Wednesday, June 1, 2016
Pacific D/L (Hyatt Regency San Francisco)
* noted as presenting author
HIV/AIDS risk behaviors, including sexual risk and drug use behaviors, among adolescents remain significant public health concerns. Urban youth, many of whom are underserved and racial and ethnic minority adolescents, disproportionately engage in sexual risk and drug use behaviors, which increases their risk for HIV/AIDS. Although sexual risk and drug use behaviors, and HIV/AIDS infection are prominent in adolescents, HIV/AIDS testing is underutilized in this population. Despite shifts in policy and advances in technology that provide opportunities for researchers and clinicians to deliver and evaluate m(obile)Health prevention programs in primary care, research is limited. We employed the principles of CBPR in conjunction with the NIDA-recommended prevention principles to develop a mHealth version of Storytelling for Empowerment (hereinafter referred to as S4E). S4E is culturally specific such that the development of S4E was youth-driven in consultation with a Youth Advisory Committee. S4E is theory-driven, guided by empowerment and ecodevelopmental frameworks, aims to improve condom and drug refusal self-efficacy and clinician-adolescent communication during the healthcare visit via innovative storytelling to prevent/reduce condomless sex and drug use behaviors and increase HIV testing in urban adolescents. Given that we have now developed the S4E app, a next important step is to examine the acceptability among adolescents. This study assessed the acceptability of Storytelling 4 Empowerment (S4E)—a mHealth HIV/AIDS and drug abuse preventive intervention app— among adolescents in primary care.
Methods: Informed by the principles of CBPR, we recruited a purposive sample of 30 adolescents from a youth-centered community health care clinic in Southeast Michigan. The study sample is primarily African American (n=12, 40%) and female (n=21, 70%) with a mean age of 18 years (SD: 2, Range: 13 to 22 years). Adolescents participated in the S4E intervention, and were assessed on the usability and acceptability of S4E, and HIV/AIDS risk behaviors and testing. Quantitative data were analyzed by computing mean scores and qualitative analyses followed the tenets of content analysis.
Results:Results from the Session Evaluation Form for the HIV/AIDS (M=3.45, SD=0.41), Alcohol/Drug (M=3.42, SD=0.47), and Overall S4E intervention (M=3.51, SD = 0.44) and the Client Satisfaction Questionnaire-8 (M=3.40, SD=0.44), as well as from the qualitative data, suggest adolescents’ acceptability of the content, process, and format of S4E.
Conclusions: Findings indicate that S4E is acceptable among adolescents in primary care. A next step is to examine the efficacy of S4E on adolescent sexual risk and drug use behaviors and HIV/AIDS testing.