TY - JOUR
T1 - Long-term effectiveness of a peer-based intervention to promote condom and contraceptive use among HIV-positive and at-risk women
AU - Fogarty, L. A.
AU - Heilig, C. M.
AU - Armstrong, K.
AU - Cabral, R.
AU - Galavotti, C.
AU - Gielen, A. C.
AU - Green, B. M.
PY - 2001
Y1 - 2001
N2 - Objective. The authors used data from a larger study to evaluate the longterm effects of a peer advocate intervention on condom and contraceptive use among HIV-infected women and women at high risk for HIV infection. Methods. HIV-infected women in one study and women at high risk for HIV infection in a second study were selected from the Women and Infants Demonstration Project and assigned to a standard or an enhanced HIV prevention treatment group. The enhanced intervention included support groups and one-on-one contacts with peer advocates tailored to clients' needs. The authors interviewed women at baseline and at 6-, 12- and 18-months, and measured changes in consistency of condom and contraceptive use and in self-efficacy and perceived advantages and disadvantages of condom and contraceptive use. Results. Of HIV-infected women, the enhanced group had improved consistency in condom use, increased perceived advantages of condom use, and increased level of self-efficacy compared with the standard group. Of women at risk, the enhanced intervention group at six months maintained consistent condom use with a main partner and perceived more benefit of condom use compared with the standard group. These differences diminished at 12 months. Conclusions. The enhanced intervention was generally effective in the HIV+ study. In the at-risk study, however, intervention effects were minimal and short-lived. Factors related to the theory, intervention design, and sample characteristics help explain these differences.
AB - Objective. The authors used data from a larger study to evaluate the longterm effects of a peer advocate intervention on condom and contraceptive use among HIV-infected women and women at high risk for HIV infection. Methods. HIV-infected women in one study and women at high risk for HIV infection in a second study were selected from the Women and Infants Demonstration Project and assigned to a standard or an enhanced HIV prevention treatment group. The enhanced intervention included support groups and one-on-one contacts with peer advocates tailored to clients' needs. The authors interviewed women at baseline and at 6-, 12- and 18-months, and measured changes in consistency of condom and contraceptive use and in self-efficacy and perceived advantages and disadvantages of condom and contraceptive use. Results. Of HIV-infected women, the enhanced group had improved consistency in condom use, increased perceived advantages of condom use, and increased level of self-efficacy compared with the standard group. Of women at risk, the enhanced intervention group at six months maintained consistent condom use with a main partner and perceived more benefit of condom use compared with the standard group. These differences diminished at 12 months. Conclusions. The enhanced intervention was generally effective in the HIV+ study. In the at-risk study, however, intervention effects were minimal and short-lived. Factors related to the theory, intervention design, and sample characteristics help explain these differences.
UR - http://www.scopus.com/inward/record.url?scp=0034846745&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0034846745&partnerID=8YFLogxK
U2 - 10.1093/phr/116.S1.103
DO - 10.1093/phr/116.S1.103
M3 - Article
C2 - 11889279
AN - SCOPUS:0034846745
VL - 116
SP - 103
EP - 119
JO - Public Health Reports
JF - Public Health Reports
SN - 0033-3549
IS - SUPPL. 1
ER -