Overview
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Study to Reduce Intravenous Exposures (STRIVE)
Investigators: Steffanie Strathdee, Ph.D., Sebastian Booner, Ph.D., Elizabeth Golub, Ph.D., Mary Latka, M.P.H., Ph.D., Farzana Kapadia, Ph.D., Holly Hagan, M.P.H., Ph.D., Jennifer Campbell, & Richard Garfein, Ph.D., M.P.H
Publication Date: April 12, 2016
About This Product
STRIVE is a group-level, clinic-based, behavioral intervention that aims to reduce risky distributive injection practices (e.g., syringe lending and unsafe drug preparation) among young injection drug users who are HCV positive. During six 2-hour sessions, two trained health advisors promote group cohesion and support peer education within the STRIVE group. The health advisors encourage behavior change by teaching peer-education tactics and risk reduction skills. The STRIVE program increases participants. HCV knowledge and risk awareness, problem-solving and risk-reduction skills, and supports sustained behavior change.
The effectiveness of the STRIVE program was evaluated using a randomized trial design with a time-equivalent attention-control group. Participants included 418 HCV-positive injection drug users aged 18 to 35 years in three US cities. Participants reported their injection-related behaviors at baseline, and at three- and six-month follow-ups.
Compared with the control group, intervention group participants reported a 26% relative reduction of distributive risk behaviors at three months and six months, but were no more likely to cite their HIV-positive status as a reason for refraining from syringe lending. Effects were strongest among intervention group participants who had known their HCV-positive status for at least six months. Peer mentoring and self-efficacy were significantly increased among intervention group participants, and intervention effects were mediated through self-efficacy.
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Planning & Pre-Implementation
- Materials
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- Other Documents
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Implementation
- Session 1: Peer Mentors and Hepatitis C
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- Session 2: Symptoms, Transmission and Treatment Part I
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- Session 3: Symptoms, Transmission and Treatment Part II
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- Session 4: Skill-Building and Peer Mentoring
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- Session 5: Peer Mentoring Session
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- Section 6: Debrief and Goal-Setting
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Product Details
- 6 sessions providing information, enhancing skills, and teaching peer education
- Role play and skills practice
- 90-minute peer mentoring session