Evidence map›Paper›PMID 32169523›Full record

Trial reportThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2020

Mechanisms of Action for Empirically Supported Interventions to Reduce Adolescent Sexual Risk Behavior: A Randomized Controlled Trial.

Laurel P Gibson, Charleen J Gust, Arielle S Gillman, Angela D Bryan, Sarah W Feldstein Ewing

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.9field-weighted citation impact, top 12% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Laurel P GibsonDepartment of Psychology & Neuroscience, University of Colorado Boulder, Boulder, Colorado. Electronic address: Laurel.Gibson@colorado.edu.
Charleen J GustDepartment of Psychology & Neuroscience, University of Colorado Boulder, Boulder, Colorado.
Arielle S GillmanDepartment of Psychology & Neuroscience, University of Colorado Boulder, Boulder, Colorado.
Angela D BryanDepartment of Psychology & Neuroscience, University of Colorado Boulder, Boulder, Colorado; Institute of Cognitive Science, University of Colorado Boulder, Boulder, Colorado.
Sarah W Feldstein EwingDivision of Clinical Psychology, School of Medicine, Oregon Health and Science University, Portland, Oregon.
University of Colorado Boulder · USOregon Health & Science University · US

Funding

Adolescent decision making and HIV risk avoidance: Neurocognitive factorsR01NR013332 · NINR · UNIVERSITY OF NEW MEXICO · PI BRYAN, ANGELA, FELDSTEIN EWING, SARAH W. · 2011 to 2015
$2.7M
Deriving a de novo adolescent addiction treatment from developmental brain dataK24AA026876 · NIAAA · UNIVERSITY OF RHODE ISLAND · PI Sarah W. Feldstein Ewing · 2018 to 2026
$1.3M
NIAAA NIH HHS K24 AA026876NINR NIH HHS R01 NR013332
6 · The paper itself

Abstract

purposeAdolescents are at high risk for sexually transmitted infections, including HIV. Interventions to reduce adolescent sexual risk often have modest outcomes. Understanding of the mechanisms of program effectiveness is needed to develop stronger interventions. We used a randomized controlled trial to examine mechanisms of response to two empirically supported interventions: motivational interviewing versus behavioral skills training.

methodsA total of 262 adolescents (mean age = 15.89 years, standard deviation = 1.24; 34% female and 61% Latinx) were recruited from juvenile justice programs in the U.S.; all youth were randomized to motivational interviewing or behavioral skills training. Primary outcomes included (1) theory-based mechanisms (condom use attitudes, norms, self-efficacy, and intentions measured before and immediately after the interventions); and (2) risky sexual behavior (frequency of unprotected sex) and condom use measured 3 months postintervention.

resultsBoth interventions significantly increased positive attitudes toward condom use, self-efficacy for condom use, and intentions to use condoms post-test, with no differences by condition. Neither intervention impacted norms for condom use. Both interventions significantly decreased risky sexual behavior and increased condom use at the 3-month follow-up. The pattern of associations of Theory of Planned Behavior constructs to behavior were of similar magnitude in the two groups.

conclusionsThe results indicate common mechanisms of action for these two interventions and support the use of transdiagnostic mechanisms of treatment impact for sexual risk reduction.

Indexed as

Adolescent BehaviorHIV InfectionsSexually Transmitted DiseasesAdolescentCondomsFemaleHealth Knowledge, Attitudes, PracticeHumansMaleRisk-TakingSafe SexSexual BehaviorAdolescent sexual healthBehavioral skills trainingCondom useMotivational interviewingSexual risk reductionSTI/HIVTheory of planned behaviorTransdiagnostic mechanisms of action

Identifiers

PMID32169523
PMCPMC7311249
OpenAlexW3012537568

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

None linked

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.