Using Mixed-Method Assessment to Advance Adolescent HIV Prevention

Colleen M. Fisher, Michael G. Lee, Mary E. Boudreau

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


This two-phase, community-based pilot study examined the impact of an innovative calendar-based assessment on HIV risk perception and risk reduction planning with racially diverse youth aged 14 to 21 at a public health clinic. Participants (N = 232) completed a Sexual Health History Calendar (SHHC) assessing behaviors over the previous 12 months, risk self-appraisals, and future behavioral intentions. Youths’ narratives included negative self-appraisals (36%), named a risk-related critical incident (13%) or regret (9%), or expressed increased risk awareness (9%) and need for behavior change (18%). A minority were positive (28%) or reflected improvement (7%). All Phase 2 participants (n = 122) identified at least one specific risky behavior they intended to change. These data and the SHHC’s visual cues facilitated risk-reduction intervention tailored to the unique circumstances in which each youth’s risk taking occurred. For nurses and other providers in clinical settings, the SHHC can offer a critical link between assessment and intervention.

Original languageEnglish (US)
Pages (from-to)490-513
Number of pages24
JournalClinical Nursing Research
Issue number5
StatePublished - Oct 12 2014

Bibliographical note

Publisher Copyright:
© The Author(s) 2014.


  • HIV
  • adolescent
  • assessment
  • intervention
  • sexual risk
  • sexually transmitted infections


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