1C 2 A Pilot Study of a Combination STD Prevention Intervention for African-American Mothers and Their Adolescent Daughters

Tuesday, June 10, 2014: 10:55 AM
Grand Ballroom D2/E
Jessica M. Sales, PhD1, Jennifer L. Brown, PhD2, Lorin Boyce, MS1, Tiffaney Renfro, MSW3, Sara Sullivan, BA3 and Ralph J. DiClemente, PhD1, 1Rollins School of Public Health, Department of Behavioral Sciences and Health Education, Emory University, Atlanta, GA, 2Department of Psychology, Texas Tech University, Lubbock, TX, 3Rollins School of Public Health, Emory University

Background:  African-American women and adolescent girls are disproportionately burdened by STDs. To combat this health disparity, two CDC demonstrated effective behavioral STD/HIV prevention interventions have been developed for African-American women (SISTA) and adolescent African-American girls (HORIZONS), but these two separate interventions have never been implemented with African-American mother-adolescent daughter dyads.  Given high rates of single mother-headed households in African-American communities, providing STD/HIV prevention programming to both single mothers and daughters could reduce sexual risk-taking, but may also promote a supportive partnership between mother and daughter to engage in and sustain health-protective behaviors. 

Methods: Thirty-one single mother- adolescent daughter dyads completed baseline ACASI, were randomized to the dyadic intervention condition (mothers received SISTA, daughters received HORIZONS) or the daughter-only intervention condition (daughters received HORIZONS; mothers received no intervention); 84% completed a 3-month follow-up ACASI. ANOVAs assessed improvements in psychosocial mediators targeted in the intervention (e.g., partner communication, condom use self-efficacy) among mothers and daughters. ANCOVAs, adjusting for baseline values, assessed differential improvement in parent-adolescent sexual communication among dyads by condition.  

Results:  Among daughters, increases from baseline levels were found at follow-up for condom use self-efficacy skills (p = .003), STD/HIV risk appraisal (p = .03), and intentions to use condoms (p = .005). Among mothers, increases were found for condom use self-efficacy skills (p = .023), partner communication self-efficacy (p = .03) and STD/HIV risk appraisal (p = .08). Importantly, daughters in the dyadic intervention condition reported more frequent parent-adolescent communication about safe sex than those in the daughter-only condition (p = .10), and higher levels of comfort during these conversations compared to the daughter-only condition (p = .009).

Conclusions:  Simultaneously intervening with single African-American women and their adolescent daughters offers the potential to sustain positive outcomes for both mothers and daughters by reinforcing and supporting each other’s healthy behaviors.