Journal of Pediatric Psychology Advance Access originally published online on July 27, 2005
Journal of Pediatric Psychology 2006 31(9):874-890; doi:10.1093/jpepsy/jsj046
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Predictors of Engagement and Retention into a Parent-Centered, Ecodevelopmental HIV Preventive Intervention for Hispanic Adolescents and their Families
1 Stempel School of Public Health, Department of Epidemiology and Biostatistics, Florida International University and 2 Department of Psychiatry and Behavioral Sciences, Center for Family Studies, Miller School of Medicine, University of Miami
All correspondence concerning this article should be addressed to Guillermo Prado, Ph.D, Stempel School of Public Health, Department of Epidemiology and Biostatistics, Florida International University, 11200 SW 8th St. HLS 597 Miami, FL 33199. E-mail: pradog{at}fiu.edu.
Received May 15, 2004; revisions received December 7, 2004 and March 3, 2005; accepted June 13, 2005
Objective This study examined predictors of engagement and retention into a parent-centered, ecodevelopmental HIV preventive intervention for Hispanic adolescents and their families. The influence of retention on changes in adolescent HIV-risk attitudes was also examined. Methods Participants in this study were 91 Hispanic adolescents and their primary parents. Structural equation modeling was used to identify (a) predictors of initial engagement, (b) the effects of group processes on retention, and (c) the effects of retention on change HIV-risk attitudes in adolescents. Results Although some participant characteristics predicted engagement, the parent–facilitator relationship quality at the initial contact was found to be the strongest predictor of engagement. Furthermore, within-group processes such as group cohesion positively predicted retention. Finally, parent retention predicted decreases in adolescent HIV-risk attitudes. Conclusions The results may have important implications for engagement and retention in parent-centered interventions, as well as for reducing risks for HIV transmission in Hispanic adolescents. Implications for services research are also discussed.
Key words: HIV; prevention; Hispanic; parent-centered; engagement; retention.
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