Sexual Risk Intervention In Multiethnic Drug And Alcohol Users

Rodriguez, Violeta J.; Weiss, Stephen M.; Chitalu, Ndashi; Alonso‐Villar, Olga; Kumar, Mahendra; Bwalya, Violet; Mumbi, Maureen

doi:10.3844/ajidsp.2007.169.176

Cited by 7 publications

(12 citation statements)

References 40 publications

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“…Cognitive behavioral therapeutic (CBT) approaches were employed in four of the interventions (44, 47, 48, 50, 51), with two of these interventions utilizing a combined MI and CBT approach (44, 47, 48). Interventions often incorporated a broader focus on HIV risk reduction using health behavior change theories (43, 45, 52–56). However, the specific theoretical framework(s) employed to guide the intervention content were typically not cited nor described in the study methods.…”

Section: Overview Of Intervention Approaches and Study Designsmentioning

confidence: 99%

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Interventions to Reduce Alcohol Use among HIV-Infected Individuals: A Review and Critique of the Literature

et al. 2013

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Alcohol use disorders are common among HIV-infected individuals and are associated with adverse physiological complications and increased engagement in other health risk behaviors. This paper provides a review and critique of interventions to reduce alcohol use among HIV-infected individuals, including a: (a) synthesis of core intervention components and trial designs; (b) summary of intervention efficacy to reduce alcohol use outcomes; and (c) methodological critique and guidance for future research. We reviewed 14 behavioral interventions that reported on alcohol use outcomes among HIV-infected individuals. Findings were mixed for intervention efficacy to reduce alcohol frequency and quantity. There was limited evidence that interventions reduced binge drinking frequency or alcohol abuse or dependence symptoms. Despite the prevalence of disordered alcohol use among HIV-infected individuals, there is lack of efficacious intervention approaches. Efficacious intervention approaches to reduce alcohol use among HIV-infected individuals are urgently needed.

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Section: Overview Of Intervention Approaches and Study Designsmentioning

confidence: 99%

“…Nearly all trials (86%) were conducted in the US. Only two studies were conducted with international samples; one trial was conducted in Zambia (52), while a second study was conducted in Kenya (51). …”

Section: Overview Of Intervention Approaches and Study Designsmentioning

confidence: 99%

Interventions to Reduce Alcohol Use among HIV-Infected Individuals: A Review and Critique of the Literature

et al. 2013

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“…Pilot interventions including both women and men led to NIMH- and National Institute of Child Health and Human Development (NICHD)-supported larger scale studies in Zambia and USA with couples [8–11, 13–16, 20, 21]. The findings from these couple studies confirmed the desirability of working with both partners concurrently, albeit separately, in gender concordant groups, and a pilot translation to a community health center was successfully conducted [12].…”

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confidence: 99%

The many faces of translational research: a tale of two studies

Weiss

López

Villar-Loubet

et al. 2011

Behav. Med. Pract. Policy Res.

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Translational research can take many forms: bench to bedside, across cultural groups, across geographical boundaries, among others. This case study will share how we addressed all three “translational” issues using two evidence-based studies (USA, Zambia) to illustrate these “roads less traveled.” Our implementation and dissemination efforts were anchored by the “train the trainer” strategy, and the Glasgow RE-AIM model provided programmatic guideposts and direction. Keeping all stakeholders (scientific, community, political) involved in the implementation and dissemination process was an essential, perhaps determining factor in the success of the translation process.

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“…Evidence of the effectiveness of the adapted intervention led to a large scale expansion of the gender-concordant, group-based program for HIV seropositive and serodiscordant couples in 2005 (NOW2) in Florida [22] and further cultural adaption in Zambia.…”

Section: Methodsmentioning

confidence: 99%

HIV Prevention in Resource Limited Settings: A Case Study of Challenges and Opportunities for Implementation

Jones

Chitalu

2014

Int.J. Behav. Med.

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Background Sub-Saharan Africa has the highest global prevalence of HIV, and the prevention of transmission between HIV-seropositive and -serodiscordant sexual partners is a critical component of HIV prevention efforts. Behavioral interventions that have demonstrated efficacy in reducing risk behaviors associated with HIV transmission and infection and have been translated, or adapted, to a variety of settings. Purpose This manuscript examined implementation of behavioral interventions within resource limited health care delivery settings, and their adoption and integration within service programs to achieve sustainability. Methods The CDC/Partner Program, an evidence-based risk reduction intervention, was implemented in Community Health Centers (CHCs) in Zambia using a staged technology transfer process, the Training the Trainers Model. Provincial workshops and training workshops on the provision of the intervention were used to establish a cadre of trainers to provide on-site intervention facilitators capable of ultimately providing coverage to over 300 CHCs. Results CHC staff provided the intervention to clinic attendees in four provinces over 4 years while also training new facilitators. The implementation process addressed multi-level issues within the context of training, consultants, decision making, administration, and evaluation as well as practical considerations surrounding travel, training, staff compensation and ongoing quality assurance. Conclusions The majority of challenges to implementation and maintenance were addressed and resolved, with the exception of structural limitations related to restricted resources for personnel and funding. Strengths of the program included its collaborative structure, active program leadership, commitment and support at the provincial level, the use of task shifting by existing clinic staff, the train the trainer model and ongoing quality control. Enhanced infrastructure is needed in for future implementation, such as training centers within each province, certified expert coaches and annual workshops and system changes to ensure available staff.

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Sexual Risk Intervention In Multiethnic Drug And Alcohol Users

Cited by 7 publications

References 40 publications

Interventions to Reduce Alcohol Use among HIV-Infected Individuals: A Review and Critique of the Literature

Interventions to Reduce Alcohol Use among HIV-Infected Individuals: A Review and Critique of the Literature

The many faces of translational research: a tale of two studies

HIV Prevention in Resource Limited Settings: A Case Study of Challenges and Opportunities for Implementation

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