Using Mixed-Method Assessment to Advance Adolescent HIV Prevention

Colleen M. Fisher, Michael G. Lee and Mary E. Boudreau

Clinical Nursing Research, 2014, vol. 23, issue 5, 490-513

Abstract: This two-phase, community-based pilot study examined the impact of an innovative calendar-based assessment on HIV risk perception and risk reduction planning with racially diverse youth aged 14 to 21 at a public health clinic. Participants ( N = 232) completed a Sexual Health History Calendar (SHHC) assessing behaviors over the previous 12 months, risk self-appraisals, and future behavioral intentions. Youths’ narratives included negative self-appraisals (36%), named a risk-related critical incident (13%) or regret (9%), or expressed increased risk awareness (9%) and need for behavior change (18%). A minority were positive (28%) or reflected improvement (7%). All Phase 2 participants ( n = 122) identified at least one specific risky behavior they intended to change. These data and the SHHC’s visual cues facilitated risk-reduction intervention tailored to the unique circumstances in which each youth’s risk taking occurred. For nurses and other providers in clinical settings, the SHHC can offer a critical link between assessment and intervention.

Keywords: adolescent; HIV; sexually transmitted infections; sexual risk; intervention; assessment (search for similar items in EconPapers)
Date: 2014
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Persistent link: https://EconPapers.repec.org/RePEc:sae:clnure:v:23:y:2014:i:5:p:490-513

DOI: 10.1177/1054773813503968

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