Department of Mental Health Law and Policy, College of Behavioral and Community Sciences, University of South Florida.
Department of Health Sciences, College of Health Professions and Sciences, University of Central Florida.
J Pediatr Psychol. 2020 May 1;45(4):411-422. doi: 10.1093/jpepsy/jsaa019.
Latino STYLE is a family-centered, HIV-focused intervention (HIV) emphasizing cultural factors and parent-adolescent communication. We hypothesized that, compared with a general health promotion (HP) intervention, the HIV arm would improve caregiver and adolescent HIV knowledge, attitudes, parental monitoring, sexual communication, and family relationships after a 3-month postintervention period. This article reports on the short-term findings of the longer trial.
A single-site, two-arm, parallel, family-based, randomized, controlled trial was conducted; eligible participants were Latino adolescents aged 14-17 and their primary caregiver. The study was conducted at the University of South Florida with 227 adolescent-caregiver dyads allocated to the HIV (n = 117) or HP (n = 110) intervention after completing a baseline assessment. Interim measures at 3-month follow-up included demographics, HIV knowledge, self-efficacy, parental monitoring, sexual communication, family relationships, and adolescent sexual behavior.
Adolescents in the HIV group reported small effects in parental permissiveness and the HP group reported small effects for family support. Caregivers in both groups reported decreases in all outcomes. Incidence of past 90-day sexual intercourse decreased in both treatment arms. Among those who were sexually active over the past 90 days, the number of sex acts decreased from baseline, particularly in the HIV group. The percentage of condom-protected sex acts increased in the HIV group and decreased in the HP group, but did not reach statistical significance.
The HIV Latino STYLE intervention was not efficacious in improving hypothesized outcomes over a 3-month period. However, exploratory analyses revealed moderate effects for decreases in adolescent sexual risk behavior, particularly in the HIV group.
Latino STYLE 是一个以家庭为中心、以艾滋病毒为重点的干预措施（HIV），强调文化因素和父母与青少年的沟通。我们假设，与一般的健康促进（HP）干预相比，HIV 组在干预后 3 个月会提高照顾者和青少年的艾滋病毒知识、态度、父母监督、性沟通和家庭关系。本文报告了该更长试验的短期结果。
进行了一项单站点、两臂、平行、以家庭为基础、随机、对照试验；合格的参与者是年龄在 14-17 岁的拉丁裔青少年及其主要照顾者。该研究在美国南佛罗里达大学进行，227 对青少年-照顾者对在完成基线评估后被分配到 HIV（n=117）或 HP（n=110）干预组。在 3 个月的随访中，临时测量包括人口统计学、艾滋病毒知识、自我效能、父母监督、性沟通、家庭关系和青少年性行为。
HIV 组的青少年报告了父母宽容度的小效应，而 HP 组报告了家庭支持的小效应。两组照顾者的所有结果均下降。过去 90 天内的性经历发生率在两个治疗组中均有所下降。在过去 90 天内有过性行为的青少年中，性行为次数从基线减少，特别是在 HIV 组中。HIV 组的避孕套保护性行为比例增加，而 HP 组的避孕套保护性行为比例下降，但未达到统计学意义。
在 3 个月的时间内，Latino STYLE HIV 干预措施在改善假设结果方面没有效果。然而，探索性分析显示，青少年性风险行为的减少有中度影响，特别是在 HIV 组中。
