Partner-Specific HIV Risk Reduction Intervention for Drug-Using Adolescents

Study Overview
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Brief Summary
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The purpose of this study is to develop and pilot test a partner-specific HIV risk reduction intervention for currently or recently incarcerated adolescents who report problematic substance use.

Detailed Description
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Incarcerated adolescents represent a group at high risk for health consequences associated with risky sexual behaviors. Condom use is more common with non-main than main sex partners and substance use in conjunction with sexual risk also appears to vary by partner type. The research team will conduct a small randomized trial to pilot test a partner-specific HIV risk reduction intervention for currently or recently incarcerated adolescents who report problematic substance use. Participants will be randomized to a 5 session HIV risk reduction group intervention based on the Information-Motivation-Behavioral Skills model, or a 5 session healthy lifestyles psychoeducation intervention, and then reassessed 3 months after their access to the general community is reinstated. The main hypothesis is that participants in the HIV risk reduction intervention condition will have lower levels of sex-related HIV risk behavior and of substance use in conjunction with sexual risk, relative to those in a healthy lifestyles psychoeducation intervention.

Official Title
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Partner-Specific HIV Risk Reduction Intervention for Drug-Using Incarcerated Adolescents

Conditions
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Sexually Transmitted Diseases, Substance-Related Disorders

Intervention / Treatment
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* Behavioral: Partner-Specific IMB-based HIV risk reduction intervention
* Behavioral: Healthy Lifestyle


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: English-speaking ability unprotected vaginal, anal, or oral intercourse at least once in the 6 months prior to incarceration or placement marijuana use disorders, other non-injection drug use disorders, or substance use by a sexual partner during a sexual episode in the six months prior to incarceration or placement sentence or placement length between 2 and 12 months must plan to remain in the area for the 6 months following their release from the facility must be willing to provide two pieces of contact information for follow-up Exclusion Criteria: signs of psychosis (assessed through clinical assessment)

Ages Eligible for Study
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Minimum Age: 15 Years
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

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: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Partner Specific IMB<br>partner-specific HIV risk reduction intervention | Behavioral: Partner-Specific IMB-based HIV risk reduction intervention<br>* 5 session partner-specific HIV risk reduction group intervention based on the Information-Motivation-Behavioral Skills model.<br>|
| Placebo Comparator: HLS<br>5 session psychoeducational group, designed to provide equivalent time and attention, that focuses on the importance of maintaining a good diet, exercise, and developing health skills. | Behavioral: Healthy Lifestyle<br>* 5 session psychoeducational group, designed to provide equivalent time and attention, that focuses on the importance of maintaining a good diet, exercise, and developing health skills.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| lower levels of sex-related HIV risk behavior |  | 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| knowledge about STI transmission |  | 3 months | 
| partner-specific perceptions of STI risks |  | 3 months | 
| social norms, expectations and personal attitudes regarding partner-specific sexual behavior |  | 3 months | 
| partner-specific behavioral and communication skills |  | 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Adolescent, Adolescent behavior, Health behavior, Sexual Behavior, Incarceration, Behavioral Intervention, Risk Reduction Behavior