One of the fastest growing segments of the population infected with HIV is the nation's youths. Thus, prevention in this high-risk population is vital. The authors detail the process of adapting an evidence-based HIV/AIDS educational program (HIVEd) to the unique needs of high-risk youths in adjudicated and detained facilities and alternative high schools. The HIVEd program derives from St. Lawrence's Becoming A Responsible Teen (BART) curriculum. This article describes the modification of BART into HIVEd, identifies the challenges encountered and lessons learned, and suggests future directions for HIVEd as a useful tool for prevention of HIV/AIDS and sexually transmitted infection in high-risk youths.
Advocates for Youth. (2003). Science and success: Sex education and other programs that work to prevent teen pregnancy, HIV & sexually transmitted infections. Washington, DC: Author.
2.
Andersen, E.M., Malmgren, J.A., Carter, W.B., & Patrick, D.L. (1994). Screening for depression in well older adults: Evaluation of a short form of the CES-D (Center for Epidemiologic Studies Depression Scale). American Journal of Preventive Medicine , 10, 77-84.
3.
Bandura, A. (1986). Social foundations of thought and action. Englewood Cliffs, NJ: Prentice-Hall.
4.
Barone, M., & Becker, J. (1999). HIV and AIDS: Preventing HIV infection. Retrieved August 7, 2003, from http://www.engenderhealth.org/res/onc/hiv/preventing/hiv6p3.html
5.
Becker, H.M. (1974). The health belief model and personal health behavior . Health Education Monographs, 2, 236-473.
6.
Canty-Mitchell, J., & Zimet, G.D. (2000). Psychometric properties of the Multidimensional Scale of Perceived Social Support in urban adolescents. American Journal of Community Psychology, 28, 391-400.
7.
Cecil, H., Stanley, M.A., Carrion, P.G., & Swann, A. (1995). Psychometric properties of MSPSS and NOS in psychiatric outpatients. Journal of Clinical Psychology, 51, 593-602.
8.
Centers for Disease Control and Prevention. ( 2004). HIV/AIDS surveillance report 2003. Atlanta, GA: Author.
9.
Centers for Disease Control and Prevention. ( 2005). HIV/AIDS surveillance in adolescents and young adults (through 2005). Retrieved November 13, 2005, from http://www.cdc.gov/hiv/topics/surveillance/resources/slides/adolescents/index.htm
10.
Dahlem, N.W., Zimet, G.D., & Walker, R.R. (1991). The Multidimensional Scale of Perceived Social Support: A confirmation study. Journal of Clinical Psychology , 47, 756-761.
11.
DiClemente, R.J., Durbin, M., Siegel, D., Krasnovsky, F., Lazarus, N., & Comacho, T. (1992). Determinants of condom use among junior high school students in a minority inner-city school district. Pediatrics , 89, 197-292.
12.
Division of Community Pediatrics. (2001). [HIVEd program.] Unpublished raw data.
13.
Get the facts: Statistics. (n.d.). In Know HIV AIDS. Retrieved August 12, 2004, from http://www.knowhivaids.org/facts_stats.html
14.
Jemmott, J.B., Jemmott, L.S., & Fong, G.T. (1998, May 20). Abstinence and safer sex HIV risk-reduction interventions for African American adolescents. JAMA, 279, 1529-1536.
15.
Kegeles, S.M., Adler, N.E., & Irwin, C.E. (1988). Sexually active adolescents and condoms: Changes over the year in knowledge, attitudes, and use. American Journal of Public Health, 78, 460-461.
16.
Kelly, J.A., St Lawrence.,J.S., Hood, H.V., & Brasfield, T.L. (1989). Journal of Behavioral, Theoretical & Experimental Psychology, 20, 227-234.
17.
Magura, S., Kang, S., & Shapiro, J.L. (1994). Outcomes of intensive AIDS education for male adolescent drug users in jail. Journal of AdolescentHealth , 15, 457-463.
18.
Radloff, L.S. (1991). The use of the Center for Epidemiologic Studies Depression Scale in adolescents and young adults. Journal of Youth and Adolescence, 20, 149-165.
19.
Rotheram-Borus, M.J., Song, J., Gwadz, M., Lee, M., Van Rossem, R., & Koopman, C. (2003). Reductions in HIV risk among runaway youth. Prevention Science, 4, 173-187.
20.
Spirito, A., Stark, L.J., & Williams, C. (1988). Development of a brief coping checklist for use with pediatric populations. Journal of Pediatric Psychology , 13, 555-574.
21.
St. Lawrence, J.S. (1993). African-American adolescents' knowledge, health-related attitudes, sexual behavior, and contraceptive decisions: Implications for the prevention of adolescent HIV infection. Journal of Consulting and Clinical Psychology, 64, 104-112.
22.
St. Lawrence, J.S. (1998). Becoming A Responsible Teen: An HIV risk reduction program for adolescents. Santa Cruz, CA: ETR Associates.
23.
St. Lawrence, J.S., Brasfield, T.L., Jefferson, K.W., Alleyne, E., O'Bannon, R.E., & Shirley, A. (1995). Cognitive—behavioral intervention to reduce African American adolescents' risk for HIV infection. Journal of Consulting and Clinical Psychology, 63, 221-237.
24.
St. Lawrence, J.S., Crosby, R.A., Brasfield, T.L., & O'Bannon, R.E. (2002). Reducing STD and HIV risk behavior of substance-dependent adolescents: A randomized controlled trial . Journal of Consulting and Clinical Psychology, 70, 1010-1021.
25.
St. Lawrence, J.S., Jefferson, K.W., Alleyne, E., & Brasfield, T.L. (1995). Comparison of education versus behavioral skills training interventions in lowering sexual HIV-risk behavior of substance-dependent adolescents. Journal of Consulting and Clinical Psychology, 63, 154-157.
26.
St. Lawrence, J.S., Reitman, D., Jefferson, K.W., Alleyne, E., Brasfield, T.L., & Shirley, A. (1994). Factor structure and validation of an adolescent version of the Condom Attitude Scale: An instrument for measuring adolescents' attitudes toward condoms. Psychological Assessment, 6, 352-359.
27.
Villarruel, A.M., Jemmott, L.S., & Jemmott, J.B. (2005). Designing a culturally based intervention to reduce HIV sexual risk for Latino adolescents. Journal of the Association of Nurses in AIDS Care, 16(2), 23-31.
28.
Villarruel, A.M., & Rodriguez, D. (2003). Beyond stereotypes: Promoting safer sex behaviors among Latino adolescents. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 32, 258-263.
29.
Watson, D.W., Bisesi, L., & Tanamly, S. (2004). Substance use HIV intervention program (SHIP): A school-based indicated prevention model for juvenile offenders in the alternative school setting. Journal of Correctional Education, 55, 236-259.
30.
Zimet, G.D., Dahlem, N.W., Zimet, S.G., & Farley, G.K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52, 30-42.
31.
Zimet, G.D., Powell, S.S., Farley, G.K., Werkman, S., & Berkoff, K.A. (1990). Psychometric characteristics of the Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment, 55, 610-618.
