Journal of Pediatric Psychology Advance Access originally published online on February 1, 2006
Journal of Pediatric Psychology 2006 31(9):917-927; doi:10.1093/jpepsy/jsj101
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An Exploration of Social Cognitive Theory Mediators of Father–Son Communication About Sex
Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University
All correspondence concerning this article should be addressed to Colleen DiIorio, PhD, RN, FAAN, Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Room 262, 1520 Clifton Road, N.E., Atlanta, Georgia 30322. E-mail: cdiiori{at}sph.emory.edu.
Received October 3, 2005; revisions received December 28, 2005 and January 4, 2006; accepted January 4, 2006
Objectives R.E.A.L. MEN (responsible, empowered, aware, living) is an HIV prevention project developed for fathers and their sons. The primary aim of R.E.A.L. MEN was to test the efficacy of an intervention to promote delay of sexual intercourse among 11- to 14-year-old adolescents and to enhance the father’s role as a sexuality educator. In this article, we report the outcomes related to father–son communication about sex and the results of an exploratory analysis to test the hypothesis that the intervention effect on father–son communication about sex-related topics is mediated by the social cognitive variables of self-efficacy and outcome expectations. Methods Two hundred seventy-seven fathers and their sons enrolled in the study. Fathers randomized to the intervention group attended seven group sessions, and their sons attended the final session with them. Fathers and sons completed baseline and 3-, 6-, and 12-month follow-up assessments. The fathers who completed the 3-month follow-up assessment were included in the mediation analyses described in this article. Results All the participants were male, most were African American (97%), and most fathers and sons reported residing in the same household. The mean age of father participants was 40.5 years; most had graduated from high school, and about 60% reported a yearly income over $30,000. Based on the results of mediation analyses, the data supported a mediation model that suggests that the effect of the intervention on father–son communication was mediated by differences in self-efficacy. A mediation effect for outcome expectations was weak and could not be validated using additional tests. Conclusions The mediation analysis provides some understanding of the role of self-efficacy and outcome expectations in promoting behavioral change. Understanding the active components of interventions can help refine the interventions to eliminate nonfunctioning components and enhance the active components leading to more streamlined programs.
Key words: fatherhood; HIV prevention; parent–adolescent sexual communication.
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