This study will determine the effectiveness of a peer outreach intervention in preventing HIV infection in adults at high risk for contracting HIV and other sexually transmitted diseases (STDs).
The persistence of HIV and STD epidemics indicates that more effective, sustainable preventive interventions are needed, particularly for low-income, inner-city populations. This study will determine the effectiveness of a theoretically based peer outreach program in preventing HIV and STD transmission among adults in the Baltimore, Maryland area. Participants will be randomly assigned to receive either a network-oriented peer program emphasizing one's social identity and the goals of protecting one's family and community or group cognitive behavioral therapy (CBT). The peer program will also train participants to provide HIV/STD education to their peers. Participants will be assessed at study entry and during several subsequent follow-up visits. At these study visits, participants will complete questionnaires about their sexual health knowledge and sexual behaviors. Participants and members of their peer network will have follow-up visits at Months 6, 12, and 18.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
746
The peer-oriented intervention program emphasized social identity and the goals of protecting family and community. The peer program also trained participants to provide HIV/STD education to their peers.
Group CBT will focus on teaching ways to modify thoughts and behaviors associated with risky sexual behaviors.
The Lighthouse
Baltimore, Maryland, United States
Sex Risk Behaviors: Number of Sex Partners (>=2 Sex Partners)
Number of participants that had 2 or more sex partners in the past 90 days.
Time frame: 6 months
Sex Risk Behaviors: Unprotected Sex With Non-main Partner (Past 90 Days)
Time frame: 12 months
Sex Risk Behaviors: Unprotected Anal Sex (Past 90 Days)
Time frame: 18 month
Sex Risk Behaviors: Unprotected Vaginal Sex (Past 90 Days)
Time frame: 18 months
Sex Risk Behaviors: Unprotected Sex With Main Partner (Past 90 Days)
Time frame: 18 months
Sex Risk Behaviors: Unprotected Sex With a Non-main Partner (Past 90 Days)
Time frame: 18 months
Sex Risk Behaviors: Any High Risk Sexual Behavior (Past 90 Days)
Time frame: 18 months
HIV Communication: Talk to Family About HIV or STIs (Past 6 Months)
Time frame: 6 months
HIV Communication: Talk to Family About HIV or STIs (Past 6 Months)
Time frame: 12 months
HIV Communication: Talk to Family About HIV or STIs (Past 6 Months)
Time frame: 18 months
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