Effects of a culturally adapted HIV prevention intervention in Haitian youth

J Assoc Nurses AIDS Care. Mar-Apr 2009;20(2):110-21. doi: 10.1016/j.jana.2008.12.003.


This study assessed the impact of an 8-week community-based translation of Becoming a Responsible Teen (BART), an HIV intervention that has been shown to be effective in other at-risk adolescent populations. A sample of Haitian adolescents living in the Miami area was randomized to a general health education control group (n = 101) or the BART intervention (n = 145), which was based on the information-motivation-behavior (IMB) model. Improvement in various IMB components (i.e., attitudinal, knowledge, and behavioral skills variables) related to condom use was assessed 1 month after the intervention. Longitudinal structural equation models using a mixture of latent and measured multi-item variables indicated that the intervention significantly and positively impacted all IMB variables tested in the model. These BART intervention-linked changes reflected greater knowledge, greater intentions to use condoms in the future, higher safer sex self-efficacy, an improved attitude about condom use, and an enhanced ability to use condoms after the 8-week intervention.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Culture*
  • Female
  • Florida / epidemiology
  • HIV Infections / prevention & control*
  • Haiti / ethnology
  • Health Promotion
  • Humans
  • Male
  • Motivation
  • Patient Education as Topic*
  • Risk Reduction Behavior*