Efficacy of a group-based multimedia HIV prevention intervention for drug-involved women under community supervision: project WORTH

Nabila El-Bassel, Louisa Gilbert, Dawn Goddard-Eckrich, Mingway Chang, Elwin Wu, Tim Hunt, Matt Epperson, Stacey A Shaw, Jessica Rowe, Maria Almonte, Susan Witte, Nabila El-Bassel, Louisa Gilbert, Dawn Goddard-Eckrich, Mingway Chang, Elwin Wu, Tim Hunt, Matt Epperson, Stacey A Shaw, Jessica Rowe, Maria Almonte, Susan Witte

Abstract

Importance: This study is designed to address the need for evidence-based HIV/STI prevention approaches for drug-involved women under criminal justice community supervision.

Objective: We tested the efficacy of a group-based traditional and multimedia HIV/STI prevention intervention (Project WORTH: Women on the Road to Health) among drug-involved women under community supervision.

Design, setting, participants, and intervention: We randomized 306 women recruited from community supervision settings to receive either: (1) a four-session traditional group-based HIV/STI prevention intervention (traditional WORTH); (2) a four-session multimedia group-based HIV/STI prevention intervention that covered the same content as traditional WORTH but was delivered in a computerized format; or (3) a four-session group-based Wellness Promotion intervention that served as an attention control condition. The study examined whether the traditional or multimedia WORTH intervention was more efficacious in reducing risks when compared to Wellness Promotion; and whether multimedia WORTH was more efficacious in reducing risks when compared to traditional WORTH.

Main outcomes and measures: Primary outcomes were assessed over the 12-month post-intervention period and included the number of unprotected sex acts, the proportion of protected sex acts, and consistent condom use. At baseline, 77% of participants reported unprotected vaginal or anal sex (n = 237) and 63% (n = 194) had multiple sex partners.

Results: Women assigned to traditional or multimedia WORTH were significantly more likely than women assigned to the control condition to report an increase in the proportion of protected sex acts (β = 0.10; 95% CI = 0.02-0.18) and a decrease in the number of unprotected sex acts (IRR = 0.72; 95% CI = 0.57-0.90).

Conclusion and relevance: The promising effects of traditional and multimedia WORTH on increasing condom use and high participation rates suggest that WORTH may be scaled up to redress the concentrated epidemics of HIV/STIs among drug-involved women in the criminal justice system.

Trial registration: ClinicalTrials.gov NCT01784809.

Conflict of interest statement

Competing Interests: The authors have declared that no competing interests exist.

References

    1. Maruschak LM (2012) HIV in Prisons, 2001–2010. U.S. Department of Justice.
    1. Maruschak LM, Bonczar TP (2013) Probation and parole in the United States, 2012. U.S. Department of Justice.
    1. Spaulding AC, Seals RM, Page MJ, Brzozowski AK, Rhodes W, et al. (2009) HIV/AIDS among inmates of and releasees from US correctional facilities, 2006: Declining share of epidemic but persistent public health opportunity. PLoS One. 4: e7558.
    1. Hygiene NYCDoHaM (2012) New York City HIV/AIDS annual surveillance statistics 2010.
    1. CDC (2012) Estimated HIV Incidence in the United States, 2007–2010. Centers for Disease Control and Prevention.
    1. Springer SA, Spaulding AC, Meyer JP, Altice FL (2011) Public health implications for adequate transitional care for HIV-infected prisoners: Five essential components. Clinical Infectious Diseases 53: 469–479.
    1. Wohl DA, Scheyett A, Golin CE, White B, Matuszewski J, et al. (2011) Intensive case management before and after prison release is no more effective than comprehensive pre-release discharge planning in linking HIV-infected prisoners to care: A randomized trial. AIDS and Behavior 15: 356–364.
    1. Gordon MS, Kinlock TW, McKenzie M, Wilson ME, Rich JD (2013) Rapid HIV testing for individuals on probation/parole: Outcomes of an intervention trial. AIDS and Behavior 17: 2022–2030.
    1. CDC (2013) HIV among women: Fact sheet.
    1. Hammett TM, Harmon MP, Rhodes W (2002) The burden of infectious disease among inmates of and releasees from US correctional facilities, 1997. American Journal of Public Health 92: 1789–1794.
    1. Mayer KH, Spaulding A, Stephenson B, Macalino G, Ruby W, et al. (2002) Human immunodeficiency virus in correctional facilities: A review. Clinical Infectious Diseases 35: 305–312.
    1. Braithwaite RL, Arriola KR (2003) Male prisoners and HIV prevention: A call for action ignored. American Journal of Public Health 93: 759–763.
    1. Belenko S, Langley S, Crimmins S, Chaple M (2004) HIV risk behaviors, knowledge, and prevention education among offenders under community supervision: A hidden risk group. AIDS Education and Prevention 16: 367–385.
    1. Browne-Marshall GJ (2011) A cautionary tale: Black women, criminal justice, and HIV. Journal of Gender Law & Policy 19: 407–429.
    1. Epperson MW, Khan MR, El-Bassel N, Wu E, Gilbert L (2011) A longitudinal study of incarceration and HIV risk among methadone maintained men and their primary female partners. AIDS and Behavior 15: 347–355.
    1. Khan MR, Miller WC, Schoenbach VJ, Weir SS, Kaufman JS, et al. (2008) Timing and duration of incarceration and high-risk sexual partnerships among African Americans in North Carolina. Annals of Epidemiology 18: 403–410.
    1. El-Bassel N, Gilbert L, Witte S, Wu E, Vinocur D (2010) Countering the surge of HIV/STIs and co-occurring problems of intimate partner violence and drug abuse among African American women: Implications for HIV/STI prevention. African Americans and HIV/AIDS: Springer. 113–130.
    1. Weir BW, O’Brien K, Bard RS, Casciato CJ, Maher JE, et al. (2009) Reducing HIV and partner violence risk among women with criminal justice system involvement: A randomized controlled trial of two motivational interviewing-based interventions. AIDS and Behavior 13: 509–522.
    1. Beckwith CG, Zaller ND, Fu JJ, Montague BT, Rich JD (2010) Opportunities to diagnose, treat, and prevent HIV in the criminal justice system. Journal of Acquired Immune Deficiency Syndromes (1999) 55: S49.
    1. Jones S, Fox S (2009) Generations online in 2009. Data memo. Washington, DC: Pew Internet and American Life Project.
    1. Remien RH, Mellins CA, Robbins RN, Kelsey R, Rowe J, et al. (2013) Masivukeni: development of a multimedia based antiretroviral therapy adherence intervention for counselors and patients in South Africa. AIDS and Behavior 17: 1979–1991.
    1. Khan MR, Epperson MW, Gilbert L, Goddard D, Hunt T, et al. (2012) The promise of multimedia technology for prevention: Frameworks for understanding improved facilitator delivery and participant learning. AIDS and Behavior. 16: 1949–1960.
    1. Witte SS, Wu E, El-Bassel N, Hunt T, Gilbert L, et al. (In Press) Comparing implementation of a manual-based versus web-based HIV prevention program for couples: A cluster randomized trial. Implementation Science.
    1. Carpenter KM, Stoner SA, Mikko AN, Dhanak LP, Parsons JT (2010) Efficacy of a web-based intervention to reduce sexual risk in men who have sex with men. AIDS and Behavior 14: 549–557.
    1. Chiasson MA, Shaw FS, Humberstone M, Hirshfield S, Hartel D (2009) Increased HIV disclosure three months after an online video intervention for men who have sex with men (MSM). AIDS care 21: 1081–1089.
    1. Wright JH, Wright AS, Albano AM, Basco MR, Goldsmith LJ, et al. (2005) Computer-assisted cognitive therapy for depression: maintaining efficacy while reducing therapist time. American Journal of Psychiatry 162: 1158–1164.
    1. Moreno R, Mayer RE, Spires HA, Lester JC (2001) The case for social agency in computer-based teaching: Do students learn more deeply when they interact with animated pedagogical agents? Cognition and Instruction 19: 177–213.
    1. Green CS, Bavelier D (2003) Action video game modifies visual selective attention. Nature 423: 534–537.
    1. Silvia PJ, Eichstaedt J (2004) A self-novelty manipulation of self-focused attention for Internet and laboratory experiments. Behavior Research Methods, Instruments, & Computers 36: 325–330.
    1. Read SJ, Miller LC, Appleby PR, Nwosu ME, Reynaldo S, et al. (2006) Socially optimized learning in a virtual environment: Reducing risky sexual behavior among men who have sex with men. Human Communication Research 32: 1–34.
    1. Noar SM, Black HG, Pierce LB (2009) Efficacy of computer technology-based HIV prevention interventions: A meta-analysis. AIDS 23: 107–115.
    1. Portnoy DB, Scott-Sheldon LA, Johnson BT, Carey MP (2008) Computer-delivered interventions for health promotion and behavioral risk reduction: a meta-analysis of 75 randomized controlled trials, 1988–2007. Preventive Medicine 47: 3–16.
    1. Evans AE, Edmundson-Drane EW, Harris KK (2000) Computer-assisted instruction: an effective instructional method for HIV prevention education? Journal of Adolescent Health 26: 244–251.
    1. Kiene SM, Barta WD (2006) A brief individualized computer-delivered sexual risk reduction intervention increases HIV/AIDS preventive behavior. Journal of Adolescent Health. 39: 404–410.
    1. Moretti F, Witte S (2007) Using new media to improve learning: Multimedia connect for HIV/AIDS risk reduction and the Triangle : Wallace B, editor. Toward equity in health: a new global approach to health disparities. New York: Springer Publishing Company.
    1. Wei LJ, Smythe RT, Smith RL (1986) K-treatment comparisons with restricted randomization rules in clinical trials. The Annals of Statistics 14: 265–274.
    1. Tross S, Campbell AN, Cohen LR, Calsyn D, Pavlicova M, et al. (2008) Effectiveness of HIV/STD sexual risk reduction groups for women in substance abuse treatment programs: Results of a NIDA clinical trials network trial. Journal of Acquired Immune Deficiency Syndromes (1999). 48: 581.
    1. El-Bassel N, Ivanoff A, Schilling RF, Gilbert L, Borne D, et al. (1995) Preventing HIV/AIDS in drug-abusing incarcerated women through skills building and social support enhancement: Preliminary outcomes. Social Work Research. 19: 131–141.
    1. Bandura A (1986) Social foundations of thought and action: A social cognitive theory. Changes 1.
    1. Peled E, Eisikovits Z, Enosh G, Winstok Z (2000) Choice and empowerment for battered women who stay: Toward a constructivist model. Social Work 45: 9–25.
    1. El-Bassel N, Jemmott JB, Landis JR, Pequegnat W, Wingood GM, et al. (2010) National Institute of Mental Health multisite Eban HIV/STD prevention intervention for African American HIV serodiscordant couples: A cluster randomized trial. Archives of Internal Medicine. 170: 1594.
    1. Witte SS, El-Bassel N, Gilbert L, Wu E, Chang M (2007) Predictors of discordant reports of sexual and HIV/sexually transmitted infection risk behaviors among heterosexual couples. Sexually Transmitted Diseases 34: 302–308.
    1. Jaccard J, McDonald R, Wan CK, Dittus PJ, Quinlan S (2002) The accuracy of self-reports of condom use and sexual behavior. Journal of Applied Social Psychology 32: 1863–1905.
    1. Napper LE, Fisher DG, Reynolds GL, Johnson ME (2010) HIV risk behavior self-report reliability at different recall periods. AIDS and Behavior 14: 152–161.
    1. Booth RE, Mikulich-Gilbertson SK, Brewster JT, Salomonsen-Sautel S, Semerik O (2004) Predictors of self-reported HIV infection among drug injectors in Ukraine. Journal of Acquired Immune Deficiency Syndromes (1999) 35: 82.
    1. Needle R, Fisher DG, Weatherby N, Chitwood D, Brown B, et al. (1995) Reliability of self-reported HIV risk behaviors of drug users. Psychology of Addictive Behaviors 9: 242.
    1. Schafer JL (1997) Analysis of incomplete multivariate data: CRC press.
    1. Rubin DB (2009) Multiple imputation for nonresponse in surveys: John Wiley & Sons.
    1. Policy TWHOoNA (2010) National HIV/AIDS strategy for the United States. Washington, D.C.: The White House Office of National AIDS Policy.
    1. Draine J, Ahuja D, Altice FL, Arriola KJ, Avery AK, et al. (2011) Strategies to enhance linkages between care for HIV/AIDS in jail and community settings. AIDS care. 23: 366–377.

Source: PubMed

Спонсоры и соавторы

Заболевания

Медикаментозные вмешательства

Подписаться