An intervention for changing high‐risk HIV behaviors of African American drug‐dependent women

Harris, Ruth M.; Bausell, R. Barker; Scott, Doris E.; Hetherington, Susan E.; Kavanagh, Kathryn Hopkins

doi:10.1002/(sici)1098-240x(199806)21:3<239::aid-nur7>3.3.co;2-8

Cited by 7 publications

(8 citation statements)

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“…The attrition rate in this study is similar to what has been reported by other studies examining high-risk individuals (Harris, Bausell, Scott, Hetherington, & Kavanagh, 1998;Miles et al, 2003). The attrition rate did not differ between Condition 1 and Condition 2.…”

Section: Discussionsupporting

confidence: 89%

Symptom Management of HIV-Related Diarrhea by Using Normal Foods: A Randomized Controlled Clinical Trial

Anastasi

Capili

Kim

et al. 2006

Journal of the Association of Nurses in AIDS Care

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The purpose of this randomized clinical trial was to determine the efficacy of a dietary intervention to reduce the frequency of bowel movements and improve stool consistency as compared with subjects assigned to a control group. The study enrolled HIV patients with a history of three or more episodes of diarrhea for 3 weeks or more. Seventy-five subjects were enrolled, of which 38 were randomized to the treatment group and 37 to the control group. Six study sessions were scheduled over a 24-week period. At 24 weeks, the stool frequency reduced 28% in the treatment group and 15% in the control group (F = 9.22, p < .001) and stool consistency improved 20% in the treatment group and 8% in the control group (F = 9.98, p < .001). The results showed that the intervention was effective in reducing stool frequency and improving stool consistency in HIV patients with chronic diarrhea for up to 6 months of treatment.

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Section: Discussionsupporting

confidence: 89%

Symptom Management of HIV-Related Diarrhea by Using Normal Foods: A Randomized Controlled Clinical Trial

Anastasi

Capili

Kim

et al. 2006

Journal of the Association of Nurses in AIDS Care

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“…[47][48][49][50][51] Findings from several recent randomized controlled trials testing culturally congruent HIV prevention strategies for African American women, based primarily on social cognitive principles and an empowerment approach, found these interventions to be efficacious in increasing condom use, reducing risk behaviors, and decreasing STIs. 30,[52][53][54][55] These interventions have not specifically addressed the cooccurring risk factor of IPV. To remedy this, HIV prevention strategies for African American women who are at risk for or experience IPV must be designed to simultaneously address the need to increase relationship safety while increasing condom negotiation self-efficacy and skills for reducing risk of HIV and other STIs.…”

Section: Addressing Intimate Partner Violencementioning

confidence: 99%

Addressing the Unique Needs of African American Women in HIV Prevention

et al. 2009

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African American women continue to be disproportionately affected by the HIV/AIDS epidemic, yet there are few effective HIV prevention interventions that are exclusively tailored to their lives and that address their risk factors. Using an ecological framework, we offer a comprehensive overview of the risk factors that are driving the HIV/AIDS epidemic among African American women and explicate the consequences of ignoring these factors in HIV prevention strategies. We also recommend ways to improve HIV prevention programs by taking into consideration the unique life experiences of adult African American women.

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“…In contrast, 3 studies recruited and trained lay peers of the target community as the primary intervention in bringing about individual behavior change. Among this group, Harris et al (1998) and Wyatt et al (2004) promoted safer sex behaviors through education, while Taylor et al (2002) worked to motivate Cambodian women to pursue cervical cancer screening. In comparison, Jenkins et al (1999), Lam et al (2003), and Nguyen et al (2000) crafted a program called Suc Khoe La Vang!…”

Section: Individual-level Interventionsmentioning

confidence: 99%

“…Of these 32 studies, 16 gathered outcome data from patient self-report (Anderson et al 2004;Braun et al 2005;Briscoe and Pichert 1999;Davies et al 2005;Fitzgibbon, Gapstur, and Knight 2004;Harris et al 1998;Jenkins et al 1999;Kim and Sarna 2004;Lam et al 2003;Lipkus, Lyna, and Rimer 1999;Mishra et al 1998;Nguyen et al 2000;Schneider et al 2001;Sterling et al 2001;Taylor et al 2002;Wyatt et al 2004). Of these 16 studies, 7 showed significant improvements in self-reported outcomes.…”

Section: Strength Of Evidencementioning

confidence: 99%

Cultural Leverage

et al. 2007

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The authors reviewed interventions using cultural leverage to narrow racial disparities in health care. Thirty-eight interventions of three types were identified: interventions that modified the health behaviors of individual patients of color, that increased the access of communities of color to the existing health care system, and that modified the health care system to better serve patients of color and their communities. Individual-level interventions typically tapped community members' expertise to shape programs. Access interventions largely involved screening programs, incorporating patient navigators and lay educators. Health care interventions focused on the roles of nurses, counselors, and community health workers to deliver culturally tailored health information. These interventions increased patients' knowledge for self-care, decreased barriers to access, and improved providers' cultural competence. The delivery of processes of care or intermediate health outcomes was significantly improved in 23 interventions. Interventions using cultural leverage show tremendous promise in reducing health disparities, but more research is needed to understand their health effects in combination with other interventions.

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An intervention for changing high‐risk HIV behaviors of African American drug‐dependent women

Cited by 7 publications

References 0 publications

Symptom Management of HIV-Related Diarrhea by Using Normal Foods: A Randomized Controlled Clinical Trial

Symptom Management of HIV-Related Diarrhea by Using Normal Foods: A Randomized Controlled Clinical Trial

Addressing the Unique Needs of African American Women in HIV Prevention

Cultural Leverage

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