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McCusker, J., Stoddard, A.M., Zapka, J.G., Morrison, C.S., et al. (1992).
American Journal of Public Health, 82 (4), 533 - 540
| Description of Intervention: Informational and Enhanced AIDS Education
The interventions drew primarily from Social Cognitive Theory and Relapse Prevention Theory, and also included concepts from the Health Belief Model and Theory of Reasoned Action. The Informational Education intervention consisted of two 1-hour sessions. The Enhanced Education intervention was delivered in six 1-hour sessions. When the six sessions were completed, participants received a 30-minute individual health education consultation.
The Enhanced Education intervention focused on personal susceptibility, situation analysis and skills building. Participants engaged in group discussions and practiced skills they could use to reduce risk in various situations. Additional strategies were homework assignments, tension-release exercises, role-playing, trigger tapes, peer feedback, and needle cleaning and condom skills exercises. Emphasis was placed on experiential learning techniques for the purpose of enhancing participants' self-efficacy regarding their ability to initiate and maintain AIDS harm-reduction behaviors. |
Intervention Goal(s): To determine the effects of small group Informational and Enhanced Education interventions on drug- and sex-related HIV risk behaviors.
Intervention Setting: Inpatient drug detoxification and rehabilitation center.
Population: Of the 567 adult drug users who participated in the study, 67% were men and 33% were women; 81% were white; and 70% were high school graduates.
Comparison Condition: Two one-hour sessions of essential HIV/AIDS information, using primarily didactic methods, including video, lecture, discussion, homework, and demonstration (but not practice) of condom use and cleaning of drug paraphernalia.
Behavioral Findings: After exit from the program, participants in both interventions reported significant reductions in drug- and sex-related risk behaviors compared with their baseline level of risk. For two behaviors, drug injection and cocaine use, the Enhanced Education intervention had significantly greater effects than the Informational Education intervention.
Contact:
Jane McCusker, MD, DrPH
Department of Clinical Epidemiology
and Community Studies
Room 2508, St. Mary's Hospital
3830 Lacombe Avenue
Montreal, Quebec, Canada H3T 1M5
Phone: 514 345 3511, ext. 5060
Fax: 514 734 2652
E-mail:
janemc@epid.lan.mcgill.ca
Go to Condom Skills Education
This study meets CDC's HIV/AIDS Prevention Research Synthesis project criteria for relevance and methodological rigor and also has the positive and significant behavioral/health findings required for the Compendium. Date added 1/99
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