Can a Multilevel STI/HIV Prevention Strategy for High Risk African American Adolescents Improve Life Satisfaction?

Keith J. Zullig, Robert F. Valois, Gerald R. Hobbs, Jelani C. Kerr, Daniel Romer, Michael P. Carey, Larry K. Brown, Ralph J. DiClemente, Peter A Vanable

Research output: Contribution to journalArticle

Abstract

Addressing adolescent sexual risk behaviors in the STI/HIV prevention literature is well documented; however, impacts from interventions on life satisfaction are relatively unexplored. This study examined data (n = 1658) from a randomized, multi-site, multi-level STI/HIV prevention intervention trial (Project iMPAACS) to determine whether increased protective and reduced sexual risk-taking behaviors associated with STI/HIV would also improve self-reported life satisfaction. Taking into account the nested study design and controlling for confounders, a mixed model ANOVA was performed where Total mean life satisfaction scores were analyzed at baseline and 3, 6, 12, and 18 months post-recruitment. Significance levels of 0.05 were used to determine significance and η 2 was used to assess effect size. We hypothesized that as intervention participants engaged in the intentional activity associated with increasing protective behaviors and reducing sexual risk-taking behaviors associated with STI/HIV, life satisfaction reports would also improve over the course of the intervention. A significant main effect for sex was detected (F = 5.19, p =.02, η 2 =.03), along with three interactions: between experimental condition and media intervention (F = 7.96, p =.005, η 2 =.04); experimental condition, sex, and media intervention (F = 6.51, p =.01, η 2 =.04); and experimental condition, sex, assessment point, and media intervention (F = 3.23, p =.01, η 2 =.02). With the exception of the control condition, female life satisfaction reports improved from baseline assessments to 18-months post-recruitment, whereas male reports decreased. Project iMPPACS was not designed with the intent on improving participants’ life satisfaction. However, study results suggest incorporating strategies to address subjective well-being into future adolescent STI/HIV risk-reduction interventions is beneficial for females and additional research is necessary for males.

Original languageEnglish (US)
JournalJournal of Happiness Studies
DOIs
StatePublished - Jan 1 2019

Fingerprint

adolescent
American
risk behavior
well-being
interaction

Keywords

  • Adolescents
  • HIV
  • Intervention
  • Life satisfaction
  • Prevention
  • Randomized trial
  • STI
  • Subjective well-being

ASJC Scopus subject areas

  • Social Sciences (miscellaneous)

Cite this

Can a Multilevel STI/HIV Prevention Strategy for High Risk African American Adolescents Improve Life Satisfaction? / Zullig, Keith J.; Valois, Robert F.; Hobbs, Gerald R.; Kerr, Jelani C.; Romer, Daniel; Carey, Michael P.; Brown, Larry K.; DiClemente, Ralph J.; Vanable, Peter A.

In: Journal of Happiness Studies, 01.01.2019.

Research output: Contribution to journalArticle

Zullig, Keith J. ; Valois, Robert F. ; Hobbs, Gerald R. ; Kerr, Jelani C. ; Romer, Daniel ; Carey, Michael P. ; Brown, Larry K. ; DiClemente, Ralph J. ; Vanable, Peter A. / Can a Multilevel STI/HIV Prevention Strategy for High Risk African American Adolescents Improve Life Satisfaction?. In: Journal of Happiness Studies. 2019.
@article{c3aee7127fe84232bd62448195a1fc68,
title = "Can a Multilevel STI/HIV Prevention Strategy for High Risk African American Adolescents Improve Life Satisfaction?",
abstract = "Addressing adolescent sexual risk behaviors in the STI/HIV prevention literature is well documented; however, impacts from interventions on life satisfaction are relatively unexplored. This study examined data (n = 1658) from a randomized, multi-site, multi-level STI/HIV prevention intervention trial (Project iMPAACS) to determine whether increased protective and reduced sexual risk-taking behaviors associated with STI/HIV would also improve self-reported life satisfaction. Taking into account the nested study design and controlling for confounders, a mixed model ANOVA was performed where Total mean life satisfaction scores were analyzed at baseline and 3, 6, 12, and 18 months post-recruitment. Significance levels of 0.05 were used to determine significance and η 2 was used to assess effect size. We hypothesized that as intervention participants engaged in the intentional activity associated with increasing protective behaviors and reducing sexual risk-taking behaviors associated with STI/HIV, life satisfaction reports would also improve over the course of the intervention. A significant main effect for sex was detected (F = 5.19, p =.02, η 2 =.03), along with three interactions: between experimental condition and media intervention (F = 7.96, p =.005, η 2 =.04); experimental condition, sex, and media intervention (F = 6.51, p =.01, η 2 =.04); and experimental condition, sex, assessment point, and media intervention (F = 3.23, p =.01, η 2 =.02). With the exception of the control condition, female life satisfaction reports improved from baseline assessments to 18-months post-recruitment, whereas male reports decreased. Project iMPPACS was not designed with the intent on improving participants’ life satisfaction. However, study results suggest incorporating strategies to address subjective well-being into future adolescent STI/HIV risk-reduction interventions is beneficial for females and additional research is necessary for males.",
keywords = "Adolescents, HIV, Intervention, Life satisfaction, Prevention, Randomized trial, STI, Subjective well-being",
author = "Zullig, {Keith J.} and Valois, {Robert F.} and Hobbs, {Gerald R.} and Kerr, {Jelani C.} and Daniel Romer and Carey, {Michael P.} and Brown, {Larry K.} and DiClemente, {Ralph J.} and Vanable, {Peter A}",
year = "2019",
month = "1",
day = "1",
doi = "10.1007/s10902-019-00084-z",
language = "English (US)",
journal = "Journal of Happiness Studies",
issn = "1389-4978",
publisher = "Springer Netherlands",

}

TY - JOUR

T1 - Can a Multilevel STI/HIV Prevention Strategy for High Risk African American Adolescents Improve Life Satisfaction?

AU - Zullig, Keith J.

AU - Valois, Robert F.

AU - Hobbs, Gerald R.

AU - Kerr, Jelani C.

AU - Romer, Daniel

AU - Carey, Michael P.

AU - Brown, Larry K.

AU - DiClemente, Ralph J.

AU - Vanable, Peter A

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Addressing adolescent sexual risk behaviors in the STI/HIV prevention literature is well documented; however, impacts from interventions on life satisfaction are relatively unexplored. This study examined data (n = 1658) from a randomized, multi-site, multi-level STI/HIV prevention intervention trial (Project iMPAACS) to determine whether increased protective and reduced sexual risk-taking behaviors associated with STI/HIV would also improve self-reported life satisfaction. Taking into account the nested study design and controlling for confounders, a mixed model ANOVA was performed where Total mean life satisfaction scores were analyzed at baseline and 3, 6, 12, and 18 months post-recruitment. Significance levels of 0.05 were used to determine significance and η 2 was used to assess effect size. We hypothesized that as intervention participants engaged in the intentional activity associated with increasing protective behaviors and reducing sexual risk-taking behaviors associated with STI/HIV, life satisfaction reports would also improve over the course of the intervention. A significant main effect for sex was detected (F = 5.19, p =.02, η 2 =.03), along with three interactions: between experimental condition and media intervention (F = 7.96, p =.005, η 2 =.04); experimental condition, sex, and media intervention (F = 6.51, p =.01, η 2 =.04); and experimental condition, sex, assessment point, and media intervention (F = 3.23, p =.01, η 2 =.02). With the exception of the control condition, female life satisfaction reports improved from baseline assessments to 18-months post-recruitment, whereas male reports decreased. Project iMPPACS was not designed with the intent on improving participants’ life satisfaction. However, study results suggest incorporating strategies to address subjective well-being into future adolescent STI/HIV risk-reduction interventions is beneficial for females and additional research is necessary for males.

AB - Addressing adolescent sexual risk behaviors in the STI/HIV prevention literature is well documented; however, impacts from interventions on life satisfaction are relatively unexplored. This study examined data (n = 1658) from a randomized, multi-site, multi-level STI/HIV prevention intervention trial (Project iMPAACS) to determine whether increased protective and reduced sexual risk-taking behaviors associated with STI/HIV would also improve self-reported life satisfaction. Taking into account the nested study design and controlling for confounders, a mixed model ANOVA was performed where Total mean life satisfaction scores were analyzed at baseline and 3, 6, 12, and 18 months post-recruitment. Significance levels of 0.05 were used to determine significance and η 2 was used to assess effect size. We hypothesized that as intervention participants engaged in the intentional activity associated with increasing protective behaviors and reducing sexual risk-taking behaviors associated with STI/HIV, life satisfaction reports would also improve over the course of the intervention. A significant main effect for sex was detected (F = 5.19, p =.02, η 2 =.03), along with three interactions: between experimental condition and media intervention (F = 7.96, p =.005, η 2 =.04); experimental condition, sex, and media intervention (F = 6.51, p =.01, η 2 =.04); and experimental condition, sex, assessment point, and media intervention (F = 3.23, p =.01, η 2 =.02). With the exception of the control condition, female life satisfaction reports improved from baseline assessments to 18-months post-recruitment, whereas male reports decreased. Project iMPPACS was not designed with the intent on improving participants’ life satisfaction. However, study results suggest incorporating strategies to address subjective well-being into future adolescent STI/HIV risk-reduction interventions is beneficial for females and additional research is necessary for males.

KW - Adolescents

KW - HIV

KW - Intervention

KW - Life satisfaction

KW - Prevention

KW - Randomized trial

KW - STI

KW - Subjective well-being

UR - http://www.scopus.com/inward/record.url?scp=85061800224&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85061800224&partnerID=8YFLogxK

U2 - 10.1007/s10902-019-00084-z

DO - 10.1007/s10902-019-00084-z

M3 - Article

JO - Journal of Happiness Studies

JF - Journal of Happiness Studies

SN - 1389-4978

ER -