Education and Empowerment Intervention for HIV Prevention In and Out of Jail

监狱内外艾滋病毒预防的教育和赋权干预

基本信息

批准号：
7742063
负责人：
Jeffrey Draine
金额：
$ 57.75万
依托单位：
UNIVERSITY OF PENNSYLVANIA
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-09-01 至 2014-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7742063
关键词：
AIDS prevention Acquired Immunodeficiency Syndrome Address Administrator Advocacy Advocate Alcohol or Other Drugs use Back Behavior Control Case Management Case Manager Characteristics Charge Client Communities Community Healthcare Complex Crime Criminal Justice Dependency Development Education Educational Intervention Educational process of instructing Effectiveness Ethnography Generations Goals Group Meetings HIV HIV Infections Health Health Services Health Services Accessibility Hearing Hepatitis C virus Income Individual Infection prevention Intervention Intoxication Jail Judgment Knowledge Law Enforcement Laws Lead Learning Left Legal Life Link Mental disorders Methods Operative Surgical Procedures Participant Patients Perception Pharmaceutical Preparations Philadelphia Police Population Laws Populations at Risk Preventive Intervention Process Provider Public Health Randomized Randomized Controlled Clinical Trials Randomized Controlled Trials Recruitment Activity Research Research Methodology Research Personnel Resources Rights Risk Risk Behaviors Role Safety Sales Security Services Side Social Health Services Social Network Sorting - Cell Movement Structure Substance abuse problem Supported Employment Surveys System Testing Time Violence Vulnerable Populations Work base case finding court empowered empowerment ethnographic method experience fighting group intervention instructor interest outreach peer primary outcome probation public health relevance reincarceration response restraint skills

项目摘要

DESCRIPTION (provided by applicant): Large urban jails provide an opportunity for intervention for HIV. Among people with HIV, 25% enter jails each year. Estimates of the rate of substance abuse for people in jail are in the 70% to 80% range. The jail is a focal point for people with HIV and for people at risk for HIV, as well as other health conditions. Time is jail is universally shared experience of disempowerment among people involved in the criminal justice system. To capitalize on jail as an opportunity for HIV prevention intervention, this project examines the effectiveness of an empowerment based education and mutual support intervention for people with substance abuse problems leaving jail. Through a combination of in- reach and engagement in the jail and continued outreach and intervention outside the jail, the intervention TEACH Inside TEACH Outside (TITO) delivers 4 key messages to its participants: you can live a healthy life, services are available to support you, activist work has put this in place, and you can be an activist for yourself and your community. This study proposes an integrated dialogue between randomized controlled trial methods and ethnographic research methods to assess the effectiveness of TITO against an control condition receiving an infection prevention and safety intervention. 400 individuals will be recruited and randomized to the 2 conditions in jail and followed by survey and qualitative researchers for one year after jail release. The primary outcomes are reduced HIV risk behavior and reduced likelihood of jail reincarceration. PUBLIC HEALTH RELEVANCE: The jail is a focal point for people with HIV and for people at risk for HIV, as well as other health conditions. Time is jail is universally shared experience of disempowerment among people involved in the criminal justice system. To capitalize on jail as an opportunity for HIV prevention intervention, this project examines the effectiveness of an empowerment based education and mutual support intervention for people with substance abuse problems leaving jail. The primary outcomes are reduced HIV risk behavior and reduced likelihood of jail reincarceration.

描述（由申请人提供）：大型城市监狱提供了艾滋病毒干预的机会。在艾滋病毒感染者中，每年有 25% 的人入狱。据估计，监狱里的人滥用药物的比例在 70% 到 80% 之间。监狱是艾滋病毒感染者和有感染艾滋病毒风险以及其他健康状况的人的集中场所。 “时间就是监狱”是参与刑事司法系统的人们普遍共有的剥夺权力的经历。为了利用监狱作为艾滋病毒预防干预的机会，该项目研究了对出狱的有药物滥用问题的人进行基于赋权的教育和相互支持干预的有效性。通过将监狱内的接触和参与与监狱外的持续外展和干预相结合，TEACH Inside TEACH Outside (TITO) 干预措施向参与者传达了 4 个关键信息：您可以过上健康的生活，可以提供支持服务你，积极分子的工作已经把这一切落实到位，你可以成为你自己和你的社区的积极分子。本研究提出了随机对照试验方法和人种学研究方法之间的综合对话，以评估 TITO 针对接受感染预防和安全干预的控制条件的有效性。将招募 400 名个人，并随机分配到监狱中的两种条件，并在出狱后一年内进行调查和定性研究。主要成果是减少艾滋病毒危险行为和减少入狱的可能性。公共卫生相关性：监狱是艾滋病毒感染者和有感染艾滋病毒风险以及其他健康状况的人的集中场所。 “时间就是监狱”是参与刑事司法系统的人们普遍共有的剥夺权力的经历。为了利用监狱作为艾滋病毒预防干预的机会，该项目研究了对出狱的有药物滥用问题的人进行基于赋权的教育和相互支持干预的有效性。主要成果是减少艾滋病毒危险行为和减少入狱的可能性。