Respeto/Proteger

Program Overview

Developer(s)

Deborah Koniak-Griffin, Ed.D., R.N.C., F.A.A.N., Janna Lesser, R.N., Ph.D., Barbara Kappos, M.S.W., and Jerry Tello

Program Summary

Respeto/Proteger is a culturally rooted couple-focused and asset-based HIV prevention program developed through a community-academic partnership project for young Latino parents. The 12-hour curriculum builds on feelings of parental protectiveness while integrating cultural teaching as motivation to reduce risky sexual behavior. HIV-related content includes HIV awareness, understanding vulnerability to HIV infection, disease prevention, condom use skills and sexual negotiation skills. Parental protectiveness is fostered through specially designed discussions and writing activities that integrate traditional or cultural teachings. The facilitation is based on the use of an espejo (mirror) process of teaching using strategies such as storytelling and reflection. The role of the facilitators is to be not only teachers and guides but also role models and nurturers. The program is delivered to small groups of couples in community and clinic settings.

Target Population

The program was designed for and tested with young Latino parents, ages 14 to 24, with children who are at least three months of age.

Program Setting

The program is designed for and evaluated in community-based settings, including community-based organizations and health centers.

Contact and Availability Information

For curriculum, materials, and pricing information, please contact:

Janna Lesser, PhD, RN
Center for Community-Based Health Promotion with Women & Children
7703 Floyd Curl Drive
School of Nursing
UT Health Science Center at San Antonio
San Antonio, TX 78229-3900
Ph: 210-845-3764 lesser@uthscsa.edu

For training and support, please contact:

See above

Sample of curriculum available for review prior to purchase: No

Adaptation guidelines or kit available: No

Languages available: English and Spanish

Program Components

Program Objectives

The program seeks to prevent HIV among young Latino parents by increasing feelings of parental protectiveness and the emotional attachment between a parent and a child to positively affect parental behavior.

Program Content

Respeto/Proteger is a six session curriculum focused on HIV prevention. The core components of the program are organized as follows:

  • Session I: Understanding Each Other. This session is intended to establish the sentiments of parental protectiveness among the participants and demonstrate how these sentiments relate to family health and safety. Discussion topics include taking responsibility, being a role model, and goals for the future.
  • Session II: Male/Female Relationships. This session focuses on respectful and healthy behavior within a relationship through discussion and storytelling. It also provides an introduction to STDs and HIV.
  • Session III: The Life Cycle/Young Parenthood. This session deals with the consequences of actions, and asks participants to contemplate how contracting a disease such as HIV would affect their families. It includes a guest lecture by an HIV-positive parent.
  • Session IV: Barriers to condom use and other safe practices are discussed in the context of gender roles and cultural norms. Participants are divided by gender. This session also covers HIV transmission and testing procedures.
  • Session V: This session focuses on the decision-making process and uses a game to explore high- versus low-risk behaviors. Through a video and group discussion, this session also covers violence and substance abuse. 
  • Session VI: During the final session, participants revisit the personal goals they identified in Session I and discuss the actions they must take to achieve these goals. They also draft and share a letter to their child discussing their aspiration for the child’s future.

Community and academic partners integrated HIV prevention strategies into Respeto/Proteger based on Social Cognitive Theory, the Theory of Reasoned Action, and concepts from the theory of gender and power with strategies from El Joven Noble and Con Los Padres programs.

Program Methods

The program is delivered using the espejo (mirror) process of instruction, which emphasizes group discussion and sharing of personal experiences, small group discussion, videos, and guest speakers.

Implementation Requirements and Guidance

Program Structure and Timeline

The program is delivered in six 2-hour sessions.

Staffing

The program requires two trained facilitators, one male and one female. Preferably at least one facilitator has experience working with population and one has a health care background.

Program Materials and Resources

The program curriculum, facilitator manual, and evaluation instrument are provided at training.

Additional Needs for Implementation

None specified

Fidelity

None specified

Training and Staff Support

Staff Training:

A three day training is required to implement Respeto/Proteger. Jerry Tello and Janna Lesser provide the training for a cost of $20,000.

Technical Assistance and Ongoing Support:

Technical assistance is available through the developer.

Allowable Adaptations

Allowable adaptations are not available for this program.

Implementation Readiness Assessment

The review team conducted an independent assessment of the program’s readiness for implementation. This assessment is based on the team’s review of available program materials and documents. The team also requested input from program developers and distributors about the availability of implementation materials and resources.

On the basis of this assessment, the team calculated an implementation readiness score comprised of three component scores: (1) curriculum and materials, (2) training and staff support, and (3) fidelity monitoring tools and resources. The component scores are combined into a total score, which ranges from 0 to 8, with higher scores indicating the programs most ready to implement.

Curriculum and Materials

Has defined curriculum with lesson plans and/or activities?Yes
Has defined core or required components?Yes
Has facilitator’s guide or instructions?Yes
Component Score3/3

Training and Staff Support

Formal pre-implementation training (by qualified trainers) available?Yes
Supplemental training or ongoing technical support available?Yes
Component Score2/2

Fidelity Monitoring Tools and Resources

Has defined logic model?No
Defines fidelity guidelines and benchmarks?No
Offers monitoring and evaluation tools?No
Component Score0/3

Total Implementation Readiness Score

5/8

Reviewed Studies

CitationHigh-Quality Randomized TrialModerate-Quality Randomized TrialModerate-Quality Quasi-experimentLow Study RatingDid Not Meet Eligibility Criteria

Koniak-Griffin et al. 2008

   Yes 

Lesser et al. 2009

Koniak-Griffin et al. 2011

 Yes   

Notes

Some study entries may include more than one citation because each citation examines a different follow-up period from the same study sample, or because each citation examines a different set of outcome measures on the same study sample.

Study Characteristics

CitationSettingMajority Age GroupMajority Racial/Ethnic GroupGenderSample Size

Koniak-Griffin et al. 2008

n.a.n.a.n.a.n.a.n.a.

Lesser et al. 2009

Koniak-Griffin et al. 2011

After school/Community based18 or 19LatinoBoth336

Notes

Some study entries may include more than one citation because each citation examines a different follow-up period from the same study sample, or because each citation examines a different set of outcome measures on the same study sample.

Information on study characteristics is available only for studies that received a high or moderate rating. Read the description of the review process for more information on how these programs are identified.

Study Findings

Citation Sexual Activity Number of Sexual Partners Contraceptive Use STIs or HIV Pregnancy

Koniak-Griffin et al. 2008

n.a. n.a. n.a. n.a. n.a.

Lesser et al. 2009

Koniak-Griffin et al. 2011

A mix of positive, null, and/or adverse impacts across the outcomes examined in this domain
CitationDetails

Koniak-Griffin et al. 2008

This quasi-experimental study received a low rating because it did not establish baseline equivalence for the final analysis sample.

Lesser et al. 2009

Koniak-Griffin et al. 2011

This study evaluated the program with a randomized controlled trial involving high-risk mothers and fathers recruited from community-based locations in Los Angeles County, California. Couples were randomly assigned to either a treatment group that was offered the program or to a control group that received a 90-minute didactic HIV prevention curriculum. Surveys were administered immediately before the intervention (baseline), immediately after the intervention, and at follow-ups conducted three, six, and 12 months after the program ended.

The study found that across the baseline, three-month follow-up, and six-month follow-up, the proportion of males and females who reported having had sex without a condom in the past three months declined by a statistically significantly greater amount for the treatment group than for the control group. That effect was not sustained across the six-month and 12-month follow-ups: within that period, the proportion of males and females who reported having had sex without a condom in the past three months increased by a statistically significantly greater amount for the treatment group than for the control group.

Notes

Some study entries may include more than one citation because each citation examines a different follow-up period from the same study sample, or because each citation examines a different set of outcome measures on the same study sample. A blank cell indicates the study did not examine any outcome measures within the particular outcome domain or the findings for the outcome measures within that domain did not meet the review evidence standards.

Information on evidence of effectiveness is available only for studies that received a high or moderate rating. Read the description of the review process for more information on how these programs are identified.