Sustainable HIV Risk Reduction Strategies for CJ Systems

CJ Systems 的可持续艾滋病毒风险降低策略

• 批准号: 9063448
• 负责人: WAYNE E.K. LEHMAN
• 金额: $ 10万
• 依托单位: TEXAS CHRISTIAN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-15 至 2019-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9063448
• 关键词: AIDS/HIV problem; Acquired Immunodeficiency Syndrome; Address; Appointment; Appointments and Schedules; Attitude; Awareness; Back; Centers for Disease Control and Prevention (U.S.); Cognitive; Cognitive deficits; Communities; Computers; Continuity of Patient Care; Contracts; Counseling; County; Criminal Justice; Curriculum Management System; Data; Decision Making; Drug usage; Educational Curriculum; Effectiveness; Female; Funding; Gender; General Population; Goals; HIV; HIV risk; Health; Hepatitis B; Hepatitis B Virus; Hepatitis C; Hepatitis C virus; Human immunodeficiency virus test; Imprisonment; Intervention; Justice; Knowledge; Length; Life; Maintenance; Maps; Measures; Motivation; National Institute of Drug Abuse; Outcome; Outcome Measure; Outpatients; Participant; Pattern; Persons; Pharmaceutical Preparations; Phase; Policy Developments; Population; Preventive Intervention; Prisoner; Prisons; Public Health; Randomized; Reporting; Research; Risk; Risk Behaviors; Risk Reduction; Risk Reduction Behavior; Self-Administered; Services; Sex Behavior; Social Health Services; Subgroup; Substance abuse problem; Supervision; System; Tablet Computer; Technology; Testing; Texas; Time; Training; United States National Institutes of Health; aged; arm; avoidance of risky sexual behavior; base; cost; design; disorder prevention; disorder risk; drug testing; efficacy testing; evidence base; high risk; improved; innovation; intervention program; male; offender; probation; probationer; programs; public health relevance; randomized trial; satisfaction; seropositive; sex; sex risk; skills; social; statistics; substance abuse treatment; touchscreen; treatment as usual; treatment program; uptake

DESCRIPTION (provided by applicant): Well established and consistent use of HIV/HBV/HCV risk reduction prevention/intervention programs that include continuity of care do not exist in most criminal justice treatment systems because of lack of policy development and integration among criminal justice, health, and social service agencies. Risk reduction interventions targeting community-based supervision are crucial because of the risk behaviors that exist during community supervision. In the U.S., there are approximately 5 million offenders under community supervision (Bureau of Justice Statistics, 2004) with 41% having drug treatment as a special condition and 33% having a drug-testing requirement (Bonczar, 1997). Risk reduction approaches for community corrections populations are needed that have the capability of addressing motivational, social, and cognitive deficits. This application proposes to adapt an in-prison and highly interactive curriculum for improving decision making regarding health risk behaviors for use with offenders under community supervision. The first phase of this proposed continuation project developed and tested an in-prison, group-based curriculum, titled WaySafe, that was designed to help offenders make better decisions regarding health risk behaviors after release back to the community. The next step in our research is to adapt the innovative WaySafe intervention for use with community-corrections populations. The adapted intervention, StaySafe, will include twelve 30 minute self-administered sessions based on evidence-based cognitive principles designed to improve decision-making skills regarding health risk behaviors during the critical first six months under community supervision. StaySafe will be administered to probationers who recently completed a residential, intensive outpatient, or prison-based substance abuse treatment program. It will be delivered during the time they are waiting for their regularly scheduled appointments with their probation officer. An advantage of this approach is that the intervention can be administered to probationers with minimal training and time commitment by staff and that it utilizes probationer down time when they are waiting for appointments. It will utilize tablet computers that allow the intervention to be individualizedto the needs and goals of each participant, and provide an easy to use interface for probationers to complete guide maps and to recall completed assignments from previous sessions. This intervention will be implemented in Harris and Tarrant Counties in Texas utilizing a randomized intervention approach. Participating probationers (N=1,200) will be randomly assigned to an experimental (StaySafe) or standard practice (SP) study arm. Outcome measures at 6 and 12 months will include knowledge and attitudes regarding risk reduction behaviors, engagement in sex and drug risk behaviors, and getting tested for HIV/HBV/HCV.

描述（由申请人提供）：由于缺乏刑事司法，健康和社会服务机构之间的政策制定和整合，在大多数刑事司法治疗系统中不存在包括护理连续性的艾滋病毒/HBV/HCV风险预防/干预计划的良好和一致的使用。针对基于社区的监督的风险降低干预措施至关重要，因为社区监督过程中存在的风险行为。在美国，在社区监督下约有500万罪犯（司法统计局，2004年），有41％的人将药物治疗作为特殊疾病，有33％的人有药物测试要求（Bonczar，1997）。需要降低社区纠正的风险方法，具有解决动机，社会和认知缺陷的能力。此申请提出 适应监狱内和高度互动的课程，以改善有关在社区监督下与罪犯一起使用的有关健康风险行为的决策。 该拟议的延续项目的第一阶段开发并测试了一个基于集团的基于小组的课程，标题为“ Waysafe”，旨在帮助罪犯在释放回社区后就健康风险行为做出更好的决定。我们的研究的下一步是将创新的Waysafe干预措施与社区纠正人群一起使用。改编的干预措施是Staysafe，将根据基于证据的认知原则包括十二个30分钟的自我管理会议，旨在在社区监督下的关键前六个月内提高有关健康风险行为的决策能力。停工将对最近完成住宅，密集门诊或基于监狱的药物滥用治疗计划的缓刑犯进行管理。它将在他们等待与缓刑官员定期预约期间交付。这种方法的一个优点是，可以通过工作人员最少的培训和时间承诺向试用者进行干预，并在等待约会时利用缓刑时间。它将利用平板电脑，使干预措施可以个性化每个参与者的需求和目标，并为试用器提供易于使用的接口来完成指导地图并回忆以前会议的完成任务。这项干预措施将在德克萨斯州的哈里斯和塔兰特县采用随机干预方法实施。参与的试验器（n = 1,200）将随机分配到实验（停滞）或标准实践（SP）研究部门。 6个月和12个月时的结果度量将包括有关降低风险行为，对性和药物风险行为的参与以及对HIV/HBV/HCV进行测试的知识和态度。