HIV Risk Reduction among Drug Court Offenders

减少毒品法庭罪犯的艾滋病毒风险

• 批准号: 8065741
• 负责人: Angela A Robertson
• 金额: $ 18.66万
• 依托单位: MISSISSIPPI STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-01-15 至 2012-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8065741
• 关键词: AIDS prevention; Adoption; Adult; Age; Characteristics; Charge; Client; Clinical Trials Network; Communities; Crime; Criminal Justice; Cross-Sectional Studies; Data Analyses; Drug Courts; Drug Delivery Systems; Drug abuse; Drug usage; Drug user; Effectiveness of Interventions; Evidence based intervention; Exposure to; Feasibility Studies; Gender; HIV; HIV Infections; HIV/STD; Human Resources; Human immunodeficiency virus test; Imprisonment; Individual; Intervention; Interview; Jail; Length; Literature; Measures; Mississippi; National Institute of Drug Abuse; Participant; Patient Self-Report; Persons; Pharmaceutical Preparations; Phase; Pilot Projects; Population; Preparation; Prevention education; Preventive Intervention; Prisoner; Process; Property; Psychometrics; Race; Randomized Clinical Trials; Randomized Controlled Trials; Readiness; Research; Risk; Risk Behaviors; Risk Factors; Risk Reduction; Rural; Rural Population; Services; Staging; Structure; Supervision; System; Target Populations; Testing; Time; Unsafe Sex; addiction; convict; design; drug abuser; drug testing; evidence base; follow-up; high risk; improved; male; offender; parolee; post intervention; prevention service; probationer; programs; psychosocial; safer sex; sex risk; social; substance abuse treatment; trend

DESCRIPTION (provided by applicant): Substance misuse and addiction are common among individuals involved in the criminal justice system and contribute to higher rates of HIV infection among this population. Drug courts provide an alternative to incarceration for persons who are convicted of drug-related charges and offer a potential venue for providing HIV prevention services. The aims of the proposed study are to 1) adapt an evidence-based small-group HIV risk reduction intervention originally developed for male drug treatment clients for individual delivery in a drug court setting; 2) To conduct a cross-sectional survey to assess HIV/STD sexual risk behaviors of offenders in Mississippi drug court programs assessing differences in risk behavior by judicial district, by offender characteristics (e.g., age, race), by length of drug court participation, readiness to change (stage of change) sexual risk behaviors, and the personal, partner, social, and contextual barriers to safer sexual practices; and 3) to conduct a pilot feasibility study of the adapted intervention within an intensive drug court program. Formative research to adapt the intervention will occur in the first 14 months of the project in four adult drug courts. Semi- structured interviews will be conducted with 24 drug court and drug treatment personnel to guide intervention adaptation and integration of the intervention into the drug court program. Self report measures will be collected from 200 drug court offenders to check the psychometric properties of proposed measures and to pre-test the measures for use in the pilot feasibility study. In the second phase of the project, a pilot feasibility study will be conducted in a single drug court. Forty (40) male drug court offenders will receive the adapted intervention. Subjects in the pilot feasibility study will be assessed at pre-intervention, immediately after the intervention and 3-months post intervention on sexual risk behavior, partner risk factors, level of readiness to change, and psychosocial correlates of safer sex. Data analyses will assess the effectiveness of the intervention and determine the appropriateness of proceeding with an R01 application to test the intervention in an adequately powered randomized clinical trial. The project has the potential of making a significant contribution by demonstrating that drug court offenders are in need of HIV prevention services and that an HIV sexual risk reduction intervention can be integrated into drug court programs. PUBLIC HEALTH RELEVANCE: Participants in drug court programs are a high risk population that is not currently being targeted for HIV risk reduction interventions. This project will examine HIV/STD sexual risk behavior of drug court offenders, and will adapt an evidence-based sexual risk reduction intervention for drug court participants. The project has the potential of making a significant contribution for improving our understanding of HIV risk behaviors and factors thought to influence HIV risk behaviors among this population and for demonstrating that HIV prevention intervention services can be integrated into criminal justice community supervision.

描述（由申请人提供）：物质滥用和成瘾在刑事司法系统中的个人中很常见，并导致这一人群中艾滋病毒感染率较高。毒品法庭为被判定犯有与毒品有关的指控的人提供了监禁的替代办法，并为提供艾滋病毒预防服务提供了一个潜在的场所。拟议研究的目的是：1）调整最初为男性药物治疗客户开发的基于证据的小组艾滋病毒风险降低干预措施，以在毒品法庭环境中进行单独交付; 2）进行横断面调查，以评估密西西比毒品法庭项目中罪犯的艾滋病毒/性病性风险行为，评估司法区，罪犯特征（例如，年龄，种族），由毒品法庭参与的长度，准备改变（阶段的变化）性风险行为，和个人，合作伙伴，社会和背景的障碍，以更安全的性行为;和3）进行试点可行性研究的适应性干预在一个密集的毒品法庭计划。形成性研究，以适应干预将发生在前14个月的项目在四个成人毒品法庭。将与24名毒品法庭和毒品治疗人员进行半结构化访谈，以指导干预适应和将干预纳入毒品法庭计划。将从200名毒品法庭罪犯中收集自我报告措施，以检查拟议措施的心理测量特性，并对试点可行性研究中使用的措施进行预测试。在该项目的第二阶段，将在一个单一的毒品法庭进行试点可行性研究。四十（40）名男性毒品法庭罪犯将接受调整后的干预。将在干预前、干预后即刻和干预后3个月对试点可行性研究中的受试者进行评估，评估内容包括性风险行为、伴侣风险因素、改变意愿水平以及安全性行为的心理社会相关因素。数据分析将评估干预措施的有效性，并确定继续进行R 01申请以在充分把握度的随机临床试验中测试干预措施的适当性。该项目有可能通过证明毒品法庭罪犯需要艾滋病毒预防服务以及艾滋病毒性风险降低干预措施可以纳入毒品法庭方案来做出重大贡献。 公共卫生相关性：毒品法庭方案的参与者是高风险人群，目前尚未成为降低艾滋病毒风险干预措施的目标。该项目将研究毒品法庭罪犯的艾滋病毒/性病性风险行为，并将为毒品法庭参与者调整以证据为基础的性风险降低干预。该项目有可能为提高我们对艾滋病毒风险行为和被认为影响这一人群中艾滋病毒风险行为的因素的理解做出重大贡献，并表明艾滋病毒预防干预服务可以纳入刑事司法社区监督。