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STAGE OF READINESS AND LEARNING STYLES -
A TAILORED HIV/AIDS PREVENTION INTERVENTION FOR
YOUTH DETAINED IN THE
LOS ANGELES COUNTY JUVENILE JUSTICE SYSTEM
by
Nikki Shipley
______________________________________________________________________
A Dissertation Presented to the
FACULTY OF THE GRADUATE SCHOOL
UNIVERSITY OF SOUTHERN CALIFORNIA
In Partial Fulfillment of the
Requirements for the Degree
DOCTOR OF PHILOSOPHY
PREVENTIVE MEDICINE--HEALTH BEHAVIOR
December 2008
Copyright 2008 Nikki Shipley
Object Description
| Title | Stage of readiness and learning styles -- a tailored HIV/AIDS prevention intervention for youth detained in the Los Angeles County Juvenile Justice system |
| Author | Shipley, Nikki |
| Author email | hermansh@usc.edu; nikkishipley@sbcglobal.net |
| Degree | Doctor of Philosophy |
| Document type | Dissertation |
| Degree program | Preventive Medicine (Health Behavior) |
| School | Keck School of Medicine |
| Date defended/completed | 2008-08-21 |
| Date submitted | 2008 |
| Restricted until | Unrestricted |
| Date published | 2008-11-04 |
| Advisor (committee chair) | Valente, Thomas W. |
| Advisor (committee member) |
Baezconde-Garbanati, Lourdes Murphy, Sheila |
| Abstract | The prevalence of HIV/AIDS is very low among incarcerated youth (~ 1%) compared to the incarcerated adult population (4% to 6%). However, these youth report practicing many behaviors, such as unprotected sex with multiple partners and sharing of tattoo needles that puts them at risk for infection. To reduce the risk-taking behaviors of youth detained by the Los Angeles County Juvenile Justice system an HIV/AIDS prevention intervention tailored to learning styles and stages of change (SOC) was developed. This study used an observational, prospective parallel group design with historical comparisons and a randomized intervention sample to test the effectiveness of this program. The magnitude and consistency of the results make it an important contribution to research on HIV/AIDS prevention among incarcerated youth.; Results showed that a participant in the intervention program was 8 times more likely to report using a condom last time he had sex (p < .001) and 10 times more likely to report not having sex in the last 3 - 6 months since the program (p < .001) than a participant in the comparison group. This reflects a substantial increase in protective behaviors by decreasing sexual exposure, the primary form of transmitting HIV in this population.; The intervention program included proactive strategies that focused efforts on the individual's current SOC thereby maximizing opportunities to assist youth in reducing their risk behaviors. Results confirm the effectiveness of this type of strategy: there was a significantly larger increase in the proportion of intervention participants in the "action" stage than in the comparison group at post-intervention. Importantly, this may be the first data to explore the possible mediation of SOC in a population of incarcerated youth at significantly increased risk for exposure to HIV. It provides support for using an intervention tailored to individual learning style and stage of change to teach youth who may not otherwise have been approachable, to change their behaviors thereby reducing their risk of becoming HIV+ in the future. |
| Keyword | HIV/AIDS prevention; incarcerated youth; stages of change; learning styles; tailored prevention intervention; high risk youth |
| Geographic subject (county) | Los Angeles county |
| Language | English |
| Part of collection | University of Southern California dissertations and theses |
| Publisher (of the original version) | University of Southern California |
| Place of publication (of the original version) | Los Angeles, California |
| Publisher (of the digital version) | University of Southern California. Libraries |
| Provenance | Electronically uploaded by the author |
| Type | texts |
| Legacy record ID | usctheses-m1743 |
| Contributing entity | University of Southern California |
| Rights | Shipley, Nikki |
| Repository name | Libraries, University of Southern California |
| Repository address | Los Angeles, California |
| Repository email | cisadmin@dots.usc.edu |
| Filename | etd-Shipley-2444 |
| Archival file | uscthesesreloadpub_Volume17/etd-Shipley-2444.pdf |
Description
| Title | Page 1 |
| Contributing entity | University of Southern California |
| Repository email | cisadmin@dots.usc.edu |
| Full text | STAGE OF READINESS AND LEARNING STYLES - A TAILORED HIV/AIDS PREVENTION INTERVENTION FOR YOUTH DETAINED IN THE LOS ANGELES COUNTY JUVENILE JUSTICE SYSTEM by Nikki Shipley ______________________________________________________________________ A Dissertation Presented to the FACULTY OF THE GRADUATE SCHOOL UNIVERSITY OF SOUTHERN CALIFORNIA In Partial Fulfillment of the Requirements for the Degree DOCTOR OF PHILOSOPHY PREVENTIVE MEDICINE--HEALTH BEHAVIOR December 2008 Copyright 2008 Nikki Shipley |
