Training Community Members to Deliver HIV Prevention Programs to Urban Youth

HIV is a sexually transmitted virus that damages or destroys a body's immune system. When
the infection progresses to its later stages, AIDS can develop. Several programs have been
developed for educating adolescents about how to prevent HIV transmission. Preventing
infection is particularly important because there is not yet a way to cure HIV. This study
will examine the processes needed to train community members to deliver HIV prevention
programs to urban youth.

This study has three steps. In Step 1, an existing group of urban community members who have
already delivered the Be Proud! Be Responsible! HIV prevention program will be invited to
serve as mentors for new HIV educators in the community. Participants in this step will
complete self-administered assessments of their willingness to collaborate with
university-based researchers, their confidence in skills necessary for collaborative
projects, and any foreseeable obstacles to participation. The goal of this step is to
examine the response over time to ongoing HIV leadership.

In Step 2, parents from the targeted community will be recruited and trained in HIV
prevention programs. They will be randomly assigned to one of three programs: Becoming a
Responsible Teen, Be Proud! Be Responsible!, and Reducing the Risk. All three of these
programs involve group meetings with adolescents to discuss puberty, sexuality,
communication, self-esteem, HIV/AIDS, and setting and achieving goals and dreams.
Participants in this phase will undergo the same assessments as those in Step 1.

In Step 3, the parents trained in Step 2 will be randomly assigned to a middle school or
high school where they will deliver the program in which they were trained. Randomly
selected adolescent participants from these schools will be assigned to whichever program is
being offered at their school. All three prevention programs will include four to six
sessions over 4 to 6 weeks. Adolescent participants will be required to complete interviews
and questionnaires when they enter the study, after 3 months, and after 15 months. These
interviews and questionnaires will measure HIV/AIDS knowledge, self-esteem, intention to
protect health, and engagement in risk-taking behaviors. Parent participants in Step 3 will
repeat the assessments from Steps 1 and 2 before and after delivering their prevention
curriculums.