St Lawrence J S, Jefferson K W, Banks P G, Cline T R, Alleyne E, Brasfield T L
Community Health Program, Jackson State University, MS 39217-0105.
AIDS Educ Prev. 1994 Oct;6(5):425-35.
Substance dependent adolescents (N = 19), court referred into a residential drug treatment facility received a five-session HIV risk-reduction intervention that provided risk education, social competency skills (sexual assertion, partner negotiation, and communication skills), technical skills (condom use), and problem-solving training. Before and after the intervention, subjects completed measures of AIDS risk knowledge, health locus of control, social support, attitudes toward HIV prevention, attitudes toward condoms, self-efficacy, and perceptions of risk in addition to role-play assessments of behavioral skill resisting high-risk coercions. Postintervention, subjects exhibited increased knowledge about HIV/AIDS, more favorable attitudes toward prevention, greater internal and lower external locus of control scores, more favorable attitudes toward condom use, increased self-efficacy, and greater recognition of HIV vulnerability. Following intervention, the percentage of participants reporting sexual activity in high-risk contexts decreased, substantiating the intervention's effectiveness. Self-report data were corroborated by sexually transmitted disease treatment records. This uncontrolled demonstration effort suggests that skills training based on cognitive-behavioral principles may be a promising intervention strategy to lower vulnerable adolescents' risk of HIV infection.
19名因物质依赖而被法庭转介至住院戒毒治疗机构的青少年接受了一项为期五节的降低HIV风险干预措施，该措施提供了风险教育、社交能力技能（性主张、伴侣协商及沟通技巧）、技术技能（使用避孕套）以及问题解决培训。在干预前后，除了对抵制高风险胁迫的行为技能进行角色扮演评估外，受试者还完成了艾滋病风险知识、健康控制点、社会支持、对HIV预防的态度、对避孕套的态度、自我效能感以及风险认知等方面的测量。干预后，受试者表现出对HIV/AIDS的知识增加、对预防的态度更积极、内控点得分更高而外控点得分更低、对使用避孕套的态度更积极、自我效能感增强以及对HIV易感性的认识提高。干预后，报告在高风险情境下进行性活动的参与者比例下降，证实了该干预措施的有效性。自我报告数据得到了性传播疾病治疗记录的证实。这项非对照的示范工作表明，基于认知行为原则的技能培训可能是降低易感染青少年HIV感染风险的一种有前景的干预策略。
