HIV Sexual Risk-reduction Interventions for Youth: a Review and Methodological Critique of Randomized Controlled Trials

Overview

Journal Behav Modif

Publisher Sage Publications

Specialty Psychiatry

Date 2003 Apr 23

PMID 12705104

Citations 44

Authors

C Teal Pedlow

Michael P Carey

Affiliations

Soon will be listed here.

Abstract

The authors review and provide a methodological critique of randomized controlled studies of HIV risk reduction interventions that measured sexual risk behavior outcomes with adolescents. Studies conducted in school, community, and health care settings were reviewed. Overall, 13 of 23 interventions (57%) were effective in reducing sexual risk behavior. Methodological strengths of extant studies included an emphasis on a theoretical framework, evaluation of both individualized and group-intervention formats, use of multiple assessments of risk behavior (including biological outcomes), and inclusion of efficacy and effectiveness trials. Methodological limitations included limited evaluation of theoretical mediators of risk reduction, failure to report effect sizes, and lack of sustained findings. Inconsistencies were found in data analytic procedures and reporting, including how nested designs, skewed data, and attrition were addressed. Recommendations for designing methodologically rigorous interventions are provided.

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