Effects of nurse's support for the adolescents-led HIV/AIDS sexual transmission prevention program using a socail Network on Behavioral Intention for HIV/AIDS prevention and perceived effectiveness of HIV/AIDS preventive behavior among adolescents with HIV/AIDS

Abstract

A quasi-experimental, two-group pretest-posttest, repeated measures design was used to test the effects of the nurse's support for adolescents-led HIV/AIDS sexual transmission prevention program using a social network on behavioral intention for HIV/AIDS prevention and perceived effectiveness of HIV/AIDS preventive behaviors among adolescents with HIV/AIDS. Purposive sampling was used to select 70 adolescents with HIV/AIDS at a HIV/AIDS clinic, Maharat Nakhon Si Thammarat Hospital (received the program=35, received a usual care = 35). The program and instruments were validated by three experts and were back translated by four experts. The reliabilities of behavioral intentions for HIV/AIDS prevention questionnaire, and perceived effectiveness of HIV/AIDS preventive behaviors scale were examined with 20 HIV-infected adolescents, yielding Cronbach's alpha coefficients equal to 0.80 and 0.96 respectively. Data were analyzed using descriptive statistics, Chi- square test, t-test, a Friedman-test, a Wilcoxon Matched Pairs Signed Rank test, and a Mann-Whitney U-test. The findings revealed that; 1. There were no significant difference of overall mean ranks of behavioral intention for HIV/AIDS prevention and perceived effectiveness of HIV/AIDS preventive behavior at baseline, Day 15, and Day 30 in the control group (p > .05). 2. There were significant differences of overall mean ranks of behavioral intention for HIV/AIDS prevention and perceived effectiveness of HIV/AIDS preventive behavior at baseline, Day 15, and Day 30 in the experimental group (p< .001). There were significant differences of mean ranks of behavioral intention for HIV/AIDS prevention and perceived effectiveness of HIV/AIDS preventive behavior between at baseline and Day 15 (p< .001), and at baseline and Day 30 (p < .001). There was a significant difference of mean ranks of behavioral intention for HIV/AIDS prevention between Day 15 and Day 30 (p < .05) whereas there was no significant difference of mean ranks of perceived effectiveness of HIV/AIDS preventive behavior between at Day 15 and Day 30 (p > .05). 3. There were significant differences of mean ranks of behavioral intention for HIV/AIDS prevention and perceived effectiveness of HIV/AIDS preventive behavior measured at Day 15 and Day 30 between the control and experimental groups (p< .001). Meanwhile, there was no significant difference of mean ranks of behavioral intention for HIV/AIDS prevention and perceived effectiveness of HIV/AIDS preventive behavior measured at baseline between the control and experimental groups (p > .05). Thus, nurses can use this program to provide nursing care for adolescents with HIV/AIDS on sexual transmission prevention.