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: 8077919
• 负责人: Nabila El-Bassel
• 金额: $ 64.11万
• 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/8077919
• 关键词: AIDS prevention; Address; Adherence; African American; Alcohol or Other Drugs use; Anus; Beryllium; California; Child Sexual Abuse; Chlamydia; Clinical; Clinical Trials; Collaborations; Communities; Community Health; Control Groups; Criminal Justice; Drug usage; Educational process of instructing; 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; Online Systems; Outcome; Participant; Patient Self-Report; Pharmaceutical Preparations; Population; Prevention Research; Preventive Intervention; Protocols documentation; Public Health; Publishing; Randomized; Randomized Controlled Trials; 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; Substance abuse problem; Supervision; System; Testing; Time; Trichomonas Infections; Universities; Vagina; Woman; animation; base; condoms; coping; court; demographics; design; efficacy testing; evidence base; experience; follow-up; graphical user interface; group intervention; innovation; interactive multimedia; intimate partner violence; meetings; offender; peer; post intervention; prevent; probation; professor; programs; public health relevance; 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）：拟议的研究响应RFA-DA-08-007，该研究呼吁研究“在刑事司法环境中开发和测试综合药物使用和艾滋病毒风险行为预防干预措施”。尽管受到社区监督的涉毒女性罪犯数量庞大且不断增加，而且越来越多的证据表明她们感染艾滋病毒/性传播感染的风险增加，但在针对这一人群的基于证据的艾滋病毒预防干预措施方面仍存在重大差距。该研究旨在通过一项随机对照试验（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次会议，针对性别，综合吸毒和艾滋病毒/性传播感染预防干预（多媒体WORTH）在提高安全套使用和降低性传播感染（STI）发生率方面的效果，该多媒体版本在纽约市的一个大型替代监禁（ATI）缓刑项目中有420名涉毒女性罪犯。与相同干预措施的非媒体版本（传统WORTH）和4期NIDA标准艾滋病毒预防控制条件（非性别特异性NIDA控制）进行比较。参与者将在基线、即时后测试（IPT）、干预后6个月和12个月随访时进行重复评估。与非多媒体干预措施相比，多媒体干预措施在促进减少艾滋病毒风险和减少药物使用方面已被发现是有效的。此外，多媒体干预有望提高实施的保真度以及传播的速度、规模和质量。传统的WORTH干预是由本研究的调查小组开发的，是针对低收入城市女性罪犯的基于群体的综合药物使用和艾滋病毒预防干预，旨在解决亲密伴侣暴力（IPV）和其他性别特定的艾滋病毒风险因素。WORTH已经在两个不同的随机对照试验中进行了测试，发现在吸毒的女性囚犯和正在接受药物治疗的女性中增加避孕套的使用是有效的。多媒体价值包含与传统价值相同的内容，但采用多媒体互动工具和文化定制的动画和视频增强功能，旨在通过最大化个人学习机会和反馈来增强干预的交付，同时优化小组形式，建立积极的同伴规范和社会支持，以减少艾滋病毒风险。这项严格的随机对照试验将推动科学发展，扩大多媒体艾滋病毒预防研究的界限，同时旨在缩小刑事司法系统中艾滋病毒预防工作的关键差距。