An HIV, STD, and Hepatitis Prevention Program for Young Men Leaving Prison: Project START

Grinstead, Olga; Eldridge, Gloria D.; MacGowan, Robin J.; Morrow, Kathleen M.; Seal, David W.; Sosman, James M.; Zack, Barry; Belcher, Lisa; Dey, Anup; Iqbal, Kashif; Margolis, Andrew D.; Moss, Susan; O’Leary, Ann; Williamson, John D.; Wolitski, Richard J.; Fitterling, Jim; Askew, John; Fortenberry, Marty; Griebler, Joe; Kennedy, Stephen B.; McGregor, Scott; Vardaman, Jerry; McAuliffe, Tim; Reed, Barbara D.; Simms, Rodney; Berzowski, Jessica; Bourque, Don; Buckles, Jeff; Charles, Mark Rector; Krapf, Melanie; Malen, Kelly; Reed, Ricardo; Rosado, Noel; Flanigan, Timothy P.; Fitzgerald, Christine; Nealey-Moore, Jill B.; Lugo, Ricky; Strother, Daniel; Hecht, Jacki; Green, Kellie; Best, Gina; Woods, Meghan; Paton, Stephanie M.; Binson, Diane; Faigeles, Bonnie; Kramer, Katie; Lerma, Annette; McCartney, Kathleen; McKee-Shapter, Jax; Woods, William J.; King, Anthony J; C, King; Gregorich, Steve

doi:10.1177/1078345808318217

Cited by 11 publications

(9 citation statements)

References 13 publications

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“…This RB process used is designed to empower both the service-user (young men in prison) to take responsibility to improve their own health and agents of state (duty-bearers—nurses) to fulfill their obligations under human rights legislation to provide appropriate and accessible health and education [12]. Such an inclusive approach can reduce the young men’s risk behaviors upon release and assist with their reintegration back into the community [66]. Working within the prison environment and employing an RB approach provided an opportunity to work with a group of marginalized young men and support and advance the concept of healthy prisons [20,28,41], that is, to reinforce the idea that prison health is public health and that prisoners should benefit from rehabilitation strategies that empower them to be released back into the community in better health than they entered, for the good of themselves, their families, and communities [2,23,25,26,28].…”

Section: Discussionmentioning

confidence: 99%

Developing a Sexual Health Promotion Intervention With Young Men in Prisons: A Rights-Based Participatory Approach

Templeton¹,

Kelly²

2019

JMIR Res Protoc

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Background The sexual health of young men in prisons is often among the poorest in any given country. They may have developed sexual behaviors that, from a public health perspective, are considered problematic and burdensome. These include poorer use of condoms and engaging in more frequent casual sex, resulting in higher rates of sexually transmitted infections, including HIV and viral hepatitis. Thus, young incarcerated men are a highly marginalized and socially excluded high-risk group, in greater need of sexual health education and services. Objective The aim of this study was to create an innovative sexual health promotion intervention, made for and with young men in prisons, to encourage them to avail of regular sexual health checkups. This included developing a Web-based animated-style sexual health promotion intervention (1.42 min) coupled with upskilling the prison nurses to offer a partnership approach to prison health care. This paper focuses on the development of the intervention and the importance of the underpinning rights-based (RB) participatory intervention design. Methods We employed an RB participatory approach and recruited 14 participants who attended 3 coproduction workshops held within a prison site in Northern Ireland, United Kingdom. A bespoke 3-day training for nurses beforehand, ensured they gained a deeper understanding of the determinants of poor sexual health. The coproduction team comprised young men, prison nurses, nurse sexual health consultant, media company representatives, and facilitator. Workshops focused on content, design, tone and medium of communication for a Web-based intervention that would be appealing and engaging for young incarcerated men. Results A 1.42-min animation Dick loves Doot was created to promote a positive attitude toward sexual health checkups. The RB approach enabled the young men to participate, have their voices heard and see their stories reflected through the animation. The nurses’ capacities to protect, fulfill, and respect the young men’s rights to appropriate sexual health services and education was also enhanced. Evaluations confirmed that we successfully provided accurate sexual health information in a way that was engaging and accessible and that encouraged the young men to avail of the new prison sexual health services that were set up in the prison and now provided by nurses. Conclusions The RB participatory approach to health advanced in this study provided a means to (1) gain invaluable insider knowledge to understand the impact of structural determinants on health and health inequalities and strategies by which to target young incarcerated men (2) create inclusive opportunities for developing bespoke targeted interventions, and (3) galvanize collaborative partnerships to disrupt the structures and processes that lead to and encourage health inequities. To reduce future risk, effect...

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Section: Discussionmentioning

confidence: 99%

Developing a Sexual Health Promotion Intervention With Young Men in Prisons: A Rights-Based Participatory Approach

Templeton¹,

Kelly²

2019

JMIR Res Protoc

View full text Add to dashboard Cite

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“…Future research should investigate the effectiveness and efficacy of different intervention styles to determine which programs would be the best fit for use in correctional facilities. Although only one study reported a cost analysis (Grinstead et al, 2008), this information would likely impact which programs have the potential for replication in other environments. While every type of intervention included had some degree of significant results for its HIV prevention interventions, more research can be done on the methods of delivery such as individual or group styles, face-to-face or telephone, peer-led, lecture or participatory classrooms, or video-based interventions.…”

Section: Discussionmentioning

confidence: 99%

“…It is common among large, grant-funded intervention studies that multiple articles are published that describe unique aspects of the overall study (i.e., studies that report the theoretical design/rationale of a study, studies that report various outcome measures, or studies that report cost/benefit analyses). To address this limitation, we attempted to find additional articles and were able to locate five that describe the intervention, rationale, or cost analysis of these studies (Fasula et al, 2013; Grinstead et al, 2008; Inciardi et al, 2007; Johnson et al, 2013; Leukefeld et al, 2009). It should be noted that, however, as with other reviews of the literature, we may have missed some studies due to our search strategy.…”

Section: Discussionmentioning

confidence: 99%

A Review of the Effectiveness of HIV Sexual Risk Prevention Interventions in Adult Prison Inmates

Senkowski

Norris

McGaughey

et al. 2016

Journal of Correctional Health Care

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This article reviews the effectiveness of HIV sexual risk prevention programs among adult prison inmates. A database search was performed to identify studies that used HIV sexual risk prevention programs with incarcerated adults. Of the 234 articles identified, 9 met the inclusion criteria. In addition, 5 articles were found containing supporting information for the 9 studies reviewed, increasing the number of articles reviewed to 14. All studies reported a significant increase in knowledge or a decrease in high-risk behaviors among the inmates at the conclusion of the interventions. Common limitations included a lack of a theoretical framework used in developing the interventions, a lack of process evaluations to measure program fidelity, and a lack of validity and reliability reporting for the study surveys. However, programs and interventions targeting HIV and sexual risk reduction appear to improve the knowledge of HIV prevention and reduce risk in the adult prison inmate population.

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“…This article reviews the literature on promising HIV prevention programs in prison and reports on results of a survey among state prison officials of the HIV prevention policies in their state prison systems. Evidence-based HIV risk reduction programs in prisons and jails with community follow-up range from a brief DVD-based intervention (Inciardi et al, 2007) to one-on-one risk counseling (Project START; Grinstead et al, 2008; Wolitski, 2006). Other programs focus on certain subpopulations such as adolescent males leaving jail (REAL Men; Freudenberg et al, 2010) and injection drug users (Project ARRIVE; Barreras & Drucker, 2009; Wexler, Magura, Beardsley, & Josepher, 1994).…”

Section: Introductionmentioning

confidence: 99%

“…Peer-led prevention programs will be most effective if they are targeted at behaviors in the community, where most inmates with HIV are infected, rather than at behaviors in prison (Hammett, 2006). Research has shown that peer-based HIV education programs that link returning prisoners to follow-up services in the community can reduce HIV risk behavior; two such programs are Project START (Grinstead et al, 2008) and Project Bridge (Zaller et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

HIV Prevention and Education in State Prison Systems

Lyons

Osunkoya

Anguh

et al. 2014

Journal of Correctional Health Care

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The prevalence rate of HIV infection in jails and prisons is approximately 5 times the rate in the U.S. general population. The authors surveyed state prison officials to assess HIV testing and HIV prevention policies--specifically voluntary testing, group HIV prevention counseling, and peer education--in the 50 states and to determine whether those policies are associated with the characteristics of the state and its prison population.

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An HIV, STD, and Hepatitis Prevention Program for Young Men Leaving Prison: Project START

Cited by 11 publications

References 13 publications

Developing a Sexual Health Promotion Intervention With Young Men in Prisons: A Rights-Based Participatory Approach

Developing a Sexual Health Promotion Intervention With Young Men in Prisons: A Rights-Based Participatory Approach

A Review of the Effectiveness of HIV Sexual Risk Prevention Interventions in Adult Prison Inmates

HIV Prevention and Education in State Prison Systems

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