Publications: | A Guide to the Clinical Care of Women with HIV/AIDS, 2005 edition |
Data | National Institute of Mental Health (Multicenter) | Project RESPECT Study Group (Multicenter) | University of Texas (San Antonio) |
Centers for Disease Control and Prevention (Houston) | University of California (San Francisco) |
---|---|---|---|---|---|
Population | Inner city clinics in multiple cities/men and women screened with questionnaire(74% African American, 25% Hispanic,58% female) | Inner city clinics in multiple cities/men and women screened with questionnaire (59% African American, 19% Hispanic,43% female) | Public health clinics/women with nonviral STI (69% Mexican American, 30% African American, 100% female) | Medical Center STI clinic (90% African American, 44% female) | STI clinic/men and women (46% African American, 16% Hispanic, 37% female) |
Sample size | 3706 | 5758 | 617 | 964 | 399 |
Intervention type | Small group | Individual | Small group | Small group | Individual |
Number of sessions | 7 biweekly sessions of 90–120 min each | 2 or 4 weekly sessions of 60 min each | 3 weekly sessions of 3–4 hr each | 4 biweekly sessions and a booster group session at 2 mo | 4 weekly sessions of 60 min each |
Control group | 1 hr didactic AIDS education | 2 didactic 5-min AIDS education sessions | 1 standard 15-min session | 2 standard 20-min sessions | 1 standard 15-min session |
Adherence rates | 63% attended ![]() |
82% attended all sessions | 75% attended all sessions | 47% attended ![]() |
48% attended all sessions |
Number of STI exams | 1 (at 12 mo) | 2–4 (at 3, 6, 9, 12 mo, 3 and 9 mo optional) | 2 (at 6 and 12 mo) | 4 (at 2, 6, 9, and 12 mo) | 2 (at 3 and 5 mo) |
Follow-up rates | 82% | 81% at least 1, 51% all 4 | 90% | 72% at least 1 visit, 47% all 4 | 72% at least 1 visit, 52% both |
Findings in intervention group compared to control group | • Improved self-reported prevention efforts • Fewer STI symptoms • No difference in STI incidence 12 mo after intervention, determined by chart review, STI exam |
• 30% lower STI incidence after 6 mo • 20% lower STI incidence after 12 mo • 2 session and 4 session interventions had equivalent results |
• 34% lower STI incidence after 6 mo • 49% lower STI incidence after 12 mo |
• Self-reported risky sexual behavior and incidence of STIs were similar between intervention and control groups | • No change in STI incidence • Improved self-reported prevention efforts in men • No improvement in self-reported prevention efforts in women |
Cited behavioral intervention models | • Risk reduction counseling, model not specified | • Theory of Reasoned Action • Social Cognitive Theory |
• AIDS Risk Reduction Model | • AIDS Risk Reduction Model | • AIDS Risk Reduction Model |