Trial reportJournal of the American Academy of Child and Adolescent Psychiatry2011
Safe Thinking and Affect Regulation (STAR): human immunodeficiency virus prevention in alternative/therapeutic schools.
Trial report in Journal of the American Academy of Child and Adolescent Psychiatry, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
HIV, Abuse, and Psychiatric Disorders Among Youth
A Multilevel Gaming Intervention for Persons on PrEP
Digital Star: HIV Prevention for Youth in Mental Health Treatment
Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Causally Interpretable Meta-analysis: Application in Adolescent HIV Prevention.Prevention science : the official journal of the Society for Prevention Research · 2022Pooled it
- Patterns of Engagement With the mHealth Component of a Sexual and Reproductive Health Risk Reduction Intervention for Young People With Depression: Latent Trajectory Analysis.JMIR mHealth and uHealth · 2025Trial
- Moving Beyond Role-Play: Evaluating the Use of Virtual Reality to Teach Emotion Regulation for the Prevention of Adolescent Risk Behavior Within a Randomized Pilot Trial.Journal of pediatric psychology · 2019Trial
- Evaluating the Role of Family Context Within a Randomized Adolescent HIV-Risk Prevention Trial.AIDS and behavior · 2019Trial
- The Role of Affect Management for HIV Risk Reduction for Youth in Alternative Schools.Journal of the American Academy of Child and Adolescent Psychiatry · 2017Trial
- Project STYLE: a multisite RCT for HIV prevention among youths in mental health treatment.Psychiatric services (Washington, D.C.) · 2014Trial
- Affect management for HIV prevention with adolescents in therapeutic schools: the immediate impact of project balance.AIDS and behavior · 2013Trial
- Measurement of Human Flourishing Constructs in Evaluation of Voluntary Family Planning Interventions: A Modified Scoping Review of the Literature.International journal of environmental research and public health · 2026Article
- Using Virtual Reality to Examine the Association Between Respiratory Sinus Arrhythmia and Adolescent Substance Use.Child psychiatry and human development · 2023Article
- Adolescent Emotion Regulation and Parent-Child Discussions about Sexual Behaviors.International journal of sexual health : official journal of the World Association for Sexual Health · 2021Article
- Article
- Using Composite Scores to Summarize Adolescent Sexual Risk Behavior: Current State of the Science and Recommendations.Archives of sexual behavior · 2019Article
- Qualitative Assessment of Emotion Regulation Strategies for Prevention of Health Risk Behaviors in Early Adolescents.Journal of child and family studies · 2019Article
- The development of an innovative, theory-driven, psychoeducational HIV/STI prevention intervention for heterosexually active black adolescents with mental illnesses.Vulnerable children and youth studies · 2019Article
- Alcohol Use and Sexual Risk Behaviors among Adolescents with Psychiatric Disorders: A Systematic Review and Meta-Analysis.Journal of child & adolescent substance abuse · 2017Article
- The 1-year impact of an emotion regulation intervention on early adolescent health risk behaviors.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2016Article
- An Emotion Regulation Intervention to Reduce Risk Behaviors Among at-Risk Early Adolescents.Prevention science : the official journal of the Society for Prevention Research · 2016Article
- Relationships of parental monitoring and emotion regulation with early adolescents' sexual behaviors.Journal of developmental and behavioral pediatrics : JDBP · 2015Article
- Associations Between Psychiatric Impairment and Sexual Risk Behavior Among Teens in Mental Health Treatment.Journal of HIV/AIDS & social services · 2014Article
- Eliciting affect via immersive virtual reality: a tool for adolescent risk reduction.Journal of pediatric psychology · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
objectiveTo evaluate the effectiveness of Safe Thinking and Affect Regulation (STAR), a 14-session HIV-prevention program for adolescents at alternative/therapeutic schools. Because these youth frequently have difficulties with emotions and cognitions, it was designed to improve sexuality-specific affect management and cognitive monitoring, as well as HIV-related knowledge and attitudes. It was hypothesized that STAR would lead to a decrease in sexual risk and improved HIV knowledge and attitudes.
methodFourteen schools were randomly assigned by year either to the STAR intervention or a brief educational program. Schools received the alternate intervention the following year. A total of 185 adolescents in 29 cohorts (groups) participated in the interventions. Assessment of sexual behavior, knowledge and attitudes with audio computer-assisted self-interviews occurred at 3, 6, and 9 months post intervention.
resultsHierarchical linear model (HLM) analyses found that adolescents in the STAR intervention reported a significantly greater decrease (p < .05) in the Sexual Risk Index than youth in the control group over the 6 months post intervention and similar improvements in the HIV Knowledge Scale and the Condom Use Self Efficacy Scale. There were no group differences between 6 and 9 months post intervention.
conclusionsThis STAR intervention for youth in alternative schools was associated with decreased sexual risk for 6 months after the intervention. These data suggest that intervention strategies that target cognitions and affect within a sexual context might be usefully applied to improving sexual behavior but may need to be reinforced over time. Clinical trial registration information--HIV, Abuse, and Psychiatric Disorders Among Youth; http://clinicaltrials.gov; NCT00603369.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.