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Safer Sex Efficacy Workshop
Investigators: Karen Basen-Engquist
This single session, three-hour workshop is designed to increase college students' self-efficacy, or belief in their own ability to act successfully to prevent HIV/AIDS and other sexually transmitted diseases. Drawing upon social learning theory, the program includes numerous role-play and skill-building exercises, and is led by peer educators who are trained to serve as persuasive models. To give students the knowledge necessary to practice preventive behaviors, the leaders begin by facilitating a group discussion about HIV/AIDS and STDs, including transmission and prevention. During the next section, participants discuss personal experiences of and feelings about AIDS and other STDs. Finally, the students role play safe-sex discussions and learn about correct condom use, gaining confidence in their abilities in the process. A field study of the workshop was conducted with 209 undergraduate students enrolled in a health education class at the University of Texas. Compared to comparison groups of their peers, program participants showed significant increases in self-efficacy at the two month follow-up assessment. Sexually active students also showed an increase in their frequency of condom use. Click here to view more detailed information on this program.
Rikers Health Advocacy Program (RHAP) Training Modules
Investigators: Alejandra Moreno, Lucy Baden & Josefina J. Card
These multimedia, interactive training modules will help you train for and implement the Rikers Health Advocacy Program (RHAP). RHAP, originally developed for use with incarcerated male adolescent drug users between 16 and 18 years of age, consists of four one hour small group sessions focusing on health education issues, particularly HIV/AIDS. Adapting techniques of Problem Solving Therapy, the facilitator guides eight-person groups in discussing the following topics: general health, HIV and AIDS, drug abuse and its consequences, sexual behavior, health and AIDS-risk behaviors, and strategies for seeking health and social services. Active learning is emphasized, with opportunities for youths to define high-risk attitudes and behaviors, suggest alternative actions, and engage in role play and rehearsal activities. The RHAP training contains 6 modules, and covers important information and skills for facilitators. The modules include 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; setting ground rules; and the theoretical model supporting the program.
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
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. Click here to view more detailed information on this program.
Intervention with Microfinance for AIDS and Gender Equity (IMAGE)
Investigators: Tanya Abramsky, Joanna Busza, John Gear, James Hargreaves, Julia Kim, Mzamani Benjamin Makhubele, Kalipe Mashaba, Linda Morison, Matshilo Motsei, Luceth Ndhlovu, Chris Peters, Godfrey Phetla, John Porter, Paul Pronyk, & Charlotte Watts
IMAGE is comprised of a gender and HIV training curriculum called Sisters-for-Life. A microfinance program augments the curriculum. For the microfinance component, groups of five women receive loans to establish small businesses. Further credit is offered when all women in these solidarity groups repay their loans. Loan centers of approximately 40 women meet fortnightly. Sisters-for-Life consists of two phases. Phase I is a structured series of 10 one-hour participatory training sessions that are integrated into the Loan Center meetings. Phase II moves the participants toward collective action. Natural Leaders are elected by their peers to participate in a one-week training workshop on leadership and community mobilization. Taking these skills back to their respective loan centers, these Leaders are responsible for developing an Action Plan, with the aim of implementing what they regard as appropriate responses to priority issues. Click here to view more detailed information on this program.
Sexual Health and Adolescent Risk Prevention (SHARP) Training Modules
Investigators: Emily Newman and Josefina J. Card
These multimedia, interactive training modules will help you train for and implement the Sexual Health and Adolescent Risk Prevention (SHARP). SHARP is an intensive, interactive single-session (divided into five sections) intervention lasting 3-4 hours that incorporates videos, lecture, group discussion and activities. The groups are organized by gender, either all male or all female, with no more than 10 per session (but on average, the ideal number per session is between 3-5 participants per session). Overall SHARP program goals are to deepen STI/HIV knowledge, improve correct condom use, reduce sexual risks and alcohol use and set long-term goals to utilize knowledge and skills learned during the session. The SHARP training contains 9 modules and covers important information and skills for facilitators. The modules include 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; motivational interviewing skills; and facilitation tips and responsibilities.
Demographic, Behavioral & Health Characteristics of Injection Drug Users in San Francisco 1985-86
Investigators: John K. Watters
The study, Demographic, Behavioral, and Health Characteristics of Injection Drug Users in San Francisco, 1985- 86, was conducted in late 1985 and early 1986 as part of a larger investigation of health characteristics and risk factors for HIV transmission in intravenous drug users. The purpose of the study was to obtain data on demographic characteristics, sexual and other risk behavior, and general health characteristics from a group of intravenous drug users (IVDUs) in San Francisco. The San Francisco research team first conducted a two-pronged approach among the city's IVDUs during late 1985 and early 1986. The first element consisted of intensive ethnographic study in the two San Francisco neighborhoods with the highest concentrations of IVDUs.The other direction of research, which proceeded simultaneously with the ethnographic study, consisted of lengthy interviews with 438 IVDUs.
Prospero Project Condom Study, San Francisco, 1989-1991
Investigators: Dan Waldorf and David Lauderback
The Prospero Project Condom Study, San Francisco, 1989-1991, which was conducted between December 1989 and April 1991, explored condom use in 552 male sex workers in San Francisco - men who are at high risk to contract and spread the human immunodeficiency virus (HIV). Investigators employed face-to-face interviews to gather detailed information about the conditions (e.g., type of partner, type of sexual activity) under which condoms were and were not used. In addition, the investigators sought to quantify the amount of condom failure (i.e., breakage and/or slippage) in this population. This dataset includes information on 736 variables across 552 cases. Respondents were identified through a combination of methods, including snowball sampling, and represented two types of sex workers, hustlers and call men, who are gay, bisexual, heterosexual, or transvestite/transsexual.
mDOT Training Modules
Investigators: Emily Newman & Josefina J. Card
These multimedia, interactive training modules will help you train for and implement the mDOT Program: For Individuals Receiving Highly Active Antiretroviral Therapy (HAART). The mDOT Program aims to increase adherence to highly active antiretroviral therapy (HAART) for individuals living with HIV/AIDS through peer-provided directly observed therapy. The program significantly increased adherence to HAART at 6-week, 6-month, and 1-year follow ups and significantly increased the number of program participants achieving more than 90% adherence after 6 months. The mDOT training contains 8 modules, each approximately 5-10 minutes long, and covers important information and skills for mDOT 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; strategies to increase adherence; and adapting the program for your context.
A Clinic-Based AIDS Education Program for Female Adolescents
Investigators: Vaughn Rickert, Anita Gottlieb, & Susan Jay
This is a single-session group intervention originally targeted toward sexually active girls between 13 and 21 years of age. The session includes a brief lecture on the transmission and prevention of HIV/AIDS (based on CDC guidelines), followed by a video explaining the purpose and use of condoms. As the session ends, participants receive an educational booklet reinforcing the program's lessons and coupons that may be redeemed anonymously for an unmarked box of condoms at a local pharmacy. The redemption rate of the coupons provides a measure of the program's impact. A field study of the intervention was conducted with 75 White and African-American females, all of whom were sexually active. Among prior purchasers of condoms, girls who took part in the intervention were significantly more likely to redeem the coupons than were control groups of their peers. Overall, 60% of program participants obtained condoms, a rate 2 1/2 times greater than that recorded in comparable programs without a confidential redemption procedure. Click here to view more detailed information on this program.
Reproductive Health Counseling for Young Men
Investigators: Ross Danielson, Anne Plunkett, Shirley Marcy, William Wiest, & Merwin Greenlick
Originally developed for boys between 15 and 18 years of age, this is a one-hour, single-session, clinic-based intervention. The program is designed to meet the needs of sexually active and inactive teens, and to promote abstinence as well as contraception. The session begins with a video presentation that is viewed privately by each teen. The materials address reproductive anatomy, fertility, hernia, testicular self-examination, STDs (including HIV/AIDS), contraception (including abstinence), communication skills, and access to health services. A half-hour private consultation with a health care practitioner follows the presentation. Guided by the young men's interests, the consultation may include such topics as sexuality, fertility goals, and reproductive health risks, along with rehearsal and modeling of sexual communication. A field study of the intervention was conducted with 1,195 high school-aged males visiting health maintenance organizations in two Northwestern cities. Compared to a control group of their peers, sexually active program participants were significantly more likely to use effective contraception at the one-year follow-up assessment, especially if they were not yet sexually active at the time of the intervention. Sexually active female partners of program participants were also more likely to use effective contraception at the follow-up. Click here to view more detailed information on this program.