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HIV and Alcohol Prevention in Schools Project (HAPS)

HIV and Alcohol Prevention in Schools Project (HAPS). Leane Ramsoomar (MHP) Arvin Bhana ( PhD) Rick Zimmerman (PhD). Background. SA adolescents experiencing fastest increase in HIV infection of any age group.

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HIV and Alcohol Prevention in Schools Project (HAPS)

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  1. HIV and Alcohol Prevention in Schools Project (HAPS) Leane Ramsoomar (MHP) Arvin Bhana ( PhD) Rick Zimmerman (PhD)

  2. Background • SA adolescents experiencing fastest increase in HIV infection of any age group. • Effective school-based interventions developed in Western countries adapted for local context. • Crucial to development of interventions - design messages that appeal to those at greatest risk. • Combined classroom and media interventions that are novel,participatory and stimulating have been successful

  3. Background • Skills-based HIV and alcohol prevention curriculum • Focus- delaying sexual debut, reducing onset of alcohol use. • Our times, our Choices”- adaptation of Project Northland -US. “Amazing Alternatives”

  4. Background • Skills-based HIV and alcohol prevention curriculum • Focus- delaying sexual debut, reducing onset of alcohol use. • Our times, our Choices”- adaptation of Project Northland -US. “Amazing Alternatives”

  5. Theory • Social Cognitive theory, relevant to designing health education programs. • SCT posits that: • Audiences acquire and maintain behavioral patterns through observational learning. • Relate to characters as real people they can identify with. • Credible sources of information.

  6. Program Content and Description • Skills based peer-led program • Focus on 4 township characters-credible sources of information • Characters represent positive, negative and transitional characters facing risk behavior choices. • 15 unit curriculum focusing on life skills; communication, values, decision-making, choosing alternatives

  7. Method • Quasi- experimental design, structured as pre-test post-test trial • 8 schools randomly assigned to intervention or comparison condition • Comparison schools receive 3-unit knowledge based HIV and alcohol curriculum. • Intervention condition receive 15-unit skills-based HIV and alcohol prevention curriculum. • Delivered by teachers and assisted learner-elected peer leaders.

  8. Sample Characteristics

  9. Selected Measures and Reliabilities

  10. Sexual Refusal Self- Efficacy

  11. Alcohol Attitudes

  12. Conclusion • Positive effect on alcohol attitudes and sexual refusal self-efficacy. • Impact on alcohol refusal self efficacy and Peer communication not significant.

  13. Conclusion • Prelim results further disaggregated by age and gender • Unclear whether effects continue into mid-late adolescence.

  14. Acknowledgements • Musa Zondi, HSRC • Robby Mokgalaka, HSRC • Pam Cupp, Univ. of Kentucky • Sonja Feist Price, Univ. of Kentucky • Bronwyn Myers, MRC • NIAAA Grant R01 AA13927-01 for funding the project

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