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：
7918113
负责人：
Jeffrey Draine
金额：
$ 55.98万
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/7918113
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 Participant Patients Perception Pharmaceutical Preparations Philadelphia Police Population Laws Populations at Risk Preventive Intervention Process Provider Public Health Randomized 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 operation outreach peer primary outcome probation public health relevance randomized trial 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）：大型城市监狱为艾滋病毒提供干预的机会。在患有艾滋病毒的人中，每年有25％的人入狱。估计监狱中患者的药物滥用率在70％至80％的范围内。监狱是患有艾滋病毒和有艾滋病毒风险的人以及其他健康状况的人的焦点。时间是监狱是涉及刑事司法系统的人的普遍分享权力的经验。为了将监狱作为预防艾滋病毒干预的机会，该项目研究了基于授权的教育和相互支持干预的有效性，对滥用药物滥用问题的人离开监狱。通过结合入狱和监狱的持续参与，在监狱外继续进行外展和干预，干预措施在外面教书（TITO）向其参与者传达了4个关键信息：您可以过上健康的生活，可以为您提供服务，可以为您提供服务，而激进主义者的工作已将其放置在适当的位置，您可以成为您自己和您的社区的激进主义者。这项研究提出了随机对照试验方法与人种学研究方法之间的综合对话，以评估铁托对受感染预防和安全干预的控制状况的有效性。将在监狱中招募400个人并将其随机分配到2个监狱中，然后进行调查和定性研究人员入狱一年。主要结果是降低了艾滋病毒的风险行为和囚禁可能性的可能性降低。公共卫生相关性：监狱是艾滋病毒和有艾滋病毒风险以及其他健康状况的人的焦点。时间是监狱是涉及刑事司法系统的人的普遍分享权力的经验。为了将监狱作为预防艾滋病毒干预的机会，该项目研究了基于授权的教育和相互支持干预的有效性，对滥用药物滥用问题的人离开监狱。主要结果是降低了艾滋病毒的风险行为和囚禁可能性的可能性降低。