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Journal of Pediatric Psychology Advance Access published online on July 27, 2005
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsj046
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Journal of Pediatric Psychology © The Author 2005. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oupjournals.org
Received May 15, 2004
Revised March 3, 2005
Accepted June 13, 2005

Article

Predictors of Engagement and Retention into a Parent-Centered, Ecodevelopmental HIV Preventive Intervention for Hispanic Adolescents and their Families

Guillermo Prado PhD1*, Hilda Pantin PhD2, Seth J. Schwartz PhD2, Nichole S. Lupei BS2, and José Szapocznik PhD2

1 Stempel School of Public Health, Department of Epidemiology and Biostatistics, Florida International University
2 Department of Psychiatry and Behavioral Sciences, Center for Family Studies, Miller School of Medicine, University of Miami

* To whom correspondence should be addressed.
Guillermo Prado, E-mail: pradog{at}fiu.edu


  Abstract

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.

Keywords: HIV; prevention; Hispanic; parent-centered; engagement; retention.
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