Efficacy of a group-based multimedia HIV prevention intervention for drug-involved women under community supervision: project WORTH

Autor: Nabila El-Bassel, Mingway P. Chang, Dawn Goddard-Eckrich, Timothy Hunt, Stacey A. Shaw, Jessica C. Rowe, Louisa Gilbert, Elwin Wu, Susan S. Witte, Maria Almonte, Matthew W. Epperson
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Social Sciences
lcsh:Medicine
HIV Infections
Criminology
computer.software_genre
law.invention
Drug Users
0302 clinical medicine
Randomized controlled trial
Sociology
law
Risk Factors
Human Relations
Medicine and Health Sciences
Psychology
Ethnicities
030212 general & internal medicine
lcsh:Science
African Americans
Multidisciplinary
Social work
Multimedia
Middle Aged
Population groupings
3. Good health
Substance abuse
Infectious Diseases
Population Surveillance
Female
Hispanic Americans
0305 other medical science
Criminal justice
Research Article
Adult
medicine.medical_specialty
Sexual Behavior
education
MEDLINE
Sexually Transmitted Diseases
Addiction
Research and Analysis Methods
03 medical and health sciences
Condom
Intervention (counseling)
medicine
Humans
Clinical Trials
030505 public health
business.industry
Public health
lcsh:R
Biology and Life Sciences
medicine.disease
Randomized Controlled Trials
Women's Health
lcsh:Q
Clinical Medicine
People and places
business
computer
Zdroj: PLoS ONE, Vol 9, Iss 11, p e111528 (2014)
PLoS ONE
ISSN: 1932-6203
Popis: Importance This study is designed to address the need for evidence-based HIV/STI prevention approaches for drug-involved women under criminal justice community supervision. Objective We tested the efficacy of a group-based traditional and multimedia HIV/STI prevention intervention (Project WORTH: Women on the Road to Health) among drug-involved women under community supervision. Design, Setting, Participants, and Intervention We randomized 306 women recruited from community supervision settings to receive either: (1) a four-session traditional group-based HIV/STI prevention intervention (traditional WORTH); (2) a four-session multimedia group-based HIV/STI prevention intervention that covered the same content as traditional WORTH but was delivered in a computerized format; or (3) a four-session group-based Wellness Promotion intervention that served as an attention control condition. The study examined whether the traditional or multimedia WORTH intervention was more efficacious in reducing risks when compared to Wellness Promotion; and whether multimedia WORTH was more efficacious in reducing risks when compared to traditional WORTH. Main Outcomes and Measures Primary outcomes were assessed over the 12-month post-intervention period and included the number of unprotected sex acts, the proportion of protected sex acts, and consistent condom use. At baseline, 77% of participants reported unprotected vaginal or anal sex (n = 237) and 63% (n = 194) had multiple sex partners. Results Women assigned to traditional or multimedia WORTH were significantly more likely than women assigned to the control condition to report an increase in the proportion of protected sex acts (β = 0.10; 95% CI = 0.02–0.18) and a decrease in the number of unprotected sex acts (IRR = 0.72; 95% CI = 0.57–0.90). Conclusion and Relevance The promising effects of traditional and multimedia WORTH on increasing condom use and high participation rates suggest that WORTH may be scaled up to redress the concentrated epidemics of HIV/STIs among drug-involved women in the criminal justice system. Trial Registration ClinicalTrials.gov NCT01784809
Databáze: OpenAIRE
Externí odkaz: