DRUG-USERS VERSUS OUTREACH WORKERS IN COMBATING AIDS - PRELIMINARY-RESULTS OF A PEER-DRIVEN INTERVENTION
DRUG-USERS VERSUS OUTREACH WORKERS IN COMBATING AIDS - PRELIMINARY-RESULTS OF A PEER-DRIVEN INTERVENTION
复制标题
DOI：
10.1177/002204269502500303
复制
发表时间：
1995-06-01
影响因子：
1.7
通讯作者：
ANTHONY, DL
中科院分区：
文献类型：
--
作者：
BROADHEAD, RS;HECKATHORN, DD;ANTHONY, DL
自 1988 年以来，美国 60 多个市中心地区针对注射吸毒者 (IDU) 的艾滋病预防工作一直基于一种称为“基于街道的外展”的“提供者-客户”模式。我们记录的研究表明，这些传统的外展项目在导致等级制度和监督很容易瓦解的条件下运作。其结果是一系列组织问题，将外展项目推向惰性，并导致外展工作人员出现严重的不良和不绩效。 （OW）作为对其工作条件的合理适应。尽管如此，研究也证明注射吸毒者对他们所接受的外展服务的反应非常令人印象深刻。根据注射吸毒者的响应能力，我们概述了“同伴驱动干预”（PDI）的操作特征，该干预依赖于与注射吸毒者的积极合作，而不是“提供者-客户”模式。基于康涅狄格州东部的比较研究，我们提供了初步影响数据，比较了 PDI 与传统外展干预措施在招募能力、社区注射吸毒者教育效果和比较干预成本方面的有效性。
AIDS prevention efforts for injection drug users (IDUs) since 1988 in over 60 inner-city areas within the United States have been based on a ''provider-client'' model called ''street-based outreach.'' We document the research showing that these traditional outreach projects operate under conditions that cause hierarchy and supervision to break down easily, The result is an array of organizational problems that push outreach projects toward inertia, and invite high levels of mal- and nonperformance by outreach workers (OWs) as rational adaptations to their work conditions. Nevertheless, research has also documented that IDUs responded very impressively to the outreach services they received. Based on IDUs' responsiveness, we outline the operational features of a ''Peer-Driven Intervention'' (PDI) that relies on an active collaboration with IDUs in place of a ''provider-client'' model, Based on a comparative study in eastern Connecticut, we present preliminary impact data comparing the effectiveness of a PDI with a traditional outreach intervention in terms of recruitment power, educational effectiveness of IDUs in the community, and comparative intervention costs.