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.
Original language | English (US) |
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Pages (from-to) | 490-513 |
Number of pages | 24 |
Journal | Clinical Nursing Research |
Volume | 23 |
Issue number | 5 |
DOIs | |
State | Published - Oct 12 2014 |
Bibliographical note
Publisher Copyright:© The Author(s) 2014.
Keywords
- HIV
- adolescent
- assessment
- intervention
- sexual risk
- sexually transmitted infections