Behavior and Behavior Mechanisms Clinical Trial
Official title:
Reducing Teen Sexual Behavior: A Clinic-Based Approach
This study will evaluate the effectiveness of a parent-based intervention in reducing sexual risk behavior in high-risk Latino and African-American adolescents.
In the United States, racial and ethnic minorities suffer disproportionately from
preventable diseases and conditions. Many of these problems result from health-related
behaviors that are established during childhood and adolescence. Latino and African-American
adolescents are at considerable risk for the negative health consequences of early, risky
sexual activity. This study will focus on inner-city Latino and African-American adolescents
in grades 6, 7, and 8. The primary aim will be to develop an intervention that parents can
use to address the issue of sexual risk behavior with their children.
The intervention will take place in a primary health care clinic when mothers accompany
their children for annual physical exams. Mothers will meet with a social worker for
approximately 25 minutes while their children are being examined by the physician. During
this time, mothers will receive information about the problem of premature adolescent sexual
activity, support in preventing or reducing their children's sexual risk behavior,
instruction about how to talk with their children about sexual risk behavior, and targeted
homework activities. All parents will also receive three follow-up phone calls to increase
the probability that the homework tasks will be completed.
Participants in this study will also be assigned to one of the following three groups: an
experimental group; an active control group; or a passive control group. Participants in all
groups will complete three questionnaires over the course of the study to assess outcomes.
Participants in the experimental and active control groups will partake in an additional
meeting with a clinic social worker. Parents in the experimental group will meet with the
social worker to discuss effective parent-adolescent communication strategies. They will
also receive take-home materials to help them communicate with and parent their adolescents
to reduce sexual risk behavior. Parents in the active control group will meet with the
social worker to discuss adolescent nutrition and receive informational brochures.
Three booster sessions will take place via telephone for parents in the experimental and
active control groups. The first booster call will occur approximately 1 month after study
entry, the second will occur 5 months after the intervention ends, and the third will occur
9 months post intervention. No such booster calls will be provided to parents in the passive
control condition.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject)
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