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Overview of today’s talk

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Overview of today’s talk

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  1. Active program participation and HIV risk reduction among urban youth:Findings from the Complementary Strengths Research PartnershipJennifer Sarah Tiffany, John Eckenrode, Deinera Exner-Cortens, Sara Birnel-HendersonJuly 25, 2012 - Session WEAE04: Young People, HIV and Sexual and Reproductive Health Services

  2. This project was supported in part by award #R21NR009764 from the NIH/National Institute of Nursing Research and by USDA grant #NYC-323442-0219950. The content of this report is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Nursing Research, the National Institutes of Health, or the USDA. We have no conflicts of interest to disclose.

  3. Overview of today’s talk Complementary Strengths Research Partnership Background and history Methods Results Implications Limitations Next steps

  4. Background and history We started with a question: Does active participation boost HIV risk reduction among youth? Partnership included Cornell University, New York State Department of Health, community programs, and New York City Department of Youth and Community Development Steering committee launched pilot study (98 youth in 2006) and exploratory observational study (329 youth ages 13 to 18 in 2008-2009) Aim: To develop measures, assess links between youth participation and sexual health promotion

  5. Designing Now

  6. Methods Mixed-method Community-Based Participatory Research project; mostly statistical analyses Youth and program staff worked with university to develop and refine surveys, sustain participation 329 ethnically diverse participants from 18 after-school programs in New York City; 62% female, 37% male, 1% transgender; 74% heterosexual, 26% LGBTQ; 91% retention at waves 2 and 3 Youth-Adult “data dialogues” to translate results

  7. Results Overview Exploratory and confirmatory factor analysis validated our 20 item youth program participation scale (the “TEPPS”) Candidate measure for sexual health/risk reduction Significant positive associations: program participation, social connectedness, and HIV risk reduction scores Youth in programs with participation scores that were average or high were more likely to sustain risk reduction practices (setting impact on individuals) Longer program involvement increased the impact of participation on risk reduction practices

  8. Result #1 Validated 20 item youth program participation scale 5-point scale (1=not at all true for me, 5=very true for me) • Scores are created by summing across the 20 items; higher scores indicate greater program participation • Cronbach’s alpha at baseline was 0.87 • Example items include “I help decide things like program activities or rules” and “I think that participating in the program will help me to get a job.” 4 subscales: Personal Development, Voice/Influence, Safety/Support, Community Engagement

  9. Result #2

  10. Result #3 Significant relationships among program participation, risk reduction & social connectedness

  11. Result #4 Youth in programs with participation scores that were average or high were more likely to sustain risk reduction practices (setting impact on individuals) b=-0.32, p=.005

  12. Result #5 Longer program involvement increased the impact of participation on risk reduction practices

  13. Implications • Consider contexts as well as individual behaviors • Setting-level factors influence risk reduction among adolescents • Highly engaged program participation may help sustain adolescent risk reduction practices over time • Quality of youth program participation experiences can be reliably and easily measured using new 20-item scale • Design and test interventions that increase program-level engagement (intervene with settings, not just individuals) • After-school/out of school time programs one key setting

  14. Limitations Observational study Only 3 waves of survey data  Program variability and few sites (18) Next Steps • Intervention study with larger number of sites and more data waves • Setting-level intervention

  15. Thanks to Complementary Strengths research partners and participants: Hetrick Martin Institute Lutheran Family Health Care/Project Reach Youth Citizens Advice Bureau/BronxWorks Bronx AIDS Services MosholuMontefiore Community Center The Educational Alliance/Edgies The Children’s Aid Society/Frederick Douglass Community Center Legal Outreach Inc. NYS Department of Health AIDS Institute Adolescent HIV Prevention Services Unit NYC Department of Youth and Community Development

  16. For more information: Jennifer Tiffany jst5@cornell.edu Bronfenbrenner Center for Translational Research www.bctr.cornell.edu Tiffany, J., Exner, D., and Eckenrode, J. (2012). A new measure for youth program participation. Journal of Community Psychology. 40(3), pp. 277-291. doi: 10.1002/jcop20508

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