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WILLOW: HIV Transmission Reduction Among Women
Living with HIV
Investigators:
Traditional methods of preventing the transmission of STIs and HIV/AIDS focus
on decreasing risk behaviors while increasing condom usage among individuals
who are HIV negative. Included in those methods are individual counseling and
group interventions. Few risk reduction interventions are developed specifically
for women who have tested positive for HIV, despite data that indicate that
a growing number of women acquired their infections through heterosexual contact.
WILLOW was designed as a group intervention for African American women. The
intervention incorporates elements of sexual risk reduction and social networking
to reduce STI/HIV sexual transmission and to enhance psychosocial mediators
and structural factors associated with preventive behaviors over a one-year
period.
The evaluation of WILLOW was a randomized controlled study including 366 women
who were assigned to either the intervention (n=190) or comparison (n=176)
conditions. Criteria for eligibility included: HIV+ serostatus; aged 18-50;
and sexually active during the past six months. Following a baseline assessment,
women were randomly assigned to one of two conditions. Follow-up assessments
were conducted at six and twelve months post intervention.
Over the 12-month follow-up period, women in the intervention group, as compared
to their comparison group counterparts, reported fewer incidents of unprotected
vaginal intercourse (1.8 vs. 2.5; P=0.022); were less likely to report never
using condoms (OR=0.27; P=0.008); had a lower rate of bacterial infections
(OR=0.19, P=0.006); reported greater HIV knowledge and condom use self-efficacy,
more network members, fewer beliefs that condoms interfere with sex, and fewer
partner-related barriers to condom use; and demonstrated greater skill in using
condoms. View
more detailed information on this program.
If you are purchasing a download/digitized version of this program, click here for download and use instructions.
Materials in this program package are licensed for use in one implementation site.
All materials are copyrighted and may not be copied or distributed. If you would like to order
additional materials or program packages, please contact: Laurie Rose, Director of Customer Support,
Email: lrose@socio.com Tel: 650-383-6253.
