COMPREHENSIVE COMMUNITY-BASED AIDS OUTREACH/COUNSELING

全面的社区艾滋病宣传/咨询

• 批准号: 3441523
• 负责人: PEGGY J GLIDER
• 金额: $ 109.36万
• 依托单位: AMITY, INC.
• 依托单位国家: 美国
• 财政年份: 1988
• 资助国家: 美国
• 起止时间: 1988-09-30 至 1991-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3441523
• 关键词: AIDS; AIDS /HIV test; AIDS education /prevention; African American; Mexican Americans; Native Americans; behavior modification; community health services; community mental health services; disease /disorder proneness /risk; health behavior; health care service evaluation; health service demonstration project; human subject; intravenous drug abuse; longitudinal human study; medical outreach /case finding; mental health counseling; sex behavior; sexually transmitted diseases

The purpose of this project is to demonstrate the effectiveness of intervention methods in changing behaviors that place IVDSs and their sexual partners at risk for AIDS. The project will determine the effectiveness of different counseling interventions in changing risk behaviors of IVDAs and their sexual partners, drawn from the major ethnic populations represented in Tucson and Nogales, AZ (Hispanics, non-Hispanic, Whites, Native Americans and Blacks). In addition to evaluating intervention strategies in changing risk behaviors, attitudes, beliefs and knowledge about AIDS, the project will also determine seropositivity rates in the specified target populations. Currently, these targeted metropolitan areas represent a high level of intravenous drug abuse but a low level of diagnosed cases of AIDS. Subjects will also be monitored over the duration of the project (maximum 18-month follow-up) to determine maintenance of change over time. Using five outreach modalities (street, treatment waiting lists, criminal justice, health systems and sexual partners), 2700 subjects consisting of IVDAs and their sexual partners will be identified, contacted and randomly assigned to either a Standard AIDS Intervention (AIA interview, risk assessment, basic AIDS information, pre/post test counseling, referral if appropriate and AFA interview) or and Intensive AIDS Intervention (Standard Intervention components plus weekly individual and group counseling sessions for three months focused on learning behavior modification skills). Standardized training will be provided for all appropriate project staff and staff in cooperating community agencies. The process evaluation will evaluate the effectiveness of specific procedures while the outcome evaluation will compare differential effectiveness of the intervention levels for specific subpopulations. The AIA and AFA developed by NIDA will allow for the addition of this project's data to the national evaluation across projects.

该项目的目的是证明 改变行为的干预方法， 他们的性伴侣有感染艾滋病的风险。 该项目将决定 不同的咨询干预措施在改变 IVDAs及其性伴侣的风险行为，来自 图森和诺加莱斯，亚利桑那州 （西班牙裔，非西班牙裔，白人，印第安人和黑人）。 除了评估改变风险的干预策略外， 行为、态度、信念和有关艾滋病的知识 该项目还将确定特定地区的血清阳性率， 目标人群。 目前，这些有针对性的大都市区 代表了高水平的静脉注射药物滥用，但低水平的 艾滋病确诊病例。 受试者还将在 项目持续时间（最长18个月随访）， 确定随时间变化的维护。 利用五个外展 方式（街头、治疗等候名单、刑事司法、 卫生系统和性伴侣），2700名受试者， IVDA及其性伴侣将被识别，联系， 随机分配到标准艾滋病干预（AIA 面谈、风险评估、艾滋病基本信息、前/后测试 咨询、推荐（如适用）和AFA面试），或 艾滋病强化干预（标准干预组成部分 加上每周三次的个人和小组咨询会议 （重点学习行为矫正技能）。 将为所有适当的项目提供标准化培训 工作人员和合作社区机构的工作人员。 过程 评估将评估具体程序的有效性 虽然结果评价将比较差异 干预水平的有效性 亚群 NIDA开发的AIA和AFA将允许 将该项目的数据纳入国家评估 跨项目。