Brief Intervention for Rural Women at High Risk for HIV/HCV
| Status: | Active, not recruiting |
|---|---|
| Conditions: | HIV / AIDS, Psychiatric, Hepatitis |
| Therapuetic Areas: | Immunology / Infectious Diseases, Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 8/29/2018 |
| Start Date: | April 2013 |
| End Date: | June 2019 |
The overall aim of this study is to reduce risk behaviors and increase health and behavioral
health service utilization among disadvantaged, drug-using rural women at high risk for HIV
and HCV. This project has potential to make a significant contribution to science by
providing knowledge about the health, risk behaviors, and service utilization of a vulnerable
and understudied group of women during a time of emerging and significant public health risk
in a rural Appalachian setting. Successful completion of the aims of this project will
advance the delivery of a low-cost, potentially high impact intervention with implications
for a number of other real world settings (such as criminal justice venues) where other
disadvantaged high-risk drug users can be identified and targeted for intervention.
health service utilization among disadvantaged, drug-using rural women at high risk for HIV
and HCV. This project has potential to make a significant contribution to science by
providing knowledge about the health, risk behaviors, and service utilization of a vulnerable
and understudied group of women during a time of emerging and significant public health risk
in a rural Appalachian setting. Successful completion of the aims of this project will
advance the delivery of a low-cost, potentially high impact intervention with implications
for a number of other real world settings (such as criminal justice venues) where other
disadvantaged high-risk drug users can be identified and targeted for intervention.
Specific Aim 1: Compare the effectiveness of an evidence-based HIV risk reduction
intervention (MI-HIV) to HIV Education (NIDA Standard) in reducing sex risk behaviors,
injection practices, and drug use among a culturally unique sample of disadvantaged,
drug-using rural women at high-risk for HIV and HCV. This aim will be accomplished through
the random selection of high-risk rural women drug users from rural jails, screening and
assessment for high-risk behavior, and random assignment to the HIV-Ed or MI-HIV intervention
conditions. Follow-up interviews at 3, 6, and 12 months in the community post-release will
examine changes in high-risk behavior. It is expected that MI-HIV participants will report
significantly greater reductions in risky injection drug use practices, other drug use, and
sex risk behaviors than women who participate in the HIV-Ed condition.
Specific Aim 2: Examine MI-HIV Intervention engagement as a predictor of community health and
behavioral health service utilization (including drug treatment and mental health) at
follow-up among disadvantaged, drug-using rural women at high risk for HIV and HCV. This aim
will focus on community service utilization during the follow-up period by the intervention
and education comparison group, and how health and behavioral health service utilization
relates to patterns of HIV/HCV risk behavior. It is expected that MI-HIV participants will
utilize more services due to increased motivation for treatment and treatment planning
following the brief intervention.
intervention (MI-HIV) to HIV Education (NIDA Standard) in reducing sex risk behaviors,
injection practices, and drug use among a culturally unique sample of disadvantaged,
drug-using rural women at high-risk for HIV and HCV. This aim will be accomplished through
the random selection of high-risk rural women drug users from rural jails, screening and
assessment for high-risk behavior, and random assignment to the HIV-Ed or MI-HIV intervention
conditions. Follow-up interviews at 3, 6, and 12 months in the community post-release will
examine changes in high-risk behavior. It is expected that MI-HIV participants will report
significantly greater reductions in risky injection drug use practices, other drug use, and
sex risk behaviors than women who participate in the HIV-Ed condition.
Specific Aim 2: Examine MI-HIV Intervention engagement as a predictor of community health and
behavioral health service utilization (including drug treatment and mental health) at
follow-up among disadvantaged, drug-using rural women at high risk for HIV and HCV. This aim
will focus on community service utilization during the follow-up period by the intervention
and education comparison group, and how health and behavioral health service utilization
relates to patterns of HIV/HCV risk behavior. It is expected that MI-HIV participants will
utilize more services due to increased motivation for treatment and treatment planning
following the brief intervention.
Inclusion Criteria:
- ASSIST score of 4+
- engagement in at least one sex risk behavior in the past 3 months
- willingness to participate in brief intervention sessions
- no evidence of cognitive impairment
- no evidence of active psychosis (currently experiencing hallucinations)
- no self-reported current symptoms of physical withdrawal from a recent episode of drug
use
- incarceration period of 1 week - 3 months in order to complete intervention sessions
Exclusion Criteria:
- ASSIST score of <4
- no engagement in at least one sex risk behavior in the past 3 months
- not willing to participate in brief intervention sessions
- evidence of cognitive impairment
- evidence of active psychosis (currently experiencing hallucinations)
- self-reported current symptoms of physical withdrawal from a recent episode of drug
use
- incarceration period of less than 1 week or greater than 3 months in order to complete
intervention sessions
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