Reducing HIV & Domestic Violence Risk in Women Offenders

The long-term goal of this work is to reduce the prevalence of HIV and domestic violence among women at risk by encouraging self-protective behaviors. To obtain this goal, Multnomah County Health Department and Oregon Department of Human Services have conducted a randomized trial of an intervention to prevent HIV and domestic violence among women who have recent criminal justice involvement and who are at risk for HIV infection.

Women enrolled in the study were randomly assigned to one of three study conditions:

• Group 1: these women received information on local resources addressing HIV prevention, domestic violence, and life stability issues; they did not receive any counseling sessions as part of the study itself.
• Group 2: these women received up to ten supportive counseling sessions based on the techniques of motivational interviewing. These sessions aimed to reduce HIV risk and to improve life stability.
• Group 3: these women received up to ten supportive counseling sessions based on motivational interviewing. These sessions aimed to reduce risk for HIV and domestic violence and to improve life stability.

The primary hypotheses of this study were:

• 1. Supportive counseling (motivational interviewing) addressing HIV prevention and increased life stability will lead to reductions of HIV risk behavior among women enrolled in the study.
• 2. Supportive counseling (motivational interviewing) addressing domestic violence prevention, HIV prevention, and increased life stability, will bring about reductions in experiences of domestic violence and a reduction of HIV risk among these women.
• 3. The supportive counseling received in this study will enhance these women's self-efficacy, self-esteem, and psychological well-being.

Women in all three experimental groups were interviewed at the beginning of the study and again after 4, 7, and 10 months. These assessment interviews asked questions about: HIV risk; experiences of domestic violence; and life stability issues such as education, employment, and housing; and included biological testing for HIV and sexually transmitted diseases. Women in Group 2 and Group 3 participated in up to 10 sessions of supportive counseling (motivational interviewing) between the time of enrollment and the 4-month interviews.

Study Overview

• Status: Completed
• Conditions: HIV Infections; Sexually Transmitted Diseases; Domestic Violence
• Intervention / Treatment: Behavioral: Motivational interviewing to reduce risk for HIV and DV

• Study Type: Interventional
• Enrollment: 530
• Phase: Phase 3

Contacts and Locations

Study Locations

• United States
  • Oregon
    • Portland, Oregon, United States, 97292
      • SE Health Center

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: Female

Description

Inclusion Criteria:

• women
• who were 18 years or older
• who had been in jail or prison in the past year or who were currently on parole or probation
• who had engaged in HIV-related risk behaviors (injection drug use, crack use, intercourse with a male injection drug user, exchanging sex, or having had ten or more sexual partners) in the past year

Exclusion Criteria: Women were excluded from the study if:

• they were unable to give informed consent
• they were HIV positive at the time of screening for enrollment
• they reported highly unstable living conditions at screening

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

What is the study measuring?

Primary Outcome Measures

Outcome Measure
unprotected sex
injection drug use
intimate partner violence
violence from others

Secondary Outcome Measures

Outcome Measure
self-esteem
anxiety
depression
housing stability
employment
education

Collaborators and Investigators

• Sponsor: Multnomah County Health Department
• Collaborators: Oregon Department of Human Services
• Investigators: Principal Investigator: Michael J. Stark, Ph.D., Multnomah County Health Department

Study record dates

Study Major Dates

• Study Start: September 1, 2000
• Primary Completion: December 7, 2022
• Study Completion: January 1, 2005

Study Registration Dates

• First Submitted: February 9, 2006
• First Submitted That Met QC Criteria: February 9, 2006
• First Posted (Estimate): February 10, 2006

Study Record Updates

• Last Update Posted (Estimate): February 28, 2006
• Last Update Submitted That Met QC Criteria: February 27, 2006
• Last Verified: July 1, 2005

More Information

Terms related to this study

• Keywords: HIV; risk factors; prevention; motivational interviewing; women; women's health; risk behaviors; domestic violence; partner violence; behavioral trial; community justice; criminal justice
• Additional Relevant MeSH Terms: Pathologic Processes; Infections; Communicable Diseases; Disease Attributes; Sexually Transmitted Diseases
• Other Study ID Numbers: R01DA012572 (U.S. NIH Grant/Contract)

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No