Abstract
African American adolescents are at increased risk for HIV/AIDS. Using a community-based participatory research approach, we engaged three black churches in adapting an evidence-based HIV prevention intervention, Focus on Youth (FOY)+ImPACT, for faith settings. To identify potential adaptations to increase FOY’s relevance, utility, and efficacy for faith settings, we conducted eight focus groups pre- and post-intervention. Recommendations for maintaining FOY’s core elements and enhancing its cultural authenticity include the following: incorporating faith tools, building pastor capacity, strengthening parent–child communication skills, and expanding social support for parents and youth. Engaging faith communities in adapting and implementing evidence-based HIV prevention programs could reduce HIV/AIDS disparities.
Similar content being viewed by others
References
Berkley-Patton, J., Bowe-Thompson, C., Bradley-Ewing, A., Hawes, S., Moore, E., Williams, E., et al. (2010). Taking it to the pews: A CBPR-guided HIV awareness and screening project with black churches. AIDS Education and Prevention, 22(3), 218–237.
Berkley-Patton, J., Thompson, C. B., Martinez, D. A., Hawes, S. M., Moore, E., Williams, E., et al. (2012). Examining church capacity to develop and disseminate a religiously appropriate HIV tool kit with African American churches. Journal of Urban Health, 90, 1–18.
Campbell, M. K., Hudson, M. A., Resnicow, K., Blakeney, N., Paxton, A., & Baskin, M. (2007). Church-based health promotion interventions: Evidence and lessons learned. Annual Review Public Health, 28, 213–234.
CDC. (2010). National Center for HIV/AIDS, viral hepatitis, STD, and TB Prevention, State Profiles. Retrieved from http://www.cdc.gov/nchhstp/stateprofiles/pdf/North_Carolina_profile.pdf.
CDC. (2011). Youth Online—High School YRBS T-Test North Carolina 2011 and United States 2011 Results. from http://apps.nccd.cdc.gov/youthonline/App/Results.aspx?LID=NC.
CDC. (2013a). National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention. Division of HIV/AIDS Prevention. HIV Among African Americans. Fact Sheet. http://www.cdc.gov/hiv/pdf/risk_HIV_AAA.pdf.
CDC. (2013b). National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention. Division of HIV/AIDS Prevention. HIV and AIDS among African American Youth. Fact Sheet. http://www.cdc.gov/nchhstp/newsroom/docs/CDC-Youth-AAs-508.pdf.
Coyne-Beasley, T., & Schoenbach, V. J. (2000). The African-American church: A potential forum for adolescent comprehensive sexuality education. Journal of Adolescent Health, 26(4), 289–294.
Diffusion of Effective Behavioral Interventions (DEBI). (2009). Focus on youth with informed parents and children together (ImPACT): An HIV prevention intervention for African American Evaluation Field Guide. http://www.effectiveinterventions.org/en/HighImpactPrevention/Interventions/FOY/ResourcesTools.aspx.
Francis, S. A., & Liverpool, J. (2009). A review of faith-based HIV prevention programs. Journal of Religion and Health, 48(1), 6–15.
Goldmon, M., Roberson, J. T., Jr, Carey, T., Godley, P., Howard, D. L., Boyd, C., et al. (2008). The data collection/data distribution center: Building a sustainable African-American church-based research network. Progress in Community Health Partnerships: Research, Education, and Action, 2(3), 205–224.
Griffith, D. M., Campbell, B., Allen, J. O., Robinson, K. J., & Stewart, S. K. (2010). YOUR blessed health: An HIV-prevention program bridging faith and public health communities. Public Health Reports, 125(Suppl 1), 4–11.
Israel, B. A., Schulz, A. J., Parker, E. A., & Becker, A. B. (1998). Review of community-based research: Assessing partnership approaches to improve public health. Annual Review of Public Health, 19(1), 173–202.
Li, X., Stanton, B., & Feigelman, S. (2000). Impact of perceived parental monitoring on adolescent risk behavior over 4 years. Journal of Adolescent Health, 27(1), 49–56.
Li, X., Stanton, B., Feigelman, S., & Galbraith, J. (2002). Three-year cumulative risk behaviors among African American adolescents participating in a trial of an HIV-risk reduction intervention. Journal of the National Medical Association, 94, 784–796.
Lightfoot, A. F., Woods, B. A., Jackson, M., Riggins, L., Krieger, K., Brodie, K., et al. (2012). “In My House”: Laying the Foundation for Youth HIV Prevention in the Black Church. Progress in Community Health Partnerships: Research, Education, and Action, 6(4), 451–456.
Lindsay, D. M. (2003). Youth on the Edge. The Christian Century, 120(20), 26–29.
Lyles, C. M., Kay, L. S., Crepaz, N., Herbst, J. H., Passin, W. F., Kim, A. S., et al. (2007). Best-evidence interventions: Findings from a systematic review of HIV behavioral interventions for US populations at high risk, 2000-2004. American Journal of Public Health, 97(1), 133–143.
Moore, D., Onsomu, E. O., Timmons, S. M., Abuya, B. A., & Moore, C. (2012). Communicating HIV/AIDS through African American churches in North Carolina: Implications and recommendations for HIV/AIDS faith-based programs. Journal of Religion and Health, 51(3), 865–878.
North Carolina Division of Public Health. (2006). N.C. epidemiologic profile for HIV/STD prevention and care planning [Report]. http://www.epi.state.nc.us/epi/hiv/epiprofile0806/Epi_Profile_2006.pdf.
North Carolina Division of Public Health. (2012). NC epidemiologic profile for HIV/STD prevention and care planning [Report]. http://epi.publichealth.nc.gov/cd/stds/figures/Epi_Profile_2012.pdf.
Pichon, L. C., Griffith, D. M., Campbell, B., Allen, J. O., Williams, T. T., & Addo, A. Y. (2012). Faith Leaders’ Comfort Implementing an HIV Prevention Curriculum in a Faith Setting. Journal of Health Care for the Poor and Underserved, 23(3), 1253–1265.
Rew, L., & Wong, Y. J. (2006). A systematic review of associations among religiosity/spirituality and adolescent health attitudes and behaviors. Journal of Adolescent Health, 38(4), 433–442.
Rogers R.W. (1983). Cognitive and physiological processes in fear appeals and attitude change: A revised theory of protection motivation. Social Psychophysiology, pp. 153–176.
Stanton, B., Cole, M., Galbraith, J., Li, X., Pendleton, S., Cottrel, L., et al. (2004). Randomized trial of a parent intervention: Parents can make a difference in long-term adolescent risk behaviors, perceptions, and knowledge. Archives of Pediatrics and Adolescent Medicine, 158(10), 947.
Stanton, B. F., Li, X., Ricardo, I., Galbraith, J., Feigelman, S., & Kaljee, L. (1996). A randomized, controlled effectiveness trial of an AIDS prevention program for low-income African-American youths. Archives of Pediatrics and Adolescent Medicine, 150(4), 363–372.
Sutton, M. Y., Jones, R. L., Wolitski, R. J., Cleveland, J. C., Dean, H. D., & Fenton, K. A. (2009). A review of the Centers for Disease Control and Prevention’s response to the HIV/AIDS crisis among blacks in the United States, 1981–2009. Journal Information, 99(S2), S351–S359.
Sutton, M. Y., & Parks, C. P. (2013). HIV/AIDS prevention, faith, and spirituality among black/African American and Latino communities in the United States: Strengthening scientific faith-based efforts to shift the course of the epidemic and reduce HIV-related health disparities. Journal of Religion and Health, 52, 514–530.
Taylor, R. J., Thornton, M. C., & Chatters, L. M. (1987). Black Americans’ perceptions of the sociohistorical role of the church. Journal of Black Studies, 18, 123–138.
Wake County Public Health Division of Human Services. (2013). Wake County Human Services Public Health Quarterly Report. Special Edition: Communicable Diseases 2008–2012. http://www.wakegov.com/humanservices/publichealth/Documents/PHQuarterlyJan-Mar2013.pdf.
Woods-Jaeger, B. A., Sparks, A., Turner, K., Griffith, T., Jackson, M., & Lightfoot, A. F. (2013). Exploring the social and community context of African American adolescents’ HIV vulnerability. Qualitative Health Research, 23(11), 1541–1550.
Acknowledgments
This study was made possible by a grant from the National Institute on Minority Health and Health Disparities grant #: P60MD000244. We received pilot funding from the Carolina Comprehensive NIMHD Research Center and we appreciate the support of Paul Godley, MD, PhD, MPP, Tim Carey, MD, MPH, Daniel L. Howard, PhD, and Michelle Manning, MPH. We thank the staff and board members of Strengthening The Black Family, Inc. and the youth and adults on our Community Advisory Board for their continued engagement and guidance. We also appreciate the involvement of the churches and youth and adult participants in the study. We acknowledge Clare Barrington, PhD, Assistant Professor in Health Behavior at the UNC Gillings School of Global Public Health, for sharing her expertise in qualitative analysis. Tamara Taggart’s work on this manuscript was supported by the National Institute of Allergy and Infectious Diseases of the National Institutes of Health under Award Number T32AI007001. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Lightfoot, A.F., Taggart, T., Woods-Jaeger, B.A. et al. Where is the Faith? Using a CBPR Approach to Propose Adaptations to an Evidence-Based HIV Prevention Intervention for Adolescents in African American Faith Settings. J Relig Health 53, 1223–1235 (2014). https://doi.org/10.1007/s10943-014-9846-y
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10943-014-9846-y