Efficacy of a cognitive behavioral HIV prevention intervention in a sample of substance abusing minority adolescents

Date of Award




Degree Name

Doctor of Philosophy (Ph.D.)


Counseling Psychology

First Committee Member

Robert C. McMahon - Committee Chair


The purpose of this study was to evaluate the efficacy of a cognitive behavioral HIV prevention intervention, designed to produce favorable changes in attitudes, beliefs, knowledge and expectancies hypothesized to correlate with risky sexual behaviors, in comparison to a time and attention matched control group among a sample of alcohol and other drug (AOD) abusing minority adolescents in treatment. In addition, this study assessed the relationships between changes in hypothesized correlates of risk behavior and changes in sex risk behaviors (i.e., percentage of unprotected sex, number of partners) following completion of the intervention. The need for this research was based on the over-representation of HIV/AIDS cases among minority adolescents. Repeated Measures ANCOVAs revealed minimal changes in HIV related knowledge, attitudes and skills and lack of superiority of the cognitive behavioral intervention condition when compared to the information only control condition. Regression analyses revealed that changes in knowledge, attitudes and skills did not predict changes in sexual risk behavior at follow-up. The implications and limitations of the study are discussed as are future directions for research.


Health Sciences, Public Health; Psychology, Clinical; Psychology, Cognitive

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