Multimedia HIV/STI Prevention for Drug-Involved Female Offenders

针对涉毒女性罪犯的艾滋病毒/性传播感染多媒体预防

• 批准号: 7577154
• 负责人: Nabila El-Bassel
• 金额: $ 67.89万
• 依托单位: COLUMBIA UNIV NEW YORK MORNINGSIDE
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-30 至 2013-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7577154
• 关键词: AIDS prevention; Address; Adherence; African American; Alcohol or Other Drugs use; Anus; Appendix; California; Child Sexual Abuse; Chlamydia; Clinical; Clinical Trials; Collaborations; Communities; Community Health; Condition; Control Groups; Criminal Justice; Drug usage; Educational process of instructing; Effectiveness of Interventions; Elements; Eligibility Determination; Expectancy; Feedback; Female; Frequencies; Gender; Gonorrhea; HIV; Illicit Drugs; Imprisonment; Incidence; Individual; Infection prevention; Informal Social Control; Intervention; Island; Knowledge; Learning; Letters; Low income; Maps; Measures; Mediating; Mediation; Mediator of activation protein; Memory; Multimedia; National Institute of Drug Abuse; New York; New York City; Numbers; Online Systems; Outcome; Participant; Patient Self-Report; Pharmaceutical Preparations; Population; Prevention Research; Prevention intervention; Protocols documentation; Public Health; Publishing; Randomized; Randomized Controlled Trials; Range; Rate; Recording of previous events; Research; Risk; Risk Behaviors; Risk Factors; Risk Reduction; San Francisco; Schools; Science; Self Efficacy; Sexual Partners; Sexually Transmitted Diseases; Site; Social Work; Social support; Solutions; Speed; Standards of Weights and Measures; Substance abuse problem; Supervision; System; Testing; Time; Trichomonas Infections; Universities; Vagina; Woman; animation; base; condoms; coping; court; day; design; experience; follow-up; graphical user interface; innovation; interactive multimedia; intimate partner violence; offender; peer; prevent; probation; professor; programs; scale up; service utilization; sex; skills; social; tool; treatment effect

DESCRIPTION (provided by applicant): The proposed study responds to RFA-DA-08-007, which calls for research to "develop and test integrated drug use and HIV risk behavior prevention interventions in criminal justice settings". Despite the large and growing number of drug-involved female offenders under community supervision and accumulating evidence of their elevated risk for HIV/STIs, there remains a critical gap in evidence-based HIV prevention interventions for this population. The proposed study is designed to address this critical gap by conducting a randomized controlled trial (RCT) that will rigorously test the efficacy of a multimedia version of 4-session, gender-specific, integrated drug use and HIV/STI prevention intervention (Multimedia WORTH) in increasing condom use and decreasing the incidence of sexually transmitted infections (STIs) among 420 drug-involved female offenders in a large Alternative-to-Incarceration(ATI) Probation Program in New York City, compared to a non-media version of the same intervention (Traditional WORTH) and to a 4-session NIDA standard HIV prevention control condition, which is not gender-specific (NIDA Control). Participants will be assessed with repeated measures at baseline, immediate post test (IPT), 6-month, and at 12-month post-intervention follow-ups. Multimedia interventions have been found to be efficacious in promoting HIV risk reduction and reducing substance use compared to non-multimedia interventions. Furthermore, multimedia interventions hold promise for increasing the fidelity of implementation and the speed, scale and quality of dissemination. The Traditional WORTH intervention was developed by this study's investigative team as a group-based, integrated drug use and HIV prevention intervention for low income, urban female offenders which addresses intimate partner violence (IPV) and other gender specific risk factors for HIV. WORTH has been tested in two different RCTs and found to be efficacious in increasing condom use among drug-involved female inmates and among women in drug treatment. Multimedia WORTH contains the same content as Traditional WORTH, but employs multimedia interactive tools and culturally tailored animation and video enhancements that are designed to enhance the delivery of the intervention by maximizing individual learning opportunities and feedback, while at the same time optimizing the group format to build positive peer norms and social support for HIV risk reduction. This rigorous RCT will advance the science and extend the boundaries of multimedia HIV prevention research while aiming to close a critical gap in HIV prevention efforts in the criminal justice system. PUBLIC HEALTH RELEVANCE: The proposed study addresses a significant public health threat of HIV and other STIs among drug-involved female offenders under community supervision The proposed randomized controlled trial will rigorously test the efficacy of a gender specific multimedia HIV prevention intervention on increasing condom use and reducing incidence of STIs. This innovative multimedia approach may enhance the impact and delivery of standardized group-based HIV prevention interventions and holds promise for increasing capacity, quality, and speed in disseminating evidenced-based HIV prevention interventions in overburdened criminal justice settings.

描述（由申请人提供）：拟议的研究对RFA-DA-08-007做出了回应，该研究要求研究“在刑事司法机构中开发和测试综合药物使用和HIV风险预防干预措施”。尽管在社区监督下，涉及毒品涉及的女性罪犯的数量越来越大，并积累了其艾滋病毒/性传播感染风险升高的证据，但对该人群的基于证据的艾滋病毒预防干预措施仍然存在巨大差距。拟议的研究旨在通过进行一项随机对照试验（RCT）来解决这一关键差距，该试验将严格测试多媒体版本的4节，性别特异性，综合药物使用和HIV/STI预防干预（Multimedia atsia atsies of Perdom使用和降低女性疾病的发生率）的疗效（Multimedia worth）在增加避孕套的发生率（St.与非媒体的干预措施（传统价值）和4条Session NIDA标准HIV预防控制条件相比，纽约市的替代性到监禁计划（ATI）试用计划（NIDA控制）。参与者将在基线，立即测试后（IPT），6个月和12个月的干预后随访中对参与者进行重复措施进行评估。与非杀菌性干预措施相比，多媒体干预措施可有效地促进艾滋病毒风险降低和减少药物使用。此外，多媒体干预措施有望增加实施的保真度以及传播的速度，规模和质量。传统的价值干预措施是由该研究的调查团队开发的，是针对低收入的基于集团的，综合的药物使用和艾滋病毒预防干预，城市女性罪犯解决了亲密伴侣暴力（IPV）和其他针对HIV的性别特定风险因素。价值已在两种不同的RCT中进行了测试，发现在增加涉及药物涉及的女性囚犯和药物治疗中的妇女中使用避孕套的使用有效。多媒体价值包含与传统价值相同的内容，但采用了多媒体交互式工具以及文化量身定制的动画和视频增强功能，旨在通过最大程度地提高个人学习机会和反馈来增强干预措施的提供，同时优化小组形式以构建对HIV风险减少的积极PEER规范和社交支持。这种严格的RCT将推进科学，并扩大多媒体艾滋病毒预防研究的界限，同时旨在弥合刑事司法系统中的艾滋病毒预防工作的关键差距。 公共卫生相关性：拟议的研究涉及在社区监督下对毒品涉及的女性罪犯对艾滋病毒和其他性传播感染的重大威胁。拟议的随机对照试验将严格测试性别特定的特定性别多媒体艾滋病毒预防干预措施在增加避孕套使用和减少ETIS的发生率方面的疗效。这种创新的多媒体方法可以增强基于标准化的小组艾滋病毒预防干预措施的影响和交付，并有望提高能力，质量和速度在传播基于证据的艾滋病毒预防干预措施中的刑事司法过时的情况下。