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AIDS Risk Reduction for College Students
Investigators: Diane I. Kimble Willcutts, Jeffrey Fisher, William Fisher, & Stephen J. Misovich
Originally designed as a workshop for college students, this program consists of three two-hour sessions incorporating information, motivation, and behavioral strategies for AIDS risk reduction. The information component includes "AIDS 101," a slide show that explains the transmission and prevention of HIV, testing for the virus, and the importance of condoms for protection against HIV/AIDS among those who are sexually active. The motivation component is addressed through small-group discussions led by a peer health educator and a video narrated by persons who contracted HIV through unsafe heterosexual intercourse. Finally, behavioral skills development is encouraged through role plays of safe sex communication. In a field study of the program with 744 college students, participants showed significant gains in knowledge, motivation, and behavior; in particular, sexually active participants were more likely than similar control students to purchase and use condoms during a two- to four-month period following the intervention. Click here to view more detailed information on this program.
Investigators: Fen Rhodes
This program is a community-based intervention that seeks to reduce sex- and drug-related HIV risk factors in populations of injection drug and crack cocaine users. The intervention consists of nine sessions conducted by indigenous outreach workers over a period of four to six months. Participants attend two sessions of NIDA (National Institute on Drug Abuse) standard HIV counseling and testing, two group workshop sessions, and one individual counseling session. In addition, all participants receive a minimum of two planned supportive visits from outreach staff, and are encouraged to attend a minimum of two risk-reduction social events. Monetary and non-monetary incentives are used to encourage attendance. This program's effectiveness was evaluated in comparison to the effectiveness of the NIDA standard HIV counseling and testing intervention for reducing risky behavior among IDUs. Participants were interviewed at enrollment and five to nine months after the intervention. Urine tests at enrollment and follow-up allowed researchers to collect information on opiate and cocaine use. In comparison with participants in the NIDA standard intervention, participants in the enhanced intervention were significantly more likely to increase their self-reported condom use, reduce or cease their self-reported drug use, seek drug-abuse treatment, and/or have a negative urine test for cocaine or opiates at follow-up. (Rhodes, Wood and Hershberger, 1999). Click here to view more detailed information on this program.
HORIZONS Training Modules
Investigators: Emily Newman, Lucy Baden & Josefina J. Card
These multimedia, interactive training modules will help you train for and implement HORIZONS: an STI/HIV Sexual Risk Reduction Intervention for African American Girls. HORIZONS, a two-session STI-prevention program developed for small groups of sexually-active African American adolescent girls, was developed to address a broad range of risk factors, including personal, relational, sociocultural, and structural factors. The overall goals of the program are to reduce recurrent STIs and enhance STI/HIV preventive behaviors. The HORIZONS training contains 6 modules, each approximately 5-15 minutes long, and covers important information and skills for HORIZONS facilitators. The modules contain videos, quizzes, and interactive learning exercises. Over the course of the training, the modules cover topics such as: program background and information; the original implementation(s) of the program; facilitation tips; and implementation challenges.
SAHARA Training Modules
Investigators: Alejandra Moreno, Lucy Baden and Josefina J. Card
These multimedia, interactive training modules will help you train for and implement the program SAHARA: Sistas Accessing HIV/AIDS Resources At a click. SAHARA is an interactive, computer-based intervention that is gender relevant and culturally sensitive for African-American women, ages 18-29. Designed for implementation in clinical or community-based settings, the two-session interactive, intervention emphasizes ethnic and gender pride, HIV risk-reduction information, sexual negotiation skills, proper condom use, and development of partner norms supportive of consistent condom use. Social cognitive theory and the theory of gender and power provide the intervention's theoretical foundation. The SAHARA training contains 6 modules, and covers important information and skills for SAHARA administrators. The modules contain videos, quizzes, and interactive learning exercises. Over the course of the training, the modules cover topics such as: program background and information; the original implementation(s) of the program; benefits and challenges of computer-based interventions; and other uses of SAHARA.
Drug User Intervention Trial (DUIT)
Investigators: 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
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 also 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. Click here to view more detailed information on this program.
HoMBReS: Hombres Manteniendo Bienestar y Relaciones Saludables (Men Maintaining Wellbeing and Healthy Relationships)
Investigators: Scott D. Rhodes, PhD, MPH, CHES, Kenneth C. Hergenrather, PhD, MSEd, MRC, Fred R. Bloom, PhD, Jami S. Leichliter, PhD, Jaime Montano
HoMBReS is a lay health advisor (LHA), community-based, behavioral intervention that aims to increase condom use and HIV testing among Latino men by working with sports teams. Each team selects a leader to serve as an LHA, known as a Navegante (Navigator or Health Navigator), who receives a 4-session, 16-hour training from the HoMBReS facilitator in order to become a health advisor, opinion leader, and community advocate. He may then provide his teammates with information and referrals to increase their knowledge about HIV and STI transmission, prevention, and testing, and increase their condom use skills. In addition, the Navegantes advocate positive and reframe negative sociocultural expectations about what it means to be a man, and they work toward structural changes in their communities. Click here to view more detailed information on this program.
Portland Women's Health Program
Investigators: Brian W. Weir, MPH, Rosemary Breger, MPH, Kerth O'Brien, PhD, Carol J. Casciato, Ronda S. Bard, PhD, John A. Dougherty, PhD, Michael J. Stark, PhD
Portland Women's Health Program, a one-to-one behavioral intervention, aims to reduce HIV risk behaviors and increase life stability among women who were recently incarcerated. A community health specialist extensively trained in motivational interviewing (MI) techniques meets individually with women during 10 sessions delivered over three months. During program sessions, the health specialist uses MI techniques to empower and encourage women to explore potential positive changes they can make in their lives. The sessions are both directive, since the health specialist guides the conversation toward particular topics, and participant-centered, since the participant's experiences, views, and reluctance or readiness to change are central topics of discussion. All ten of the Portland Women's Health Program sessions address HIV-prevention in addition to life stability issues. Click here to view more detailed information on this program.
The SISTA Project
Investigators: Ralph DiClemente & Gina Wingood
SISTA, a gender-relevant, culturally sensitive group program for African-American women, is designed to be implemented in a community setting. Based on social cognitive theory and the theory of gender and power, SISTA seeks to prevent HIV transmission by promoting consistent condom use. Peer Health Educators lead five two-hour sessions, focusing first on ethnic and gender pride, then moving on to provide knowledge about HIV/AIDS and skills training to promote sexual safety. Each session employs group discussion, lecture, role play activities and written homework to increase retention of risk reduction strategies. Click here to view more detailed information on this program.
Entre Nous Jeunes
Investigators: Simon-Pierre Tegang, M.Sc., Jean Paul Tchupo, M.A., Gdon Yomi, M.Sc., & Blanche Djofang, B.A.
During the 18-month program, Entre Nous Jeunes utilizes a peer-education strategy to increase contraceptive prevalence and reduce the prevalence of STI/HIV and unintended pregnancies. Young adult peer educators in the community educate youth about HIV prevention and safer sex. Peer educators are trained during a one week-long session for the program. For two years, peer educators engage youth in the community by leading discussion groups, creating and using promotional materials, and referring peers to social and health services. The main objective of the program is for young people who have been exposed to a peer-educator to gain greater knowledge and practice more protective behaviors than those not exposed. The findings indicate the important contribution of the ENJ peer-educator program to the promotion of protective reproductive health behaviors to reduce unintended pregnancies and STIs among adolescents. In particular, the program was significantly associated with greater spontaneous knowledge of modern contraceptives and STI symptoms. Findings also suggest positive intervention effects on contraceptive knowledge for males, and virginity and contraceptive use at last intercourse for sexually active females. Click here to view more detailed information on this program.
Mujer Segura, Healthy Woman
Investigators: Thomas Patterson, Brent Mausbach, Remedios Lozada, Hugo Staines-Orozco, Shirley Semple, Miguel Fraga-Vallejo, Prisci Orozovich, Daniela Abramovitz, Adela de la Torre, Hortensia Amaro, Gustavo Martinez, Carlos Magis-Rodriguez, & Steffanie Strathdee
The Mujer Segura Program aims to increase female sex workers' use of condoms during all sex exchanges. The program demonstrated increases in the total number of protected sex acts and decreases in overall sexually transmitted infection (including HIV) incidence. The program is composed of one session, lasting approximately 35 minutes. During this session, the counselor meets one-on-one with the individual participant and through the use of Motivational Interviewing techniques, assesses sexual risk behaviors; increases awareness of challenges related to condom use; and helps the participant develop solutions to increase safer sex practices. The counselor distributes free condoms and lubricant to all participants. Supervisors meet weekly with the program counselors to discuss program implementation and address any issues that may The Mujer Segura Program was originally implemented in two Mexican border cities of the United States with female sex workers. Although this program was specifically designed to increase condom use during sex exchanges, it may be suitable for use with other at-risk groups who engage in risky sexual behaviors. Click here to view more detailed information on this program.