Training Community Members to Deliver HIV Prevention Programs to Urban Youth - Full Text View

Purpose

This study will examine methods for involving local community members in programs to teach urban youth about how to prevent transmission of HIV.

Condition	Intervention	Phase
HIV HIV Infections	Behavioral: Be Proud! Be Responsible! Behavioral: Becoming A Responsible Teen (BART) Behavioral: Reducing the Risk	Phase 3

Study Type:	Interventional
Study Design:	Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver) Primary Purpose: Prevention
Official Title:	Community Partnerships to Prevent Urban Youth Health Risks (CHAMPions)

Resource links provided by NLM:

Genetics Home Reference related topics: complement factor I deficiency

MedlinePlus related topics: HIV/AIDS

U.S. FDA Resources

Further study details as provided by Mount Sinai School of Medicine:

Primary Outcome Measures:

Youth sexual risk behaviors [ Time Frame: Measured at baseline ] [ Designated as safety issue: No ]
Measured at baseline, after 3 to 4 months, and after 15 months
Youth sexual risk behaviors [ Time Frame: Measured after 3 to 4 months ] [ Designated as safety issue: No ]
Measured at baseline, after 3 to 4 months, and after 15 months
Youth sexual risk behaviors [ Time Frame: Measured after 15 months ] [ Designated as safety issue: No ]
Measured at baseline, after 3 to 4 months, and after 15 months
HIV educators' intentions to collaborate [ Time Frame: Measured at baseline ] [ Designated as safety issue: No ]
Measured at baseline, post-intervention, and at 3- and 15-month follow-ups
HIV educators' intentions to collaborate [ Time Frame: Measured at post-intervention ] [ Designated as safety issue: No ]
Measured at baseline, post-intervention, and at 3- and 15-month follow-ups
HIV educators' intentions to collaborate [ Time Frame: Measured at 3-month follow-up ] [ Designated as safety issue: No ]
Measured at baseline, post-intervention, and at 3- and 15-month follow-ups
HIV educators' intentions to collaborate [ Time Frame: Measured at 15-month follow-up ] [ Designated as safety issue: No ]
Measured at baseline, post-intervention, and at 3- and 15-month follow-ups
Collaboration by HIV educators [ Time Frame: Measured at baseline ] [ Designated as safety issue: No ]
Measured at baseline, post-intervention, and at 3- and 15-month follow-ups
Collaboration by HIV educators [ Time Frame: Measured at post-intervention ] [ Designated as safety issue: No ]
Measured at baseline, post-intervention, and at 3- and 15-month follow-ups
Collaboration by HIV educators [ Time Frame: Measured at 3-month follow-up ] [ Designated as safety issue: No ]
Measured at baseline, post-intervention, and at 3- and 15-month follow-ups
Collaboration by HIV educators [ Time Frame: Measured at 15-month follow-up ] [ Designated as safety issue: No ]
Measured at baseline, post-intervention, and at 3- and 15-month follow-ups
Youth sexual behavior [ Time Frame: Measured at baseline ] [ Designated as safety issue: No ]
Measured at baseline, after 3 to 4 months, and after 15 months
Youth sexual behavior [ Time Frame: Measured after 3 to 4 months ] [ Designated as safety issue: No ]
Measured at baseline, after 3 to 4 months, and after 15 months
Youth sexual behavior [ Time Frame: Measured after 15 months ] [ Designated as safety issue: No ]
Measured at baseline, after 3 to 4 months, and after 15 months
Youth negotiation of sexual risk situations [ Time Frame: Measured at baseline ] [ Designated as safety issue: No ]
Measured at baseline, after 3 to 4 months, and after 15 months
Youth negotiation of sexual risk situations [ Time Frame: Measured after 3 to 4 months ] [ Designated as safety issue: No ]
Measured at baseline, after 3 to 4 months, and after 15 months
Youth negotiation of sexual risk situations [ Time Frame: Measured after 15 months ] [ Designated as safety issue: No ]
Measured at baseline, after 3 to 4 months, and after 15 months

Secondary Outcome Measures:

Leadership skills of HIV educators [ Time Frame: Measured at baseline ] [ Designated as safety issue: No ]
Measured at baseline, post-intervention, and at 3- and 15-month follow-ups
Leadership skills of HIV educators [ Time Frame: Measured at post-intervention ] [ Designated as safety issue: No ]
Measured at baseline, post-intervention, and at 3- and 15-month follow-ups
Leadership skills of HIV educators [ Time Frame: Measured at 3-month follow-up ] [ Designated as safety issue: No ]
Measured at baseline, post-intervention, and at 3- and 15-month follow-ups
Leadership skills of HIV educators [ Time Frame: Measured at 15-month follow-up ] [ Designated as safety issue: No ]
Measured at baseline, post-intervention, and at 3- and 15-month follow-ups
HIV/AIDS knowledge and attitudes of educators and youth [ Time Frame: Measured at baseline ] [ Designated as safety issue: No ]
Measured at baseline, after 3 to 4 months, and after 15 months
HIV/AIDS knowledge and attitudes of educators and youth [ Time Frame: Measured after 3 to 4 months ] [ Designated as safety issue: No ]
Measured at baseline, after 3 to 4 months, and after 15 months
HIV/AIDS knowledge and attitudes of educators and youth [ Time Frame: Measured after 15 months ] [ Designated as safety issue: No ]
Measured at baseline, after 3 to 4 months, and after 15 months
Self-esteem and self-efficacy of HIV educators [ Time Frame: Measured at baseline ] [ Designated as safety issue: No ]
Measured at baseline, post-intervention, and at 3- and 15-month follow-ups
Self-esteem and self-efficacy of HIV educators [ Time Frame: Measured at post-intervention ] [ Designated as safety issue: No ]
Measured at baseline, post-intervention, and at 3- and 15-month follow-ups
Self-esteem and self-efficacy of HIV educators [ Time Frame: Measured at 3-month follow-up ] [ Designated as safety issue: No ]
Measured at baseline, post-intervention, and at 3- and 15-month follow-ups
Self-esteem and self-efficacy of HIV educators [ Time Frame: Measured at 15-month follow-up ] [ Designated as safety issue: No ]
Measured at baseline, post-intervention, and at 3- and 15-month follow-ups

Enrollment:	901
Study Start Date:	March 2009
Study Completion Date:	March 2012
Primary Completion Date:	March 2012 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Experimental: BART Participants will complete the Becoming a Responsible Teen (BART) program.	Behavioral: Becoming A Responsible Teen (BART) This program consists of highly structured modules administered using intervention manuals in community-based settings. Each intervention session involves group discussion, videos, games, presentations, demonstrations, role plays, and practice. Youth learn problem solving, decision-making, communication, condom negotiation and use skills, and behavioral self-management. Youth also meet with HIV infected peers to promote risk recognition and improve their perception of vulnerability.
Experimental: Reducing the Risk Participants will complete the Reducing the Risk program.	Behavioral: Reducing the Risk This program consists of instruction on developing social skills to reduce sexual risk-taking behavior and role plays to practice and model skills. Additional activities-such as teaching decision making and assertive communication skills, offering encouragement to obtain relevant health information from stores and clinics, and asking parents about their views on abstinence and birth control-support the premise that students should avoid unprotected intercourse, either by remaining abstinent or using contraceptives.
Active Comparator: Be Proud Be Responsible Participants will complete the Be Proud! Be Responsible! program.	Behavioral: Be Proud! Be Responsible! This intervention consists of highly structured modules that involve group discussions, videos, games, brainstorming, experiential exercises, and skill building activities. The program encourages participants to be proud of themselves and their community, to behave responsibly for themselves and their community, and to consider their goals for the future and how risk behaviors may interfere with the attainment of their goals.

Detailed Description:

HIV is a sexually transmitted virus that damages or destroys a body's immune system. When the infection progresses to its later stages, AIDS can develop. Several programs have been developed for educating adolescents about how to prevent HIV transmission. Preventing infection is particularly important because there is not yet a way to cure HIV. This study will examine the processes needed to train community members to deliver HIV prevention programs to urban youth.

This study has three steps. In Step 1, an existing group of urban community members who have already delivered the Be Proud! Be Responsible! HIV prevention program will be invited to serve as mentors for new HIV educators in the community. Participants in this step will complete self-administered assessments of their willingness to collaborate with university-based researchers, their confidence in skills necessary for collaborative projects, and any foreseeable obstacles to participation. The goal of this step is to examine the response over time to ongoing HIV leadership.

In Step 2, parents from the targeted community will be recruited and trained in HIV prevention programs. They will be randomly assigned to one of three programs: Becoming a Responsible Teen, Be Proud! Be Responsible!, and Reducing the Risk. All three of these programs involve group meetings with adolescents to discuss puberty, sexuality, communication, self-esteem, HIV/AIDS, and setting and achieving goals and dreams. Participants in this phase will undergo the same assessments as those in Step 1.

In Step 3, the parents trained in Step 2 will be randomly assigned to a middle school or high school where they will deliver the program in which they were trained. Randomly selected adolescent participants from these schools will be assigned to whichever program is being offered at their school. All three prevention programs will include four to six sessions over 4 to 6 weeks. Adolescent participants will be required to complete interviews and questionnaires when they enter the study, after 3 months, and after 15 months. These interviews and questionnaires will measure HIV/AIDS knowledge, self-esteem, intention to protect health, and engagement in risk-taking behaviors. Parent participants in Step 3 will repeat the assessments from Steps 1 and 2 before and after delivering their prevention curriculums.

Eligibility

Ages Eligible for Study:	12 Years to 60 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	Yes

Criteria

Inclusion Criteria

Adult community HIV educators who are parents of a middle or high school aged child
Adult participants must be between 25 and 60 years of age
Youth participants must be between 12 and 15 years of age
Residents of target communities in Bronx, NY

Exclusion Criteria:

Parent or guardian is excluded if youth participant cannot provide informed consent because of mental health or substance abuse diagnosis
Significant cognitive impairment that might interfere with understanding of program content or informed consent process

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00859144

Locations

United States, New York
Mount Sinai School of Medicine
New York, New York, United States, 10029

Sponsors and Collaborators

Mount Sinai School of Medicine

National Institute of Mental Health (NIMH)

Investigators

Principal Investigator:

Mary M. McKay, PhD

Mount Sinai School of Medicine

More Information

No publications provided

Responsible Party:	Mount Sinai School of Medicine
ClinicalTrials.gov Identifier:	NCT00859144 History of Changes
Other Study ID Numbers:	GCO 03-0888, R01MH069934, DAHBR 9A-ASPA
Study First Received:	March 6, 2009
Last Updated:	March 7, 2012
Health Authority:	United States: Federal Government

Keywords provided by Mount Sinai School of Medicine:

HIV Prevention
Youth
Adolescent
Community Collaboration
Community Mentorship

Minority
Urban
Sexual Risk Behaviors
HIV seronegativity

Additional relevant MeSH terms:

HIV Infections
Acquired Immunodeficiency Syndrome
Lentivirus Infections
Retroviridae Infections
RNA Virus Infections
Virus Diseases

Sexually Transmitted Diseases, Viral
Sexually Transmitted Diseases
Immunologic Deficiency Syndromes
Immune System Diseases
Slow Virus Diseases

ClinicalTrials.gov processed this record on May 16, 2013