Prado Guillermo, Pantin Hilda, Schwartz Seth J, Lupei Nichole S, Szapocznik José
Stempel School of Public Health, Department of Epidemiology and Biostatistics, Florida International University, 11200 SW 8th St. HLS 597 Miami, FL 33199, USA.
J Pediatr Psychol. 2006 Oct;31(9):874-90. doi: 10.1093/jpepsy/jsj046. Epub 2005 Jul 27.
This study examined predictors of engagement and retention into a parent-centered, ecodevelopmental HIV preventive intervention for Hispanic adolescents and their families. The influence of retention on changes in adolescent HIV-risk attitudes was also examined.
Participants in this study were 91 Hispanic adolescents and their primary parents. Structural equation modeling was used to identify (a) predictors of initial engagement, (b) the effects of group processes on retention, and (c) the effects of retention on change HIV-risk attitudes in adolescents.
Although some participant characteristics predicted engagement, the parent-facilitator relationship quality at the initial contact was found to be the strongest predictor of engagement. Furthermore, within-group processes such as group cohesion positively predicted retention. Finally, parent retention predicted decreases in adolescent HIV-risk attitudes.
The results may have important implications for engagement and retention in parent-centered interventions, as well as for reducing risks for HIV transmission in Hispanic adolescents. Implications for services research are also discussed.
本研究调查了参与并持续接受针对西班牙裔青少年及其家庭的以父母为中心的生态发展性艾滋病预防干预措施的预测因素。同时还研究了持续参与对青少年艾滋病风险态度变化的影响。
本研究的参与者为91名西班牙裔青少年及其主要父母。采用结构方程模型来确定：（a）初始参与的预测因素；（b）小组过程对持续参与的影响；（c）持续参与对青少年艾滋病风险态度变化的影响。
尽管一些参与者特征可预测参与情况，但研究发现初次接触时父母与促进者之间的关系质量是参与的最强预测因素。此外，小组凝聚力等小组内部过程对持续参与有积极的预测作用。最后，父母持续参与可预测青少年艾滋病风险态度的降低。
研究结果可能对以父母为中心的干预措施中的参与和持续参与具有重要意义，同时也对降低西班牙裔青少年的艾滋病传播风险具有重要意义。还讨论了对服务研究的启示。
