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Using Mixed-Method Assessment to Advance Adolescent HIV Prevention

Author

Listed:
  • Colleen M. Fisher
  • Michael G. Lee
  • Mary E. Boudreau

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.

Suggested Citation

  • Colleen M. Fisher & Michael G. Lee & Mary E. Boudreau, 2014. "Using Mixed-Method Assessment to Advance Adolescent HIV Prevention," Clinical Nursing Research, , vol. 23(5), pages 490-513, October.
    • Handle: RePEc:sae:clnure:v:23:y:2014:i:5:p:490-513
    DOI: 10.1177/1054773813503968
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    References listed on IDEAS

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    1. Merzel, C. & D'Afflitti, J., 2003. "Reconsidering community-based health promotion: Promise, performance, and potential," American Journal of Public Health, American Public Health Association, vol. 93(4), pages 557-574.
    2. Lyles, C.M. & Kay, L.S. & Crepaz, N. & Herbst, J.H. & Passin, W.F. & Kim, A.S. & Rama, S.M. & Thadiparthi, S. & DeLuca, J.B. & Mullins, M.M., 2007. "Best-evidence interventions: Findings from a systematic review of HIV behavioral interventions for US populations at high risk, 2000-2004," American Journal of Public Health, American Public Health Association, vol. 97(1), pages 133-143.
    3. Tina Glasner & Wander Vaart, 2009. "Applications of calendar instruments in social surveys: a review," Quality & Quantity: International Journal of Methodology, Springer, vol. 43(3), pages 333-349, May.
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