Adaptation of an alcohol and HIV school-based prevention program for teens
Open accessAbstract
Given the current status of HIV infection in youth in India, developing and implementing HIV education and prevention interventions is critical. The goal for School-based Teenage Education Program (STEP) was to demonstrate that a HIV/AIDS and alcohol abuse educational program built with specific cultural, linguistic, and community-specific characteristics could be effective. Utilizing the Train-the-Trainer model, the instructors (17-21 years) were trained to present the 10 session manualized program to primarily rural and tribal youth aged 13-16 years in 23 schools (N = 1,421) in the northern state of Himachal Pradesh in India. The intervention had a greater impact on girls; girls evidenced greater communication skills and a trend towards greater self efficacy and reduced risk taking behavior. The STEP has been successfully adapted by the community organizations that were involved in coordinating the program at the local level. Their intention to continue STEP beyond extra funding shows that utilizing the local community in designing, implementing and evaluating programs promotes ownership and sustainability.
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The majority of health promotion and education programs addressed alcohol use in the context of HIV/AIDS prevention and risk reduction.
“The majority of programs addressed alcohol use in the context of HIV/AIDS prevention and risk reduction [38–40,43,56,57,95].”
From Patient-level interventions to reduce alcohol-related harms in low- and middle-income countries: A systematic review and meta-summary (2022) · cites this paper as [40]
Of the health promotion and education RCTs, 2 were based in the workplace, 5 in the community, 6 in schools, and 7 in clinics, of which 1 focused on women sex workers.
“Of these, 2 were based in the workplace [26,38], 5 in the community [23,37,43,84], 6 in schools [33,40,65,85,86], and 7 in clinics [39,55–57], of which 1 was focused on women sex workers [95].”
From Patient-level interventions to reduce alcohol-related harms in low- and middle-income countries: A systematic review and meta-summary (2022) · cites this paper as [40]
Chhabra and colleagues found that students, and more specifically girls, had an immediate reduction in their intent to use alcohol, but there was no difference in the intention to use alcohol at the 10-week outcome assessment.
“Chhabra and colleagues looked at the effectiveness of a Severity of Alcohol Dependence Questionnaire (STEP) school-based program but found that students, and more specifically girls, had an immediate reduction in their intent to use alcohol, but there was no difference in the intention to use alcohol at the 10-week outcome assessment [40].”
From Patient-level interventions to reduce alcohol-related harms in low- and middle-income countries: A systematic review and meta-summary (2022) · cites this paper as [40]
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- Authors
- Chhabra, R., Springer, C., Leu, C.-S., Ghosh, S., Sharma, S. K., & Rapkin, B.
- Affiliations
- Albert Einstein College of Medicine (US)
- Adelphi University (US)
- New York State Psychiatric Institute (US)
- Himachal Pradesh University (IN)
- Corresponding author
- Chhabra, Rosy
- Venue
- AIDS and Behavior
- Published
- 2010-06-30
- Volume
- 14
- Issue
- S1
- Pages
- 177-184
- ISSN
- 1090-7165 (ISSN-L)
- 1573-3254
- PMC
- PMC2927210
- OpenAlex
- W2004025322
- Cited by
- 19
- References
- 14
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 4 · 2022: 2 · 2021: 1 · 2019: 1 · 2016: 1 · 2015: 1 · 2014: 3 · 2013: 1 · 2012: 2
- FWCI
- 1.71
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- AIDS and Behavior (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (R21AA014826)
- Topics
- Health Sciences › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Keywords
- HIV prevention, alcoholism prevention, school-based intervention, adolescents, program adaptation, train-the-trainer model, gender differences, communication skills, self-efficacy, risk-taking, community ownership, program sustainability, Himachal Pradesh
- MeSH terms
- Adolescent, Adolescent Behavior, Alcoholism, Female, Health Education, Humans, India, Health Knowledge, Attitudes, Practice, Male, Rural Population, School Health Services, Sexual Behavior, Program Evaluation, HIV Infections, Program Development, Models, Educational, Young Adult
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