Evaluating the Role of Family Context Within a Randomized Adolescent HIV-Risk Prevention Trial

David H. Barker, Wendy Hadley, Heather McGee, Geri R. Donenberg, Ralph DiClemente, Larry K. Brown

Research output: Contribution to journalArticle

Abstract

Project STYLE is a multi-site 3-arm RCT comparing family-based, adolescent-only, and general health promotion interventions with 721 adolescents in mental health treatment. This study reports 12-month outcomes for family context and sexual risk behaviors, and explores the role of baseline family context in modifying treatment response. Using the full sample, there were sustained benefits for parent-reported sexual communication (d = 0.28), and adolescent-reported parental monitoring (d = 0.24), with minimal differences in risk behaviors. Latent profile analysis identified four family context classes: struggling (n = 177), authoritative (n = 183), authoritarian (n = 175), and permissive (n = 181). The authoritarian and permissive classes were also distinguished by disagreement between parent and adolescent report of family context. Classes differed in terms of baseline mental health burden and baseline sexual risk behavior. Classes showed different patterns of treatment effects, with the struggling class showing consistent benefit for both family context and sexual risk. In contrast, the authoritarian class showed a mixed response for family context and increased sexual risk.

Original languageEnglish (US)
Pages (from-to)1195-1209
Number of pages15
JournalAIDS and Behavior
Volume23
Issue number5
DOIs
StatePublished - May 15 2019

Fingerprint

HIV
Risk-Taking
Sexual Behavior
Mental Health
Health Promotion
Therapeutics
Communication

Keywords

  • Adolescents
  • Family context
  • Mental health
  • Sexual risk
  • Treatment modifiers

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Evaluating the Role of Family Context Within a Randomized Adolescent HIV-Risk Prevention Trial. / Barker, David H.; Hadley, Wendy; McGee, Heather; Donenberg, Geri R.; DiClemente, Ralph; Brown, Larry K.

In: AIDS and Behavior, Vol. 23, No. 5, 15.05.2019, p. 1195-1209.

Research output: Contribution to journalArticle

Barker, David H. ; Hadley, Wendy ; McGee, Heather ; Donenberg, Geri R. ; DiClemente, Ralph ; Brown, Larry K. / Evaluating the Role of Family Context Within a Randomized Adolescent HIV-Risk Prevention Trial. In: AIDS and Behavior. 2019 ; Vol. 23, No. 5. pp. 1195-1209.
@article{1b5aa9693e6a4af9a2fc1e7fe101e5e7,
title = "Evaluating the Role of Family Context Within a Randomized Adolescent HIV-Risk Prevention Trial",
abstract = "Project STYLE is a multi-site 3-arm RCT comparing family-based, adolescent-only, and general health promotion interventions with 721 adolescents in mental health treatment. This study reports 12-month outcomes for family context and sexual risk behaviors, and explores the role of baseline family context in modifying treatment response. Using the full sample, there were sustained benefits for parent-reported sexual communication (d = 0.28), and adolescent-reported parental monitoring (d = 0.24), with minimal differences in risk behaviors. Latent profile analysis identified four family context classes: struggling (n = 177), authoritative (n = 183), authoritarian (n = 175), and permissive (n = 181). The authoritarian and permissive classes were also distinguished by disagreement between parent and adolescent report of family context. Classes differed in terms of baseline mental health burden and baseline sexual risk behavior. Classes showed different patterns of treatment effects, with the struggling class showing consistent benefit for both family context and sexual risk. In contrast, the authoritarian class showed a mixed response for family context and increased sexual risk.",
keywords = "Adolescents, Family context, Mental health, Sexual risk, Treatment modifiers",
author = "Barker, {David H.} and Wendy Hadley and Heather McGee and Donenberg, {Geri R.} and Ralph DiClemente and Brown, {Larry K.}",
year = "2019",
month = "5",
day = "15",
doi = "10.1007/s10461-019-02400-3",
language = "English (US)",
volume = "23",
pages = "1195--1209",
journal = "AIDS and Behavior",
issn = "1090-7165",
publisher = "Springer New York",
number = "5",

}

TY - JOUR

T1 - Evaluating the Role of Family Context Within a Randomized Adolescent HIV-Risk Prevention Trial

AU - Barker, David H.

AU - Hadley, Wendy

AU - McGee, Heather

AU - Donenberg, Geri R.

AU - DiClemente, Ralph

AU - Brown, Larry K.

PY - 2019/5/15

Y1 - 2019/5/15

N2 - Project STYLE is a multi-site 3-arm RCT comparing family-based, adolescent-only, and general health promotion interventions with 721 adolescents in mental health treatment. This study reports 12-month outcomes for family context and sexual risk behaviors, and explores the role of baseline family context in modifying treatment response. Using the full sample, there were sustained benefits for parent-reported sexual communication (d = 0.28), and adolescent-reported parental monitoring (d = 0.24), with minimal differences in risk behaviors. Latent profile analysis identified four family context classes: struggling (n = 177), authoritative (n = 183), authoritarian (n = 175), and permissive (n = 181). The authoritarian and permissive classes were also distinguished by disagreement between parent and adolescent report of family context. Classes differed in terms of baseline mental health burden and baseline sexual risk behavior. Classes showed different patterns of treatment effects, with the struggling class showing consistent benefit for both family context and sexual risk. In contrast, the authoritarian class showed a mixed response for family context and increased sexual risk.

AB - Project STYLE is a multi-site 3-arm RCT comparing family-based, adolescent-only, and general health promotion interventions with 721 adolescents in mental health treatment. This study reports 12-month outcomes for family context and sexual risk behaviors, and explores the role of baseline family context in modifying treatment response. Using the full sample, there were sustained benefits for parent-reported sexual communication (d = 0.28), and adolescent-reported parental monitoring (d = 0.24), with minimal differences in risk behaviors. Latent profile analysis identified four family context classes: struggling (n = 177), authoritative (n = 183), authoritarian (n = 175), and permissive (n = 181). The authoritarian and permissive classes were also distinguished by disagreement between parent and adolescent report of family context. Classes differed in terms of baseline mental health burden and baseline sexual risk behavior. Classes showed different patterns of treatment effects, with the struggling class showing consistent benefit for both family context and sexual risk. In contrast, the authoritarian class showed a mixed response for family context and increased sexual risk.

KW - Adolescents

KW - Family context

KW - Mental health

KW - Sexual risk

KW - Treatment modifiers

UR - http://www.scopus.com/inward/record.url?scp=85065743998&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85065743998&partnerID=8YFLogxK

U2 - 10.1007/s10461-019-02400-3

DO - 10.1007/s10461-019-02400-3

M3 - Article

C2 - 30701390

AN - SCOPUS:85065743998

VL - 23

SP - 1195

EP - 1209

JO - AIDS and Behavior

JF - AIDS and Behavior

SN - 1090-7165

IS - 5

ER -