HIVGEMMNCT02103218
A Risky Sex Prevention Intervention for Middle School Age Minority Girls
A study testing Education, activities, empowerment, racial pride building and General Health education, activities in people with HIV and Risky Sex Prevention, run by University of North Carolina, Greensboro at 1 site in United States.
Trial summary
African American adolescent females are more likely to have sex at an early age, to have older sex partners that have had multiple sexual experiences, and are less likely to use a condom than their white counterparts. Lack of sexual assertiveness is a factor in the risky sex behaviors of young African American women. Read more about this study
- Who is it for?
- Ages 11 to 99 years, women only
- Conditions the study is for
- HIV, Risky Sex Prevention
- What is being tested?
- Education, activities, empowerment, racial pride building and General Health education, activities
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 212 participants
- Where
- 1 siteUnited States
- Study dates
- Nov 2012to 13 Feb 2018
- Phase
- Interventional
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 11 to 99 years
- Women only
- No healthy volunteers
- Child, Adult, Older adult
Mother Inclusion Criteria:
- Must be 21 years or older.
- Must be daughter's primary female guardian/caregiver and she lives with me at least 50% of the time.
- Must understand spoken and written English.
- Must be able to provide a phone number where they can be reached and will be able to maintain contact with researchers for one year after start of study.
- Must be able to provide or arrange reliable transportation for their daughter after each session or data collection.
Mother Exclusion Criteria:
- Must not be incarcerated at the time of recruitment
- Must not have a physical or mental health condition that may affect my or my daughter's participation in the study.
Daughter Inclusion Criteria:
- Must be in middle school (grades 6-8) at the time of recruitment.
- Must be between the ages of 11-14 at the time of recruitment.
- Must self-identify as Black, African-American, or a mixed race that includes black or African-American.
- Must be able to understand written and spoken English.
Daughter Exclusion Criteria:
- Must not be in a classroom for developmentally delayed students in school.
- Must not be currently pregnant at the time of recruitment.
- Must not have a mental or physical health condition that may affect her participation in the study.
- Must not be suspended or expelled from school at the time of recruitment.
Trial locations and contacts
1 site in 1 country.
United States1 site
University of North Carolina, Greensboro
Greensboro, North Carolina, 27402
About this study
African American adolescent females are more likely to have sex at an early age, to have older sex partners that have had multiple sexual experiences, and are less likely to use a condom than their white counterparts. Lack of sexual assertiveness is a factor in the risky sex behaviors of young African American women. African American girls at the greatest risk for contracting HIV are the ones that report that their partners could convince them to have sex and report trouble communicating their wishes related to sex. Thus far no intervention has addressed the disparate rate of HIV infection in young African American girls. This study is unique in promoting increases in racial pride as a component of empowerment to help African American girls self-protect against HIV. The study has the potential to empower young African American girls to delay sex initiation or reduce risky sex behaviors and thus reduce their risk of contracting HIV.
Read the detailed description
This is a longitudinal intervention study with a study condition intervention and a control condition intervention. Potential participants will be invited to a recruitment meeting. If they choose to participate, they will be asked to sign informed consent or assent. There are 4 data collections for moms and girls - 1 after recruitment but before the start of the intervention, 1 at the end of the intervention (after the girls 12 week intervention), 1 three months after the end of the intervention (about 6 months after recruitment), and the final data collection 9 months after the end of the intervention (about 12 months from recruitment). Girls are asked to attend 12 group intervention sessions of about 2 hours each, once weekly, and then a final termination session that is followed by a celebration session to which their mothers are invited and then an evaluation session. Moms are asked to participate in 3 one hour education sessions over the 12 weeks that their daughters are in the weekly sessions, the celebration with their daughters, and then their evaluation session. Moms will also be asked to give their daughter empowering messages 5-7 times/week and girls asked to receive them. Finally, moms will be asked to receive calls from the study team once per month or 1 year to be asked about the empowering messages they have been sending their daughters.
- Conditions
- HIV, Risky Sex Prevention
- Being tested
- Education, activities, empowerment, racial pride building, General Health education, activities
- Keywords
- HIV, risky sex prevention, intervention
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Education, activities, empowerment, racial pride buildingBehavioural
Intervention focuses on information aimed toward reducing or preventing risky sex behaviors of minority adolescent females.
General Health education, activitiesBehavioural
Intervention focuses on information regarding general health knowledge and healthy behaviors (not including sex).
| Study group | Role | What they receive |
|---|---|---|
| Risky sex prevention | Experimental | education, activities, empowerment, racial pride building Receives: Behavioral: Education, activities, empowerment, racial pride building |
| Healthy behaviors | Active comparator | General health education, activities Receives: Behavioral: General Health education, activities |
What is being measured
The primary outcome is the main question the study is designed to answer.
Adolescent Sexual Activity Index
Adolescent Sexual Activity Index (Female). The theoretical minimum and maximum values are min=0 and max=10 (Hansen, Paskett, \& Carter, 1999). A higher index value indicates more activity (worse outcome).
Measured: 12 months
Any Sex no Condom, Past 3 Months
Any sex no condom, past 3 months
Measured: 12 months
Sex With Multiple Partners, Ever
Sex with multiple partners, ever
Measured: 12 months
Drugs/Alcohol Use During Sex, Past 3 Months
Drugs/Alcohol use during sex, past 3 months
Measured: 12 months
Secondary outcomes (12)
HIV Knowledge
HIV-Knowledge Questionnaire for Adolescent Girls. The theoretical minimum and maximum values are min=0 and max=18. Higher scores indicate higher HIV knowledge which is a better outcome.
Measured: 12 month
Maternal Bond Scale
Maternal Bond Scale. The theoretical minimum and maximum are min=8 to max=40. Higher scores indicate stronger maternal bonds which is a better outcome.
Measured: 12 months
Mother-Teen Sexual Risk Communication
Mother-Teen Sexual Risk Communication. The theoretical minimum and maximum are min=8 to max=40. Higher scores indicate greater mother-teen communication about sexual risk which is a better outcome.
Measured: 12 months
Mother-Adolescent Communication: Open Family Communication (Girl)
Mother-Adolescent Communication: Open Family Communication (Girl). The theoretical minimum and maximum values are min=10 and max=50. A higher value indicates greater mother-adolescent open family communication which is a better outcome.
Measured: 12 months
Maternal Monitoring Scale (Girl)
Maternal Monitoring Scale (Girl). The theoretical minimum and maximum values are min=8 and max=40. A higher value indicates greater maternal monitoring which is a better outcome.
Measured: 12 months
Rosenberg Self-Esteem
Rosenberg Self-Esteem Scale. The theoretical minimum and maximum values are min=10 and max=40. A higher value indicates higher self-esteem which is a better outcome.
Measured: 12 months
Racial Pride
Racial Pride Scale. The theoretical minimum and maximum values are min=7 and max=28. A higher value indicates stronger feelings of racial pride which is a better outcome.
Measured: 12 months
Empowerment: Interpersonal
Empowerment Scale: Interpersonal. The theoretical minimum and maximum values are min=4 and max=20. A higher value indicates greater personal influence on relationship decisions.
Measured: 12 months
Empowerment: Relationship
Empowerment Scale: Interpersonal. The theoretical minimum and maximum values are min=3 and max=21. A higher value indicates greater influence over a partner.
Measured: 12 months
Empowerment: Personal
Empowerment Scale: Personal. The theoretical minimum and maximum values are min=3 and max=21. A higher value indicates greater personal empowerment.
Measured: 12 months
Sexual Assertiveness: Refusal
Sexual Assertiveness Refusal subscale. The theoretical minimum and maximum scores are min=6 and max=30. Higher scores indicate greater assertiveness in refusing sexual activity (better outcome).
Measured: 12 months
Sexual Assertiveness: Prevent
Sexual Assertiveness Prevent subscale. The theoretical minimum and maximum scores are min=6 and max=30. Higher scores indicate greater assertiveness in taking measures to prevent pregnancy (better outcome).
Measured: 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Apr 2014 (estimated)
- Study startNov 2012
- Primary completion13 Feb 2018
- Study completion13 Feb 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for HIVStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 212 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of North Carolina, Greensboro
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Dr. Tracy R. Bartlett, University of North Carolina, Greensboro
- Investigators
- Tracy R Bartlett, PhD, Principal investigator, University of North Carolina, GreensboroDebra C Wallace, PhD, Study chair, Univeristy of North Carolina, Greensboro
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02103218
- Sponsor's protocol ID
- P20MD002289-1
- Other IDs
- P20MD002289
- Acronym
- GEMM
- Status last verified
- May 2021
- First submitted
- 31 Mar 2014
- Last updated
- 16 Jun 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Wallace DC, Bartlett R. Recruitment and retention of African American and Hispanic girls and women in research. Public Health Nurs. 2013 Mar;30(2):159-66. doi: 10.1111/phn.12014. Epub 2012 Nov 22.
PubMed 23452110Bartlett R, Johnson A, Randolph I, McCoy TP. Communication and Bonding Between African-American Middle School Girls and Their Maternal Figures. J Natl Black Nurses Assoc. 2016 Jul;27(1):18-23.
PubMed 29932539
Study at a glance
From the registry record, last updated by the sponsor on 16 Jun 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Risky Sex Prevention Intervention for Middle School Age Minority Girls
- ClinicalTrials.gov ID
- NCT02103218
- Acronym / sponsor ID
- GEMM / P20MD002289-1
- Conditions
- HIV, Risky Sex Prevention
- Keywords
- HIV, risky sex prevention, intervention
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 212 participants (actual)
- Lead sponsor
- University of North Carolina, GreensboroUniversity, hospital or other
- Study start
- Nov 2012
- Primary completion
- 13 Feb 2018 (actual)
- Study completion
- 13 Feb 2018 (actual)
- First posted
- 3 Apr 2014 (estimated)
- Results
- Posted 18 Oct 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
African American adolescent females are more likely to have sex at an early age, to have older sex partners that have had multiple sexual experiences, and are less likely to use a condom than their white counterparts. Lack of sexual assertiveness is a factor in the risky sex behaviors of young African American women. African American girls at the greatest risk for contracting HIV are the ones that report that their partners could convince them to have sex and report trouble communicating their wishes related to sex. Thus far no intervention has addressed the disparate rate of HIV infection in young African American girls. This study is unique in promoting increases in racial pride as a component of empowerment to help African American girls self-protect against HIV. The study has the potential to empower young African American girls to delay sex initiation or reduce risky sex behaviors and thus reduce their risk of contracting HIV.
Detailed description
This is a longitudinal intervention study with a study condition intervention and a control condition intervention. Potential participants will be invited to a recruitment meeting. If they choose to participate, they will be asked to sign informed consent or assent. There are 4 data collections for moms and girls - 1 after recruitment but before the start of the intervention, 1 at the end of the intervention (after the girls 12 week intervention), 1 three months after the end of the intervention (about 6 months after recruitment), and the final data collection 9 months after the end of the intervention (about 12 months from recruitment). Girls are asked to attend 12 group intervention sessions of about 2 hours each, once weekly, and then a final termination session that is followed by a celebration session to which their mothers are invited and then an evaluation session. Moms are asked to participate in 3 one hour education sessions over the 12 weeks that their daughters are in the weekly sessions, the celebration with their daughters, and then their evaluation session. Moms will also be asked to give their daughter empowering messages 5-7 times/week and girls asked to receive them. Finally, moms will be asked to receive calls from the study team once per month or 1 year to be asked about the empowering messages they have been sending their daughters.
Study design
- Primary purpose
- Prevention
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Risky sex prevention | Experimental | Behavioral: Education, activities, empowerment, racial pride buildingeducation, activities, empowerment, racial pride building |
| Healthy behaviors | Active comparator | Behavioral: General Health education, activitiesGeneral health education, activities |
Who may qualify
- Ages
- 11 to 99 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Education, activities, empowerment, racial pride buildingIntervention focuses on information aimed toward reducing or preventing risky sex behaviors of minority adolescent females. | Behavioural | Risky sex prevention |
| General Health education, activitiesIntervention focuses on information regarding general health knowledge and healthy behaviors (not including sex). | Behavioural | Healthy behaviors |
Primary outcome
Adolescent Sexual Activity Index
Time frame: 12 months
Adolescent Sexual Activity Index (Female). The theoretical minimum and maximum values are min=0 and max=10 (Hansen, Paskett, \& Carter, 1999). A higher index value indicates more activity (worse outcome).
Any Sex no Condom, Past 3 Months
Time frame: 12 months
Any sex no condom, past 3 months
Sex With Multiple Partners, Ever
Time frame: 12 months
Sex with multiple partners, ever
Drugs/Alcohol Use During Sex, Past 3 Months
Time frame: 12 months
Drugs/Alcohol use during sex, past 3 months
12 secondary outcomes
HIV Knowledge
Time frame: 12 month
Maternal Bond Scale
Time frame: 12 months
Mother-Teen Sexual Risk Communication
Time frame: 12 months
Mother-Adolescent Communication: Open Family Communication (Girl)
Time frame: 12 months
Maternal Monitoring Scale (Girl)
Time frame: 12 months
Rosenberg Self-Esteem
Time frame: 12 months
Racial Pride
Time frame: 12 months
Empowerment: Interpersonal
Time frame: 12 months
Empowerment: Relationship
Time frame: 12 months
Empowerment: Personal
Time frame: 12 months
Sexual Assertiveness: Refusal
Time frame: 12 months
Sexual Assertiveness: Prevent
Time frame: 12 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Jun 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 23452110Wallace DC, Bartlett R. Recruitment and retention of African American and Hispanic girls and women in research. Public Health Nurs. 2013 Mar;30(2):159-66. doi: 10.1111/phn.12014. Epub 2012 Nov 22.
- Results publication: PubMed 29932539Bartlett R, Johnson A, Randolph I, McCoy TP. Communication and Bonding Between African-American Middle School Girls and Their Maternal Figures. J Natl Black Nurses Assoc. 2016 Jul;27(1):18-23.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Tracy R Bartlett, PhD principal investigator
University of North Carolina, Greensboro
Debra C Wallace, PhD study chair
Univeristy of North Carolina, Greensboro
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Education, activities, empowerment, racial pride building and General Health education, activities in people with HIV and Risky Sex Prevention, run by University of North Carolina, Greensboro at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 16 Jun 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Yes. Results are posted in the registry (first posted 18 Oct 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Adolescent Sexual Activity Index (time frame: 12 months). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02103218, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Jun 2021; AzTrials last refreshed its copy on 7 Nov 2026.