Clinical trial NCT00831883: Partner-Specific HIV Risk Reduction Intervention for Drug-Using Adolescents
Official title: Partner-Specific HIV Risk Reduction Intervention for Drug-Using Incarcerated Adolescents
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Sexually Transmitted Diseases
Substance-Related Disorders
Keywords: Adolescent
Adolescent behavior
Health behavior
Sexual Behavior
Incarceration
Behavioral Intervention
Risk Reduction Behavior
Lead sponsor: Women and Infants Hospital of Rhode Island
Sponsor class: OTHER
Collaborators: name: University of Rhode Island
First posted: 2009-01-29
Enrollment: 59
Sex: ALL
Minimum age (years): 15
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: 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: 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.

Eligibility criteria: 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)

Primary outcomes:
measure: lower levels of sex-related HIV risk behavior
timeFrame: 3 months
Secondary outcomes:
measure: knowledge about STI transmission
timeFrame: 3 months
measure: partner-specific perceptions of STI risks
timeFrame: 3 months
measure: social norms, expectations and personal attitudes regarding partner-specific sexual behavior
timeFrame: 3 months
measure: partner-specific behavioral and communication skills
timeFrame: 3 months
Other outcomes:
Locations:
city: Providence
country: United States
facility: Women & Infants Hospital of Rhode Island
state: Rhode Island
Study officials:
affiliation: Women & Infants of Rhode Island
name: Cynthia Rosengard, PhD, MPH
role: PRINCIPAL_INVESTIGATOR
References: