PEER ACTIVISM FOR FEMALE SEXUAL PARTNERS OF INJECTION DRUG USERS

注射吸毒者女性性伴侣的同伴维权

• 批准号: 6273419
• 负责人: SUSAN TROSS
• 金额: $ 37.99万
• 依托单位: NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-09-30 至 1999-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6273419
• 关键词: AIDS; AIDS education /prevention; behavioral /social science research tag; clinical research; clinical trials; counseling; disease /disorder proneness /risk; female; high risk behavior /lifestyle; human subject; interview; intravenous drug abuse; outcomes research; peer group; racial /ethnic difference; role model; safe sex /sex abstinence; self help; sex partner; social support network; urban area; women's health

This is a revised proposal for the project, Peer Activism for Female Partners of Injection Drug Users. The combination of grave HIV epidemiology and severe environmental obstacles to HIV-safer sexual behavior change argues for an empowerment-driven approach to HIV prevention among female sexual partners (FSPs) of injection drug users. On the streets of the Lower East Side of Manhattan, 275 FSPs will be recruited into a randomized trial of HIV prevention peer activism training versus women's health education (serving as a non-specific psychological intervention comparison). The primary goals of the peer activist training are to increase HIV-safer sexual behavior and to maintain these increments at one-year post-intervention. Both storefront interventions will consist of two phases: 1) two-month intensive (i.e., weekly) intervention; and 2) 10-month maintenance (i.e., monthly) group in the form of activism supervision for the peer activism training and continued health education for the comparison. The peer activism training will impart proficiency in three maintenance-phase activist tasks: 1) individual HIV safer sexual role-modeling outreach discussions with 8-10 women in one's personal network; 2) HIV safer sex role-modeling outreach contacts with 10-12 (previously unknown) women in one's neighborhood; and 3) self-help group organization, planning, and implementation of one community HIV prevention event. The project will begin with a three-month formative evaluation phase in which ethnographic street observation, focus groups, and Community Advisory Board meetings will be used to tailor interventions and assessments to the needs, cultural norms, and life situations of FSPs. In both interventions, a repeated measures interview will be administered at four points: 1) baseline; 2) end of intensive intervention (i.e., two months later); 3) end of maintenance intervention (i.e., one year later); and 4) one-year post-intervention (i.e., two years later). Data analyses will assess the relative efficacy of peer activist training versus women's health education of the following empowerment theory-driven variables as mediators of hypothesized peer activist training intervention effects: increments in psychological empowerment, increments in perceived self- efficacy to practice HIV-safer sexual behavior, increments in perceived HIV-safe sex positive norms, and extent of community participation. During project year 05, diffusion-ready versions of the peer activist training intervention and assessment will be developed and diffusion programs will be piloted in four community-based organizations.

这是该项目的修订建议，女性的同伴行动主义 注射吸毒者的合作伙伴。艾滋病毒的结合 流行病学和严重的艾滋病毒性障碍 行为改变主张以授权为艾滋病毒的方法 女性性伴侣（FSP）预防注射吸毒者。在 曼哈顿下东侧的街道275 FSP将是 被招募到HIV预防同伴行动主义训练的随机试验中 与妇女的健康教育相比（作为非特异性心理学 干预比较）。同伴活动家培训的主要目标 是要增加艾滋病毒的性行为并保持这些增量 干预后一年。两种店面干预措施都将组成 在两个阶段中：1）两个月密集（即每周）干预；和2） 10个月维护（即每月）组以行动主义的形式 对同伴行动主义培训和继续健康教育的监督 进行比较。同伴行动主义训练将赋予 三个维护相位活动家任务：1）单个艾滋病毒更安全的性 角色建模的外展与8-10位女性的个人讨论 网络; 2）与10-12 （以前未知）在附近的妇女； 3）自助小组 一种预防社区艾滋病毒的组织，计划和实施 事件。该项目将以三个月的形成性评估开始 人种学街道观察，焦点小组和 社区咨询委员会会议将用于量身定制干预措施 以及评估FSP的需求，文化规范和生活状况。 在这两种干预措施中，都将进行重复的措施访谈 在四点：1）基线； 2）密集干预的结束（即两个 几个月后）； 3）维护干预结束（即一年后）； 4）干预后一年（即两年后）。数据分析 将评估同伴活动家培训与妇女的相对功效 以下授权理论驱动变量的健康教育为 假设的同伴激进训练干预效果的介体： 心理增强能力的增长，感知到的自我的增长 练习艾滋病毒的性行为的功效，感知到的增量 艾滋病毒安全的性积极规范和社区参与程度。期间 项目年度05年，相关活动家培训的扩散版本 将开发干预和评估，扩散计划将 在四个基于社区的组织中进行驾驶。