TY  - JOUR
T1  - Efficacy of a parent-based sexual-risk prevention program for african american preadolescents: A randomized controlled trial
AU  - Forehand R, Armistead L, Long N, et al
Y1  - 2007/12/01
N1  - 10.1001/archpedi.161.12.1123
JO  - Archives of Pediatrics & Adolescent Medicine
SP  - 1123
EP  - 1129
VL  - 161
IS  - 12
N2  - Objective 
    To evaluate the efficacy of a parent-based sexual-risk prevention program for African American preadolescents.Design 
    Randomized controlled trial.Setting 
    Community-based study conducted in Athens, Georgia; Atlanta, Georgia; and Little Rock, Arkansas from 2001 to 2004.Participants 
    From 1545 inquiries, 1115 African American parent-preadolescent dyads (child, aged 9-12 years) formed the analytic sample.Intervention 
    Participants were randomized into 1 of 3 study arms: enhanced communication intervention (five 2½-hour sessions), single-session communication intervention (one 2½-hour session), and general health intervention (control, one 2½-hour session).Outcome Measures 
    Continuous measures of parent-preadolescent sexual communication and parental responsiveness to sex-related questions at preintervention, postintervention, and at 6- and 12-month follow-ups; and dichotomous measure of preadolescent sexual risk (having engaged in or intending to engage in sexual intercourse at 12-month follow-up).Results 
    Using intent-to-treat participants, differences of mean change from baseline for continuous measures and relative risk for the dichotomous measure of sexual risk were calculated. Participants in the enhanced intervention had higher mean changes from baseline scores, indicating more sexual communication and responsiveness to sexual communication at each assessment after intervention for all continuous measures than those in the control intervention and single-session intervention. Preadolescents whose parents attended all 5 sessions of the enhanced intervention had a likelihood of sexual risk at the 12-month follow-up of less than 1.00 relative to those whose parents attended the control (relative risk, 0.65; 95% confidence interval, 0.41-1.03) and single-session (relative risk, 0.62; 95% confidence interval, 0.40-0.97) interventions.Conclusions 
    These results provide preliminary evidence for the efficacy of a parenting program designed to teach sexual communication skills to prevent sexual risk in preadolescents.Trial Registration 
    clinicaltrials.gov Identifier: NCT00137943
SN  - 1072-4710
M3  - doi: 10.1001/archpedi.161.12.1123
UR  - http://dx.doi.org/10.1001/archpedi.161.12.1123
ER  -