Integrating Condom Skills Into Family-Centered Prevention: Efficacy of the Strong African American Families–Teen Program

Abstract Purpose The Strong African American Families–Teen (SAAF–T) program, a family-centered preventive intervention that included an optional condom skills unit, was evaluated to determine whether it prevented unprotected intercourse and increased condom efficacy among rural African American adol...

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Bibliographic Details
Published in:	Journal of adolescent health 2012-08, Vol.51 (2), p.164-170
Main Authors:	Kogan, Steven M., Ph.D, Yu, Tianyi, Ph.D, Brody, Gene H., Ph.D, Chen, Yi-fu, Ph.D, DiClemente, Ralph J., Ph.D, Wingood, Gina M., Ph.D, Corso, Phaedra S., Ph.D
Format:	Article
Language:	eng
Subjects:	Adolescent Adolescents African American Attention Biological and medical sciences Black American people Caregivers Carers Condom efficacy Condom skills Condoms Contraception Behavior - ethnology Efficacy Female Humans Intervention Male Medical sciences Patient Education as Topic Pediatrics Pregnancy Pregnancy, Unplanned Prevention and actions Primary prevention Public health. Hygiene Public health. Hygiene-occupational medicine Rural Areas Rural communities Rural Population Self Efficacy Sexual Behavior Sexual behaviors Sexual Intercourse Sexually Transmitted Diseases - prevention & control Skills Specific populations (family, woman, child, elderly...) Unsafe Sex - prevention & control Youth
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Summary:	Abstract Purpose The Strong African American Families–Teen (SAAF–T) program, a family-centered preventive intervention that included an optional condom skills unit, was evaluated to determine whether it prevented unprotected intercourse and increased condom efficacy among rural African American adolescents. Ancillary analyses were conducted to identify factors that predicted youth attendance of the condom skills unit. Methods Sixteen-year-old African American youths (N = 502) and their primary caregivers were randomly assigned to SAAF–T (n = 252) or an attention control (n = 250) intervention. SAAF–T families participated in a 5-week family skills training program that included an optional condom skills unit. All families completed in-home pretest, posttest, and long-term follow-up interviews during which adolescents reported on their sexual behavior, condom use, and condom efficacy. Because condom use was addressed only in an optional unit that required caregiver consent, we analyzed efficacy using complier average causal effect analyses. Results Attendance in both SAAF–T and the attention control intervention averaged 4 of 5 sessions; 70% of SAAF–T youth attended the condom skills unit. Complier average causal effect models indicated that SAAF–T was efficacious in reducing unprotected intercourse and increasing condom efficacy among rural African American high school students. Exploratory analyses indicated that religious caregivers were more likely than nonreligious caregivers to have their youth attend the condom skills unit. Conclusions Results suggest that brief condom skills educational modules in the context of a family-centered program are feasible and reduce risk for sexually transmitted infections and unplanned pregnancies.
ISSN:	1054-139X 1879-1972