Integrating a Nurse-Led Sexual and Reproductive Health Program Among Adolescents Living With HIV in Nigeria: Randomized Controlled Trial

This study examines the impact of a nurse-led sexual and reproductive health (SRH) intervention on the knowledge and attitudes of adolescents living with HIV (ALHIV). Using a randomized controlled trial design, 50 participants (25 control, 25 intervention) were recruited, with 47 completing the study between October 2023 and April 2024. The intervention group received four interactive sessions covering personal hygiene, contraceptive use, STI prevention, and risky behaviors. Baseline assessments showed no significant difference between groups (t =-1.411, <i>p</i> = .300). However, post-intervention analysis revealed a significant improvement in SRH knowledge and attitudes in the intervention group (<i>t</i> = 5.467, <i>p</i> < .001). Participants also showed increased comfort discussing SRH with nurses (χ² = 22.17, <i>p</i> < .001), greater willingness to disclose HIV status (χ² = 7.69, <i>p</i> = .021), and better understanding of STI testing importance (χ² = 18.694, <i>p</i> < .001). These findings support integrating nurse-led SRH programs into adolescent HIV care to improve outcomes.