Building protective factors to offset sexually risky behaviors among black youths: a randomized control trial

Presented at the National Medical Association's 2007 Annual Convention and Scientific Assembly, Honolulu, HI, August 8, 2007. Objectives: To test the effectiveness of the CHAMP among black South Africans in KwaZulu-Natol, South Africa. Methods: A randomized control trial was conducted in KwaDedongendlale, South Africa, among youths (ages 9-13) and their families (245 intervention families rearing 281 children and 233 control families rearing 298 children). The CHAMPSA intervention targeted HIV risk behaviors by strengthening family relationship processes as well as targeting peer influences through enhancing social problem solving and peer negotiation skills for youths. Results: Among caregivers in the control and experimental conditions, significant intervention group differences were revealed regarding HIV transmission knowledge, less stigma toward HIV-infected people, caregiver monitoring-family rules, caregiver communication comfort, caregiver communication frequency and social networks. Among youths, data revealed that control and experimental groups were significantly different for children in AIDS transmission knowledge and less stigma toward HIV-infected people. Conclusions: CHAMPSA enhances a significant number individual, family and community protective factors that can help youths avoid risky behaviors leading to HIV-positive status.