
Conger R, Reuter M. Siblings, parents, and peers: a longitudinal study of social influences in adolescent risk for alcohol use and abuse. In: Brody G, editor. Sibling relationships: their causes and consequences. New Jersey: Ablex Publishing Corporation; 1996. p. 1–30.
Patton L. Adolescent substance abuse. Pediatr Clin N Am. 1995;42:283–93.
DiIorio C, Kelley M, Hockenberry-Eaton M. Communication about sexual issues: mothers, fathers, and friends. J Adolesc Health. 1999;24:181–9.
Henggeler S, Melton G, Rodrigue J. Pediatric and adolescent AIDS: research findings from the social sciences. Newbury Park: Sage; 1992.
McBride C, Paikoff R, Holmbeck G. Individual and familial influences on the onset of sexual intercourse among urban African American adolescents. J Consult Clin Psychol. 2003;71:159–67.
Metzler CW, Noell J, Biglan A, Ary D, Smolkowski K. The social context for risky sexual behavior among adolescents. J Behav Med. 1994;17:419–38.
Voisin D. Family ecology and HIV sexual risk behaviors among African American and Puerto Rican adolescent males. Am J Orthopsychiatry. 2002;72:294–302.
Diiorio C, Resnicow K, Dudley W, Thomas S, Wang D, Van Marter D, et al. Social cognitive factors associated with mother-adolescent communication about sex. J Health Commun Int Perspect. 2000;5(1):41–51.
McKay M, Baptiste D, Coleman D, Madison S, Paikoff R, Scott R. Preventing hiv risk exposure in urban communities: the CHAMP family program. In working with families in the era of HIV/AIDS2000. p. 67–88.
Dilorio C, Resnicow K, McCarty F, De A, Dudley W, Wang D, et al. Keepin’ it R.E.A.L.! Results of a mother-adolescent HIV prevention program. Nurs Res. 2006;55(1):43–51.
Wu Y, Stanton B, Galbraith J, Kaljee L, Cottrell L, Li X, et al. Sustaining and broadening intervention impact: a longitudinal randomized trial of 3 adolescent risk reduction approaches. Pediatrics. 2003;111(1):e32–8.
Stanton B, Cole M, Galbraith J, Li X, Pendleton S, Cottrel L, et al. Randomized trial of a parent intervention: parents can make a difference in long-term adolescent risk behaviors, perceptions, and knowledge. Arch Pediatr Adolesc Med. 2004;158(10):947–55.
Jemmott L, Outlaw F, Jemmott III J, Brown E, Howard M, Hopkins K. Strengthening the bond: the Mother-Son Health Promotion Project. Pequegnat W, Szapocznik J, editors. Thousand Oaks: Sage Publications, Inc.; 2000.
Krauss B, Godfrey C, Yee D, Goldsampt L, Tiffany J, Almeyda L. Saving our children from a silent epidemic: the PATH program for children and adolescents. In: Pequegnat W, Szapocznik J, editors. Working with families in the era of HIV/AIDS. Thousand Oaks: Sage; 2000. p. 89–112.
Dilorio C, Resnicow K, Lehr S, Denzmore P. REAL men: a group-randomized trial of an HIV prevention intervention for adolescent boys. Am J Public Health. 2007;97(6):1084–9.
Guilamo-Ramos V, Jaccard J, Dittus P, Bouris A, Gonzalez B, Casillas E, et al. A Comparative study of interventions for delaying the initiation of sexual intercourse among latino and Black Youth. Perspect Sexual Reprod Health [Article]. 2011;43(4):247–54.
Dancy B, Crittenden K, Talashek M. Mothers’ effectiveness as HIV risk reduction educators for adolescent daughters. J Health Care Poor Undeserved. 2006;17(1):218–39.
Flay B, Graumlich S, Segawa E, Burns J, Holliday M. Effects of two prevention programs on high-risk behaviors among African American youth. Arch Pediatr Adolesc Med. 2004;158:377–84.
Murry VM, Berkel C, Chen Y, et al. Intervention induced changes on parenting practices, youth self-pride and sexual norms to reduce HIV-related behaviors among rural african american youths. J Youth Adolesc. 2011;40:1147–63.
Downs J, Murray P, de Bruin WB, Penrose J, Palmgren C, Fischhoff B. Interactive video behavioral intervention to reduce adolescent females’ STD risk: a randomized control trial. Soc Sci Med. 2004;59:1561–72.
Warner L, Klausner J, Rietmeijer C, Malotte K, O’Donnell L, Margolis A, et al. Effect of a brief video intervention on incident infection among patients attending sexually transmitted disease clinics. PLoS Med. 2008;5(6):e135.
Miller B, Norton M, Jenson G, Lee T, Christopherson C, King P. Impact evaluation of facts and feelings: a home-based video sex education curriculum. Fam Relat. 1993;42(4):392–400.
O’Donnell L, Stueve A, Agronick G, Wilson-Simmons R, Duran R, Jeanbaptiste V. Saving sex for later: an evaluation of a parent education intervention. Perspect Sexual Reprod Health. 2005;37(4):166–73.
Roye C, Silverman P, Krauss B. A brief, low-cost, theory-based intervention to promote dual method use by Black and Latina female adolescents: a randomized clinical trial. Health Educ Behav. 2006;31:1–14.
Winett R. Efficacy of a home-based HIV prevention video program for teens and parents. Health Educ Q. 1993;20(4):555–67.
Klein C, Card J. Preliminary efficacy of a computer-delivered HIV prevention intervention for African American teenage females. AIDS Educ Prev. 2011;23(6):564–76.
Stallman H, Ralph A. Reducing risk factors for adolescent behavioral and emotional problems: a pilot randomized controlled trial of a self-administered parenting intervention. Aust e-J Adv Ment Health. 2007;6(2):125–37.
O’Donnell L, Myint-U A, Duran R, Stueve A. Especially for daughters: parent education to address alcohol and sex-related risk taking among urban young adolescent girls. Health Promot Pract. 2010;11:70S–8S.
Weekes CVN, Haas BK, Gosselin KP. Expectations and self-efficacy of African American parents who discuss sexuality with their adolescent sons: an intervention study. Public Health Nurs. 2013;31(3):253–61.
Donenberg G, Brown L, Hadley W, Kapungu C, Lescano C, DiClemente R, et al. Family-based HIV-prevention for adolescents with psychiatric disorders. In: Pequegnat W, Bell C, editors. Families and HIV/AIDS. New York: Springer Press; 2012. p. 261–78.
Stanton B, Li X, Ricardo I, Galbraith J, Feigelman S, Kaljee L. A randomized controlled effectiveness trial of an AIDS prevention program for low-income African-American youth. Arch Pediatr Adolesc Med. 1996;150:363–72.
Donenberg GR. Reconsidering “between-group psychotherapy outcome research and basic science”: applications to child and adolescent psychotherapy outcome research. J Clin Psychol. 1999;55:181–90.
Donenberg G, Pao M. Psychiatry’s role in a changing epidemic. J Am Acad Child Adolesc Psychiatry. 2005;44(8):728–47.
Brown LK, DiClemente RJ, Beausoleil NI. Comparison of human immunodeficiency virus related knowledge, attitudes, intentions, and behaviors among sexually active and abstinent young adolescents. J Adolesc Health. 1992;13(2):140–5.
Brown LK, Fritz GK. Children’s knowledge and attitudes about AIDS. J Am Acad Child Adolesc Psychiatry. 1988;27:504–8.
Lawrence L, Levy S, Rubinson L. Self-efficacy and AIDS prevention for pregnant teens. J School Health. 1990;60:19–24.
Brown LK, Schultz JR, Parsons JT, Butler RB, Forsberg AD, Kocik SM, King G, Manco-Johnson M, Aledort L. Sexual behavior change among HIV infected adolescents with hemophilia. Pediatrics. 2000;106.
Dutra R, Miller K, Forehand R. The process and content of sexual communication with adolescents in two-parent families: associations with sexual risk-taking behavior. AIDS Behav. 1999;3:59–66.
Miller K, Kotchick B, Dorsey S, Forehand R, Ham A. Family communication about sex: what are parents saying and are their adoelscents listening? Fam Plan Perspect. 1998;30:218–22.
Kerr M, Stattin H. What parents know, how they know it, and several forms of adolescent adjustment: further support for a reinterpretation of monitoring. Dev Psychol. 2000;36:366–80.
Baker S, Thalberg S, Morrison D. Parents’ behavioral norms as predictors of adolescent sexual activity and contraceptive use. Adolescence. 1988;23:265–86.
Donenberg GR, Emerson E, Bryant FB, Wilson H, Weber-Shifrin E. Understanding AIDS-risk behavior among adolescents in psychiatric care: links to psychopathology and peer relationships. J Am Acad Child Adolesc Psychiatry. 2001;40(6):642–53.
Cohen J. Statistical power analysis for the behavioral sciences. Lawrence Erlbaum Associates; 1988.
Brown L, Hadley W, Donenberg G, DiClemente R, Lescano C, Lang D, et al. Project STYLE: a multisite RCT for HIV prevention among youths in mental health treatment. Psychiatr Serv. 2014;65:338–44.
Kumpfer KL. Family-based interventions for the prevention of substance abuse and other impulse control disorders in girls. ISRN Addict. 2014;2014:23.
Friedlander ML. Family therapy research: science into practice, practice into science. In: Nichols MP, Schwartz RC, editors. Family therapy concepts and methods. 4th ed. Needham Heights: Allyn & Bacon; 1998. p. 523–4.
Centers for Disease Control and Prevention. Adverse health conditions and health risk behaviors associated with intimate partner violence—United States, 2005. MMWR Morb Mortal Wkly Rep. 2008;57(5):113–7.
Gage JC, Overpeck MD, Nansel TR, Kogan MD. Peer activity in the evenings and participation in aggressive and problem behaviors. J Adolesc Health. 2005;37(6):517-e7.
Lefkowitz E, Boone T, Sigman M, Au TK-F. He said, she said: gender differences in mother-adolescent conversations about sexuality. J Res Adolesc. 2002;12(2):217–42.
Acknowledgments
Research supported by: The National Institute of Mental Health (R01MH63008, PI: Brown, L.; R44 MH082103; PI: Juzang; K23 MH102131, PI: Barker, D.) and the Lifespan/Tufts/Brown Center for AIDS Research (P30AI042853, PI: Carpenter, C.) provided additional support for this report.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Hadley, W., Brown, L.K., Barker, D. et al. Work It Out Together: Preliminary Efficacy of a Parent and Adolescent DVD and Workbook Intervention on Adolescent Sexual and Substance Use Attitudes and Parenting Behaviors. AIDS Behav 20, 1961–1972 (2016). https://doi.org/10.1007/s10461-016-1418-6
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10461-016-1418-6