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DVD-based HIV/HCV Intervention for Drug-Involved Latino Criminal Justice Clients

针对涉及毒品的拉丁裔刑事司法客户的基于 DVD 的 HIV/HCV 干预

基本信息

批准号：
8665888
负责人：
GLADYS Eulalia IBANEZ
金额：
$ 13.77万
依托单位：
UNIVERSITY OF DELAWARE
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-06-01 至 2016-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8665888
关键词：
AIDS prevention AIDS/HIV problem Accounting Address Affect African American Age Behavior Behavioral Behavioral Model Centers for Disease Control and Prevention (U.S.)Cessation of life Client Communities Control Groups Country Criminal Justice Disease Drug abuse Drug usage Effectiveness Equipment Florida Focus Groups Gender General Population Goals HIV HIV Infections HIV Seropositivity Health Health Insurance Health Services Accessibility Hepatitis C Hepatitis C virus Heterosexuals Hispanics Housing Imprisonment Individual Injection of therapeutic agent Intervention Intervention Studies Interview Language Latina Latino Life Locales Manuals Mental Health Minority Minority Groups Mission Modeling Motivation Outpatients Participant Persons Pharmaceutical Preparations Population Preparation Prevention Prevention program Preventive Preventive Intervention Prisoner Procedures Protocols documentation Public Health Qualitative Research Questionnaires Randomized Recruitment Activity Reporting Research Research Personnel Risk Risk Behaviors Risk Factors Services Staging System Testing Time Training U-Series Cooperative Agreements United States Waiting Lists Woman base community reentry correctional system court eligible participant follow up assessment follow-up group intervention high risk informant innovation men novel offender peer programs sex sex risk skills social substance abuse treatment treatment program

项目摘要

DESCRIPTION (provided by applicant): Recent estimates place the rate of HIV infection among prisoners at four times that of the general population, or 1.7% (BJS 2006; CDC, 2008ab), and rates of HCV infection is estimated to be between 20 and 40% (CDC, 2003). Latinos account for approximately 31% of all inmates in the United States. As part of NIDA's Criminal Justice Drug Abuse Treatment Studies (CJ-DATS) cooperative agreement, a peer delivered DVD-based intervention for African-American and White criminal justice clients was previously developed and found effective in reducing sexual risk; however, no intervention was developed for Latino offenders. Using a stage model approach and the Information-Motivations-Behavioral (IMB) model, the overall goals of the proposed project is to develop and pilot test a novel, culturally-appropriate HIV/HCV intervention protocol for drug- involved Latino criminal justice clients in Miami, Florida. The specific aims for the Stage 1a portion of the study are the following: (1) to identify the salient individual and cultural factors that influence HIV/HCV risk and preventive behaviors among heterosexual Latino criminal justice clients through key informant interviews and focus groups; (2) to develop a brief, peer-delivered DVD-based HIV/HCV intervention targeting heterosexual community-based Latino criminal justice clients that include risk factors identified in the formative qualitative research; and (3) to develop and refine an intervention manual and training procedures. The specific aims for Stage1b are: (1) to pilot test and evaluate the effectiveness of the DVD-based HIV intervention by recruiting 210 Latino offenders mandated to substance abuse treatment; and (2) to evaluate both participant and interventionist acceptability of this novel DVD intervention. Participants will be recruited from a local community agency that provides outpatient substance abuse treatment services for court-mandated individuals. Eligible participants will be self-identified Latino/Hispanic, between the ages of 18 and 49, heterosexual, and all participants will be involved with the criminal justice system. Participants will be randomized into either an intervention or a wait-list control condition. The intervention consists of one DVD-based group session facilitated by an interventionist. Sexual risk, drug use, mental health, and background information will be assessed and HIV/HCV testing provided at baseline, and assessed again at 3 months after the intervention session. At the end of the intervention session, each participant will complete an acceptability questionnaire, and the interventionist will complete a checklist to assess treatment fidelity. It is hypothesized that both sexual risk and drug use behaviors will decrease between baseline and follow-up for the intervention group compared to the control group. The project is innovative because it will develop a DVD-based, culturally-appropriate and language specific, HIV/HCV prevention intervention for Latino offenders. The proposed research is significant, because it is expected to produce a brief HIV/HCV intervention that can be implemented within the criminal justice system and targets a high risk group.

描述（由申请人提供）：最近估计囚犯中的艾滋病毒感染率是一般人群的四倍，即 1.7%（BJS 2006；CDC，2008ab），HCV 感染率估计在 20% 至 40% 之间（CDC，2003 年）。拉丁裔美国人约占美国所有囚犯的 31%。作为 NIDA 刑事司法药物滥用治疗研究 (CJ-DATS) 合作协议的一部分，之前为非裔美国人和白人刑事司法客户开发了一种基于 DVD 的同行交付干预措施，并发现可有效降低性风险；然而，没有针对拉丁裔罪犯制定任何干预措施。使用阶段模型方法和信息-动机-行为 (IMB) 模型，拟议项目的总体目标是为佛罗里达州迈阿密涉及毒品的拉丁裔刑事司法客户开发并试点测试一种新颖的、文化上合适的 HIV/HCV 干预方案。该研究第 1a 阶段的具体目标如下：(1) 通过关键知情人访谈和焦点小组，确定影响异性恋拉丁裔刑事司法客户的 HIV/HCV 风险和预防行为的显着个人和文化因素； (2) 针对基于异性恋社区的拉丁裔刑事司法客户制定简短的、同行提供的基于 DVD 的 HIV/HCV 干预措施，其中包括在形成性定性研究中确定的风险因素； (3) 制定和完善干预手册和培训程序。第 1b 阶段的具体目标是：(1) 通过招募 210 名被强制接受药物滥用治疗的拉丁裔罪犯来试点测试和评估基于 DVD 的艾滋病毒干预措施的有效性； (2) 评估参与者和干预者对这种新颖的 DVD 干预措施的可接受性。参与者将从当地社区机构招募，该机构为法院授权的个人提供门诊药物滥用治疗服务。符合资格的参与者将是自认是拉丁裔/西班牙裔、年龄在 18 岁至 49 岁之间的异性恋者，所有参与者都将参与刑事司法系统。参与者将被随机分为干预组或候补名单控制组。干预包括由一名干预师主持的一场基于 DVD 的小组会议。将评估性风险、吸毒、心理健康和背景信息，并在基线时提供 HIV/HCV 检测，并在干预疗程后 3 个月再次评估。在干预会议结束时，每位参与者将填写一份可接受性调查问卷，干预师将填写一份清单以评估治疗保真度。假设与对照组相比，干预组的性风险和吸毒行为在基线和随访期间都会降低。该项目具有创新性，因为它将为拉丁裔罪犯开发基于 DVD 的、适合文化和特定语言的 HIV/HCV 预防干预措施。拟议的研究意义重大，因为预计它将产生一个简短的艾滋病毒/丙型肝炎干预措施，可以在刑事司法系统内实施并针对高危人群。

项目成果

期刊论文数量（6）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Developing a Culturally Appropriate HIV and Hepatitis C Prevention Intervention for Latino Criminal Justice Clients.

DOI：
10.1177/1078345816653875
发表时间：
2016-07
期刊：
Journal of correctional health care : the official journal of the National Commission on Correctional Health Care
影响因子：
0
作者：
Ibañez GE;Whitt E;Rosa Mde L;Martin S;O'Connell D;Castro J
通讯作者：
Castro J

Offending Behavior, Drug Use, and Mental Health Among Foreign-Born versus U.S. Born Latino Criminal Justice Clients.

外国出生与美国出生的拉丁裔刑事司法客户的犯罪行为、吸毒和心理健康。

DOI：
10.1007/s10903-016-0542-8
发表时间：
2017
期刊：
Journal of immigrant and minority health
影响因子：
1.9
作者：
Ibañez,GladysE;Agudo,Michelle;Martin,SteveS;O'Connell,DanielJ;Auf,Rehab;Sheehan,DianaM
通讯作者：
Sheehan,DianaM

Condom use preferences among Latinos in Miami-Dade: emerging themes concerning men's and women's culturally-ascribed attitudes and behaviours.