HIV Prevention for Community-Based Drug-Using Offenders

社区吸毒罪犯的艾滋病毒预防

• 批准号: 6953234
• 负责人: SONIA A ALEMAGNO
• 金额: $ 7.35万
• 依托单位: UNIVERSITY OF AKRON
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-30 至 2007-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6953234
• 关键词: AIDS education /prevention; AIDS therapy; HIV infections; behavior therapy; clinical research; counseling; drug abuse; high risk behavior /lifestyle; human subject; human therapy evaluation; interview; longitudinal human study; motivation; patient oriented research; sex behavior

DESCRIPTION (provided by applicant): To address the need for drug-using offenders to receive appropriate treatment, the offender management model, Treatment Alternatives to Street Crimes (TASC), evolved over two decades ago. While TASC has been found to produce generally favorable outcomes, percentages of programs that offer HIV/STD prevention have been consistently low. In Cleveland, Ohio, ASC provides assessment, referral and case management services to over 1700 males and 500 females annually who are under criminal justice supervision. Current HIV intervention includes only the distribution of written educational materials. The purpose, therefore, of this small grant application is to develop and pilot test a new HIV/STD prevention intervention to reduce high-risk drug and sexual risk behaviors and facility community-based HIV/STD testing and counseling among adult drug users being case managed by TASC. The proposed intervention is novel several ways. First, the intervention will implement a self-directed intervention using "talking" laptop computers that allow for anonymous risk assessment and immediate video interventions. Second, the intervention will be based on motivational interviewing and the emerging BNI (Brief Negotiation Interviewing) approach. Preliminary studies in Cleveland indicate that 79% of TASC clients have at least one risk factor for HIV or other sexually transmitted diseases. A sample of 240 TASC clients will be recruited and randomized into one of two intervention groups: the standard intervention group and the computerized intervention group. All clients will receive a baseline assessment and will be contacted for a 3-month follow-up interview. Should the proposed pilot intervention yield favorable results at reducing HIV risk behavior and linking clients to appropriate community-based testing and counseling, the approach could be utilized in community corrections to motivate clients to address HIV risks without a substantial additional burden to probation, court or diversion staff.

描述（由申请人提供）：为了满足吸毒罪犯接受适当治疗的需求，罪犯管理模型，街头犯罪的治疗替代方案（TASC），在二十年前演变。尽管已经发现TASC产生了通常的有利结果，但提供艾滋病毒/性病预防的计划的百分比一直持续低。在俄亥俄州克利夫兰，ASC每年在刑事司法监督下为1700多名男性和500名女性提供评估，转诊和案例管理服务。当前的艾滋病毒干预仅包括书面教育材料的分布。因此，这项小型赠款应用程序的目的是开发和试点测试新的HIV/STD预防干预措施，以减少由TASC管理的成人吸毒者中的高风险药物和性风险行为以及基于设施的社区艾滋病毒/性病测试和咨询。拟议的干预是新颖的几种方式。首先，该干预措施将使用“说话”笔记本电脑进行自我指导的干预措施，以进行匿名风险评估和即时视频干预措施。其次，干预将基于动机访谈和新兴BNI（简短的谈判采访）方法。克利夫兰的初步研究表明，有79％的TASC客户至少患有艾滋病毒或其他性传播疾病的危险因素。将招募240个TASC客户的样本并将其随机分为两个干预组之一：标准干预组和计算机干预组。所有客户将获得基线评估，并将与3个月的后续采访联系。如果拟议的飞行员干预在减少艾滋病毒风险行为并将客户与适当的基于社区的测试和咨询联系起来时产生有利的结果，则可以在社区纠正中使用该方法来激励客户解决艾滋病毒风险，而不会承担任何额外的缓刑，法院或转移人员。

项目成果

Brief motivational intervention to reduce HIV risk and to increase HIV testing among offenders under community supervision.

• DOI: 10.1177/1078345809333398
• 发表时间: 2009-07-01
• 期刊: Journal of correctional health care : the official journal of the National Commission on Correctional Health Care
• 作者: Alemagno, Sonia A;Stephens, Richard C;White, Patrick
• 通讯作者: White, Patrick