Project N-Liten- HIV Prevention for African American Women
| Status: | Completed |
|---|---|
| Conditions: | Infectious Disease |
| Therapuetic Areas: | Immunology / Infectious Diseases |
| Healthy: | No |
| Age Range: | 18 - 24 |
| Updated: | 5/5/2014 |
| Start Date: | December 2011 |
| End Date: | December 2015 |
| Contact: | Chantaria Sherman |
| Email: | chantaria.sherman@emory.edu |
| Phone: | 404-712-9919 |
Reducing Alcohol-Related HIV Risk in African American Females
Young African-American women who report a higher frequency of alcohol use have particularly
higher rates of sexually transmitted diseases (STDs) and human immunodeficiency virus (HIV)
sex behaviors. Unfortunately, there are no evidence-based HIV interventions designed to be
gender- and culturally-appropriate for this population. To address this, the investigators
propose to add to the CDC-defined evidence-based intervention (DEBI), Horizons, a new
intervention form, Group Motivational Enhancement Therapy (GMET), which has shown promise in
reducing alcohol use and alcohol-related HIV risk-taking. To test how effective the combined
Horizons+GMET alcohol-specific portion is, it will be evaluated with a time equivalent
Horizons+attention control general health promotion (GHP) portion focusing on nutrition
health promotion, and to an enhanced standard-of-care program. In this study, 600 young
African American women, 18-24 years of age, who report 3 or more occasions where they drank
alcohol in the past 90 days will be recruited to complete a four-part baseline assessment
consisting of: 1. an audio computer assisted self interview (ACASI), 2. videotaped
communication role plays to objectively measure communication skill ability (subsample), 3.
provide a vaginal specimen to test for STDs and 4. Provide a urine pregnancy screen. After
participants complete their baseline assessment, they will be randomly assigned to one of
three conditions: 1. Horizons+GMET alcohol-specific condition, 2. a time-equivalent
Horizons+GHP condition, or 3. an enhanced standard-of-care control condition. The GMET
alcohol-specific component has shown to be effective in influencing several alcohol-specific
concepts (attitudes, norms, self-efficacy) and reducing sexual risk-taking among
culturally-diverse high-risk youth. The GMET alcohol-specific module was designed to
increase woman's awareness of the unfavorable effects of alcohol on themselves, their sexual
decision-making, and their male partner and teaches women strategies to reduce the
possibility of engaging in sex under the influence of alcohol. In addition, the GMET
alcohol-specific module provides skills training needed to effectively talk about sexual
intentions to use condoms and/or refuse risky sex when they or their male sex partner has
been using alcohol. After completing one of the three conditions, participants will
complete a brief ACASI posttest to evaluate immediate changes in hypothesized social and
psychological mediators of safer sex and alcohol use. Participants will also return to
complete follow-up assessments at 3, 6, 9, and 12-months after their intervention. If the
Horizons+GMET intervention is observed to be effective, investigators will work closely with
the CDC DEBI program to help distribute the intervention to public health agencies and
community based organizations (CBOs).
higher rates of sexually transmitted diseases (STDs) and human immunodeficiency virus (HIV)
sex behaviors. Unfortunately, there are no evidence-based HIV interventions designed to be
gender- and culturally-appropriate for this population. To address this, the investigators
propose to add to the CDC-defined evidence-based intervention (DEBI), Horizons, a new
intervention form, Group Motivational Enhancement Therapy (GMET), which has shown promise in
reducing alcohol use and alcohol-related HIV risk-taking. To test how effective the combined
Horizons+GMET alcohol-specific portion is, it will be evaluated with a time equivalent
Horizons+attention control general health promotion (GHP) portion focusing on nutrition
health promotion, and to an enhanced standard-of-care program. In this study, 600 young
African American women, 18-24 years of age, who report 3 or more occasions where they drank
alcohol in the past 90 days will be recruited to complete a four-part baseline assessment
consisting of: 1. an audio computer assisted self interview (ACASI), 2. videotaped
communication role plays to objectively measure communication skill ability (subsample), 3.
provide a vaginal specimen to test for STDs and 4. Provide a urine pregnancy screen. After
participants complete their baseline assessment, they will be randomly assigned to one of
three conditions: 1. Horizons+GMET alcohol-specific condition, 2. a time-equivalent
Horizons+GHP condition, or 3. an enhanced standard-of-care control condition. The GMET
alcohol-specific component has shown to be effective in influencing several alcohol-specific
concepts (attitudes, norms, self-efficacy) and reducing sexual risk-taking among
culturally-diverse high-risk youth. The GMET alcohol-specific module was designed to
increase woman's awareness of the unfavorable effects of alcohol on themselves, their sexual
decision-making, and their male partner and teaches women strategies to reduce the
possibility of engaging in sex under the influence of alcohol. In addition, the GMET
alcohol-specific module provides skills training needed to effectively talk about sexual
intentions to use condoms and/or refuse risky sex when they or their male sex partner has
been using alcohol. After completing one of the three conditions, participants will
complete a brief ACASI posttest to evaluate immediate changes in hypothesized social and
psychological mediators of safer sex and alcohol use. Participants will also return to
complete follow-up assessments at 3, 6, 9, and 12-months after their intervention. If the
Horizons+GMET intervention is observed to be effective, investigators will work closely with
the CDC DEBI program to help distribute the intervention to public health agencies and
community based organizations (CBOs).
Inclusion Criteria:
- To be eligible, participants must be:
- African American women;
- 18-24 years of age, inclusive at time of enrollment;
- unmarried;
- report having at least one episode of unprotected vaginal or anal sex in the
past 90 days;
- report ≥ 3 alcohol drinking episodes in the past 90 days;
- not pregnant; and
- provide written informed consent.
Exclusion Criteria:
- Those with:
- the presence of active psychosis reflected by the participant's status during
the baseline assessment, and/or
- an acute or chronic illness that could preclude participation for the duration
of the program and follow-up will be excluded.
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