XVIII International AIDS Conference


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Constructivist role-play for HIV/AIDS prevention among poor adolescents

A.M.F. Zampiere1, T.P. Dowbor2, M.E. Lemos Fernandes1, S.P. Barbosa Jr.2

1Associação Saúde da Família, São Paulo, Brazil, 2Associação Saúde da Família, STD/AIDS, São Paulo, Brazil

Background: In Brazil, studies conducted during the 90's and during the first years of the new century showed that women have a high level of information about how HIV is transmitted and also the means of prevention. However, the perception of personal risk of acquiring an STI or HIV was extremely low considering the significant increase of HIV/AIDS among girls and women in the country. The objective of this project was to deliver HIV/AIDS education and prevention aid to low-income communities of the City of Sao Paulo, Brazil aiming to reduce the risk of HIV and STDs among female and male adolescents.
Methods: Ten 10 psychologists were trained on the AIDS constructive role-play methodology, which is based on the techniques described in “Role-play” by J.L. Moreno (1921) and the “Social constructivism” by Michael White (1984). A total of 8,350 teenagers of poor aqnd underserved areas of São Paulo participated in the role-play sessions. The techniques were applied aiming the understanding and deconstruction of myths, values and beliefs about sexuality, gender issues, sexuality transmitted diseases, injectable drugs, public health and HIV/AIDS as a means to foster deep and lasting behavior change that leads to HIV/AIDS prevention. Pre- and post-intervention questionnaires were also applied.
Results: The comparison between pre- and post-intervention questionnaires showed immediate and significant change in behavior in all adolescent groups participating in the project.
Conclusions: AIDS constructive role-play is an inexpensive and fast technique to deliver information and to trigger behavioral changes among adolescents.

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