Drug User Intervention Trial
DUIT Program

Richard S. Garfein, PhD, MPH, Steffanie Strathdee, Ph.D, Lawrence Ouellet, PhD, Sharon Hudson, PhD, Mary Latka, PhD, Holly Hagan, PhD, Hanne Thiede, DVM, MPH, Elizabeth Golub, PhD, Marie Bailey-Kloch, Karen Yen-Hobelman, PhD, Susan Bailey, PhD, Joyce Fitzgerald, Peter Kerndt, MD, MPH, Karla Wagner, PhD, David Vlahov, PhD, Farzana Kapadia, PhD, Nadine Snyder, BA, Jennifer V. Campbell, MPH, David Purcell, PhD, JD, Ian Williams, PhD, Paige Ingram, RN, Andrea Swartzendruber, MPH


FOCUS

SUMMARY

DUIT is a small-group, clinic-based, behavioral intervention that aims to reduce risky injection and sexual behaviors among injection drug users who are HIV and HCV negative. During six 2-hour sessions, two trained health advisors promote group cohesion and peer education within the DUIT group. The health advisors encourage behavior change by teaching peer-education tactics, risk-reduction strategies, and safer sex and injection negotiation skills. Ultimately, the DUIT program increases participants. perceived risk of HIV/HCV, their motivation to practice safer injection and sexual behaviors, their knowledge of risky behaviors, and key risk-reduction strategies.

SUITABLE FOR USE IN

This program is suitable for use in treatment centers, clinics, shelters, or other community-based settings that have a room that can accommodate all participants.

ORIGINAL INTERVENTION SAMPLE

Age Range
15 - 30 years

Gender
67% male; 33% female; <1% Transgender

Race/Ethnicity
100% African-American

PROGRAM LENGTH

The program consists of six, 2-hour sessions delivered over three weeks.

STAFFING REQUIREMENTS/TRAINING

DUIT is delivered by two trained health advisors, at least one of whom is female, and who reflect the demographics of the participants. The Facilitator.s Manual provides detailed instructions and scripts to aid the health advisors in implementing the intervention.

   Injection drug users and their non-injecting partners
   STD Clinic Clients
   Women
   Minority Specific
   Other

ORIGINAL SITE
   Community-Based
   Clinic-Based

APPROACH
   Behavioral Skills Development
   Community Outreach
   Condom Education/Access
   HIV/STD Education
   Needle Cleaning/Exchange
   Self Efficacy/Self-Esteem

COMPONENTS
   Behavioral Skills Practice
   Group Discussion
   HIV Antibody Testing/Counseling
   Lectures
   Peer Counseling/Instruction
   Role Pay
   Safer Sex Communication/Negotiation
   Communication / Negotiation
   Video
   

HAPPA PROGRAM PACKAGE

The HAPPA Program Package for this program includes:

  • Drug User Intervention Trial User's Guide
  • Facilitator's Manual
  • Program Materials for Sessions 1-6
  • Logs and Forms Photocopy Masters
  • Adaptation Workbook
  • Dye Demonstration Video
  • CD Intervention Video
  • HAPPA Evaluation Assistance Kit (includes the Evaluation Questionnaire)
  • Original Evaluation Materials Booklet
  • HAPPA Process Evaluation

  • Telephone technical support on implementation and evaluation for 1 year