Characterizing and improving HIV/AIDS knowledge among cocaine-dependent outpatients using modified materials

Characterizing and improving HIV/AIDS knowledge among cocaine-dependent outpatients using modified materials
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DOI:
10.1016/j.drugalcdep.2012.07.006
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发表时间:
2013-01-01
影响因子:
4.2
通讯作者:
Higgins, Stephen T.
Higgins, Stephen T.
中科院分区:
医学2区
文献类型:
--
作者:
Herrmann, Evan S.;Heil, Sarah H.;Higgins, Stephen T.

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背景资料:在美国,只有56%的门诊药物滥用治疗项目提供艾滋病毒/艾滋病教育,这可能是由于完成现有教育干预所需的时间。本报告介绍了一系列的第三项研究的结果,开发一个简短的教育干预,以增加可卡因依赖的门诊patients.Methods的艾滋病毒/艾滋病的知识:参与者(N = 90)被随机分配到实验或对照条件,并完成了两个艾滋病毒/艾滋病知识的预测试与响应格式修改为“真-假-不知道。随后将预测试结果与以原始“真假”格式完成预测试的历史对照进行比较。接下来,实验条件下的参与者完成了艾滋病毒/艾滋病教育干预,而控制条件下的参与者完成了假干预。然后,两种情况下的参与者都完成了第二次知识测试。这两种情况的参与者随后被交叉,然后第三次完成知识测试。使用所有完成教育干预的参与者(N = 56)的测试数据进行干预后分析。这些参与者的一个子集(N = 40)完成了后续测试约9周后完成的教育intervention.Results:两个预测试的分数低于在历史对照观察(p < .001)。在参与者完成教育干预后,知识测试的分数从基线增加(p < .001),但在假干预后没有增加(p > .05)。在后续的分数仍然高于基线分数(p <0.001)。结论:修改响应格式,包括一个“不知道”的选项可能会增加识别基线知识不足。这一简短的干预措施有效地提高了可卡因依赖门诊病人对艾滋病毒/艾滋病的认识。(C)2012爱思唯尔爱尔兰有限公司保留所有权利。
Background: Only 56% of outpatient substance abuse treatment programs in the U.S. provide HIV/AIDS education, likely due to the time required to complete existing educational interventions. This report describes results of a third study in a series to develop a brief educational intervention to increase HIV/AIDS knowledge among cocaine-dependent outpatients.Methods: Participants (N = 90) were randomized to experimental or control conditions and completed two HIV/AIDS knowledge pre-tests with response formats modified to "true-false-don't know." Pre-test results were later compared to historical controls that completed pre-tests in their original "true-false" format. Next, participants in the experimental condition completed an HIV/AIDS educational intervention while participants in the control condition completed a sham intervention. Participants in both conditions then completed knowledge tests a second time. Participants in both conditions were subsequently crossed over, and then completed knowledge tests a third time. Post-intervention analyses were conducted using test data from all participants who completed the educational intervention (N = 56). A subset of these participants (N = 40) completed follow-up tests approximately 9 weeks after completing the educational intervention.Results: Scores on both pre-tests were lower than those observed in historical controls (p < .001). Scores on knowledge tests increased from baseline after participants completed the educational intervention (p < .001), but not after the sham intervention (p > .05). Scores at follow-up remained higher than baseline scores (p < .001).Conclusions: Modifying response formats to include a "don't know" option likely increases identification of baseline knowledge deficits. This brief intervention is effective at increasing HIV/AIDS knowledge among cocaine-dependent outpatients. (C) 2012 Elsevier Ireland Ltd. All rights reserved.