Efficacy of Risk-Reduction Counseling to Prevent Human Immunodeficiency Virus and Sexually Transmitted Diseases

Kamb, Mary L.; Fishbein, Martin; Douglas, John M.; Rhodes, Fen; Rogers, Judy; Bolan, Gail; Zenilman, Jonathan M.; Hoxworth, Tamara; Malotte, C. Kevin; Iatesta, Michael; Kent, Charlotte K.; Lentz, Andrew; Graziano, Sandra; Byers, Robert H.; Peterman, Thomas A.; Group, for the Project RESPECT Study

doi:10.1001/jama.280.13.1161

Cited by 907 publications

(593 citation statements)

References 19 publications

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“…RESPECT is one of the Centers for Disease Control and Prevention (CDC) Diffusion of Effective Behavioral Interventions (DEBIs) programs [6]. RESPECT is an individual-level program, can be delivered in two sessions of 20-30 min in length, and has demonstrated success in changing behavior and reducing STI prevalence [7][8][9].…”

Section: Overviewmentioning

confidence: 99%

Fiscal loss and program fidelity: impact of the economic downturn on HIV/STI prevention program fidelity

Catania

Dolcini

Gandelman

et al. 2014

Behav. Med. Pract. Policy Res.

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The economic downturn of 2007 created significant fiscal losses for public and private agencies conducting behavioral prevention. Such macro-economic changes may influence program implementation and sustainability. We examined how public and private agencies conducting RESPECT, a brief HIV/STI (sexually transmitted infection) counseling and testing intervention, adapted to fiscal loss and how these adaptations impacted program fidelity. We collected qualitative and quantitative data in a national sample of 15 agencies experiencing fiscal loss. Using qualitative analyses, we examined how program fidelity varied with different types of adaptations. Agencies reported three levels of adaptation: agency-level, program-level, and direct fiscal remedies. Private agencies tended to use direct fiscal remedies, which were associated with higher fidelity. Some agency-level adaptations contributed to reductions in procedural fit, leading to negative staff morale and decreased confidence in program effectiveness, which in turn, contributed to poor fidelity. Findings describe a "work stress pathway" that links program fiscal losses to poor staff morale and low program fidelity.

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Section: Overviewmentioning

confidence: 99%

Fiscal loss and program fidelity: impact of the economic downturn on HIV/STI prevention program fidelity

Catania

Dolcini

Gandelman

et al. 2014

Behav. Med. Pract. Policy Res.

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“…4,5 Dr. Latka Advocates soon noticed that, for women, these prevention strategies were ineffective or unrealistic. They were ineffective in terms of partner reduction since many women in areas with high HIV prevalence [6][7][8] or found through high-risk settings in the US [9][10][11][12] do not themselves have multiple partners. They were unrealistic in terms of promoting male condom use to women since, for a couple, the ultimate decision to use a male condom rests with the male, not the female, partner.…”

mentioning

confidence: 99%

Female-Initiated Barrier Methods for the Prevention of STI/HIV: Where Are We Now? Where Should We Go?

Latka

2001

Journal of Urban Health: Bulletin of the New York Academy of Medicine

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“…13,14 However, none of the studies included in these prior reviews directly manipulated the number of sessions as part of the trial. We identified two studies that directly examined number of sessions; one found no difference in intervention effects across groups assigned to two versus four sessions, 37 and the other found that patients randomized to an eight-session intervention had significantly better outcomes than zero-session controls, while those assigned a four-session intervention did not. 49 Darbes's meta-analysis of African American heterosexuals found that interventions were more effective if they were skill-based, peer-based, and culturally tailored for African Americans.…”

Section: Discussionmentioning

confidence: 99%

“…In a landmark multicenter prospective trial published in 1998, subjects exposed to both a four-session theory-based intervention and a brief two-session interactive counseling intervention demonstrated a 20 % lower risk of subsequent STI acquisition than subjects who received standard STI care at 12 months of follow-up, but only those who received the four-session intervention reported an increase in condom use compared with the control group at six months. 37 Neither intervention included instruction on the mechanics of condom use, but focused instead on motivating condom use and negotiating safe sex. The subjects in this trial were African American (59 %) and Latino (19 %), though no racial subgroup analysis was conducted and racespecific content was not included.…”

Section: Std Clinic Patientsmentioning

confidence: 99%

“…The subjects in this trial were African American (59 %) and Latino (19 %), though no racial subgroup analysis was conducted and racespecific content was not included. 37,38 As with adolescents, interventions that employ the above insights with video or digital implementation have been developed in recent years. Video interventions, although limited due to a lack in interactivity, do offer the benefit of ease of implementation.…”

Section: Std Clinic Patientsmentioning

confidence: 99%

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HIV Prevention Interventions to Reduce Racial Disparities in the United States: A Systematic Review

et al. 2012

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Racial and ethnic minorities are disproportionately affected by HIV/AIDS in the United States despite advances in prevention methodologies. The goal of this study was to systematically review the past 30 years of HIV prevention interventions addressing racial disparities. We conducted electronic searches of Medline, PsycINFO, CINAHL, and Cochrane Review of Clinical Trials databases, supplemented by manual searches and expert review. Studies published before June 5, 2011 were eligible. Prevention interventions that included over 50 % racial/ethnic minority participants or sub-analysis by race/ethnicity, measured condom use only or condom use plus incident sexually transmitted infections or HIV as outcomes, and were affiliated with a health clinic were included in the review. We stratified the included articles by target population and intervention modality. Reviewers independently and systematically extracted all studies using the Downs and Black checklist for quality assessment; authors cross-checked 20 % of extractions. Seventy-six studies were included in the final analysis. The mean DB score was 22.44 – high compared to previously published means. Most of the studies were randomized controlled trials (87 %) and included a majority of African-American participants (83 %). No interventions were designed specifically to reduce disparities in HIV acquisition between populations. Additionally, few interventions targeted men who have sex with men or utilized HIV as a primary outcome. Interventions that combined skills training and cultural or interactive engagement of participants were superior to those depending on didactic messaging. The scope of this review was limited by the exclusion of non-clinic based interventions and intermediate risk endpoints. Interactive, skills-based sessions may be effective in preventing HIV acquisition in racial and ethnic minorities, but further research into interventions tailored to specific sub-populations, such as men who have sex with men, is warranted.

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Efficacy of Risk-Reduction Counseling to Prevent Human Immunodeficiency Virus and Sexually Transmitted Diseases

Cited by 907 publications

References 19 publications

Fiscal loss and program fidelity: impact of the economic downturn on HIV/STI prevention program fidelity

Fiscal loss and program fidelity: impact of the economic downturn on HIV/STI prevention program fidelity

Female-Initiated Barrier Methods for the Prevention of STI/HIV: Where Are We Now? Where Should We Go?

HIV Prevention Interventions to Reduce Racial Disparities in the United States: A Systematic Review

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