Project RAP: Family-based HIV Prevention in the Juvenile Drug Court

Study Overview
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Brief Summary
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The purpose of this project is to compare the effect of a family-based HIV prevention program to the effect of an adolescent-only health promotion program on adolescent HIV risk and marijuana use among adolescents enrolled in the Juvenile Drug Court (JDC) of the Rhode Island Family Court.

Detailed Description
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Adolescents and parents admitted to our study receive either an adolescent-only health education program that focuses on general health risk behaviors related to HIV/AIDS, smoking, diet and exercise or one that focuses on family-based HIV/AIDS education through safe decision-making and control of one's emotions as well as parent-child interactions that are associated with dysregulated affect, subsequent parenting deficits and adolescent HIV risk behaviors.

Official Title
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Project RAP: Family-based HIV Prevention in the Juvenile Drug Court

Conditions
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HIV/AIDS

Intervention / Treatment
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* Behavioral: Family-Based HIV prevention
* Other: Adolescent Only Health Promotion


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 13 to 18 years old; male and female; in Rhode Island Family Court - Intake and Juvenile Drug Court program; English speaking Exclusion Criteria: HIV infection (by self-report); history of sex crimes, current pregnancy

Ages Eligible for Study
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Minimum Age: 13 Years
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Adolescent Only Health Promotion<br>An individual adolescent-only health education program that focuses on risk behaviors related to HIV/AIDS, smoking, diet and exercise | Other: Adolescent Only Health Promotion<br>* An individual, adolescent-only health education program that focuses on risk behaviors related to HIV/AIDS, smoking, diet and exercise<br>|
| Experimental: Family-Based HIV prevention<br>This individual, family-based intervention provides sex and HIV/AIDS education as part of a family-based general health education program that focuses on safe decision-making and how to control emotions to stay safe and improve parenting skills. | Behavioral: Family-Based HIV prevention<br>* This individual, family-based intervention provides sex and HIV/AIDS education as part of a family-based general health education program that focuses on safe decision-making and how to control emotions to stay safe and improve parenting skills.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| adolescent HIV/STD risk | Adolescent self-report of rates of condom use, number of sex partners, number of unprotected vaginal and/or anal intercourse episodes, frequency of alcohol use during sexual activity, frequency of marijuana use during sexual activity, frequency of other drug use during sexual activity | 3 months post intervention | 
| adolescent substance use | Adolescent self-report of quantity and frequency of marijuana use, alcohol use and other drug use over the past 3 months and over the past 30 days. Collateral urine toxicology screen data will also be available for analysis. | 3 months post-intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Scores on measures of parent-child communication (general and sex-specific),parental monitoring and family emotional environment | Using well-established parenting and family-based measures, such as the Parental Knowledge scales (for monitoring), Parent-Child Communication Scales (general and sexually-specific), and the Family Assessment Device (FAD), we will be obtaining both parent and adolescent report of these constructs. | 3 months post intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Adolescent, HIV, AIDS, Sexual risk, Family, Prevention, Juvenile Drug Court, Juvenile Justice, Drug Use, Marijuana