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Efficacy of a Group-Based Multimedia HIV Prevention Intervention for Drug-Involved Women under Community Supervision: Project WORTH

Nabila El-Bassel; Louisa Gilbert; Dawn A. Goddard-Eckrich; Mingway P. Chang; Elwin Wu; Timothy Hunt; Matthew W. Epperson; Stacey A. Shaw; Jessica C. Rowe; Maria Almonte; Susan S. Witte

Title:
Efficacy of a Group-Based Multimedia HIV Prevention Intervention for Drug-Involved Women under Community Supervision: Project WORTH
Author(s):
El-Bassel, Nabila
Gilbert, Louisa
Goddard-Eckrich, Dawn A.
Chang, Mingway P.
Wu, Elwin
Hunt, Timothy
Epperson, Matthew W.
Shaw, Stacey A.
Rowe, Jessica C.
Almonte, Maria
Witte, Susan S.
Date:
Type:
Articles
Department(s):
Social Work
Columbia Center for New Media Teaching and Learning
Volume:
9
Persistent URL:
Book/Journal Title:
PLOS ONE
Notes:
The data supporting this article can be found in Academic Commons at http://dx.doi.org/10.7916/D8N0153Q.
Abstract:
Objective: We tested the efficacy of a group-based traditional and multimedia HIV/STI prevention intervention (Project WORTH: Women on the Road to Health) among drug-involved women under community supervision. Design, Setting, Participants, and Intervention: We randomized 306 women recruited from community supervision settings to receive either: (1) a four-session traditional group-based HIV/STI prevention intervention (traditional WORTH); (2) a four-session multimedia group-based HIV/STI prevention intervention that covered the same content as traditional WORTH but was delivered in a computerized format; or (3) a four-session group-based Wellness Promotion intervention that served as an attention control condition. The study examined whether the traditional or multimedia WORTH intervention was more efficacious in reducing risks when compared to Wellness Promotion; and whether multimedia WORTH was more efficacious in reducing risks when compared to traditional WORTH. Main Outcomes and Measures: Primary outcomes were assessed over the 12-month post-intervention period and included the number of unprotected sex acts, the proportion of protected sex acts, and consistent condom use. At baseline, 77% of participants reported unprotected vaginal or anal sex (n = 237) and 63% (n = 194) had multiple sex partners. Results: Women assigned to traditional or multimedia WORTH were significantly more likely than women assigned to the control condition to report an increase in the proportion of protected sex acts (β = 0.10; 95% CI = 0.02–0.18) and a decrease in the number of unprotected sex acts (IRR = 0.72; 95% CI = 0.57–0.90). Conclusion and Relevance: The promising effects of traditional and multimedia WORTH on increasing condom use and high participation rates suggest that WORTH may be scaled up to redress the concentrated epidemics of HIV/STIs among drug-involved women in the criminal justice system.
Subject(s):
Social service
Publisher DOI:
https://doi.org/10.1371/journal.pone.0111528
Item views
296
Metadata:
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Suggested Citation:
Nabila El-Bassel, Louisa Gilbert, Dawn A. Goddard-Eckrich, Mingway P. Chang, Elwin Wu, Timothy Hunt, Matthew W. Epperson, Stacey A. Shaw, Jessica C. Rowe, Maria Almonte, Susan S. Witte, , Efficacy of a Group-Based Multimedia HIV Prevention Intervention for Drug-Involved Women under Community Supervision: Project WORTH, Columbia University Academic Commons, .

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