Marseille 2007
Marseille 2007
Abstract book
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Abstract #104  -  Outcomes of the CHAMP South Africa (Amaqhawe) Family-Based HIV Intervention
Session:
  13.1: Champ (Satellite 4) on Monday @ 13.00-14.00 in PR Chaired by Arvin Bhana
Authors:
  Presenting Author:   Dr Carl Bell - Community Mental Health Council, United States
 
  Additional Authors:  Dr Arvin Bhana, Dr Mary McKay, Dr Inge Petersen, Dr William  Bannon,  
Aim:
The presentation reports on the outcome of the CHAMPSouth Africa family-based prevention intervention. Using the Theory of Triadic Influence (TTI) as a framework, we discuss the outcomes of the intervention along three primary sources of behavioral influence, i.e., an intrapersonal stream, a social normative stream and a cultural/ attitudinal stream. Our hypothesis was families and pre-adolescents participating in the CHAMP-SA program compared to a control group would show: 1) an increase in HIV/AIDS knowledge, 2) a decrease in HIV stigmatizing behavior, 3) greater comfort and frequency in discussing sensitive topics, 4) enhanced skills to supervise and monitor children and their activities, and 5) an increase in positive social networks and neighborhood influences.
 
Method / Issue:
450 South African pre-adolescents (nine years to 12 years) and their adult caregivers were recruited from 20 equivalent schools (10 experimental and 10 control). The control group comprised youth randomly assigned to receiving an existing school-based HIV information curriculum (comparison condition). The measures used were adapted to the South African context. Cronbachs alphas reliability coefficients were calculated to ensure the pre- and post-test internal consistency.
 
Results / Comments:
Data analysis of individual variables on pre and post test measurement revealed, compared to control parents, CHAMPSA parents showed: a) a positive effect on knowledge of AIDS transmission (alpha pretest = 0.75; post test = 0.79) - F(1, 453) =45.24, P<.001; b) increased parental comfort communicating about difficult topics (alpha pretest = 0.87; post test = 0.88) - F(1, 413) =17.14, P<.001; c) increased parental communication frequency (alpha pretest = 0.86; post test = 0.88) - F(1, 430) =4.17, P<.05; d) lower levels of stigma (alpha pretest = 0.90; post test = 0.90) - F(1, 458) =18.68, P<.001; e) greater parental monitoring of children regarding family rules (alpha pretest = 0.70; post test = 0.80) - F(1, 412) =9.78, P<.01); f) better outcomes on General Health Questionnaire (alpha pretest = 0.80; post test = 0.81 (F(1, 428) =9.86, P<.01); g) an increase in global indicators of well being (only one item on scale) - F(1, 460) =9.94, P<.01); h) greater neighborhood social control (alpha pretest = 0.87; post test = 0.79) - F(1, 450) =5.83, P<.05); i) less neighborhood disorganization post intervention (alpha pretest = 0.76; post test = 0.79) - F(1, 440) =10.86, P<.001); and j) more social networks [1. Social Network Measure for most consistent person in subjects life (alpha pretest = 0.67; post test = 0.82) - F(1, 439)=7.76, P<.01. 2. Social Network Measure for second most consistent person in subjects life (alpha pretest = 0.84; post test = 0.85) - F(1, 294) =14.99, P<.001. 3.Social Network Measure for third most consistent person in subjects life (alpha pretest = 0.85; post test = 0.87) Not significant]. Data analysis of individual variables on pre and post test measurement revealed, compared to control youth, CHAMPSA youth showed: a) a positive effect on knowledge of AIDS transmission (alpha pretest = 0.62; post test = 0.65) F (1, 552) =34.02, P<.001; b) no significant change in comfort communicating about difficult topics (alpha pretest = 0.90; post test = 0.90; c) increased communication frequency (alpha pretest = 0.83; post test = 0.88) - F(1, 523) =7.57, P<.01; d) increased authoritative parenting regarding parental involvement (alpha pre test = .073; post test = 0.64) - F(1, 531) =5.33, P<.05; d) parental strictness (alpha pretest = 0.83; post test = 0.88on children) - F(1, 543) =6.91, P<.01; e) and lower levels of stigma (alpha pretest = 83; post test = 0.84) - F(1, 545) =66.64, P<.001). We will discuss the implication of these findings in the context of theory and intervention using the CHAMPSA model.
 
Discussion:
Youth and families who participated in the CHAMPSA program were more likely to better informed about HIV/AIDS, had less stigmatizing attitudes, had greater ease in communicating with their parents about sensitive issues. The parents of these children monitored their children more actively and had increased their social networks. CHAMPSA appears to have significant potential to enhance protective influences in communities that can prevent risk factors from becoming predictive of bad health outcomes, thus CHAMPSA is a potential model for adapting well-founded international intervention programs to meet local needs.
 
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