Development of a Novel HIV Risk Reduction Intervention for Abused Women
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Sexual Behavior
- Sponsor
- The Miriam Hospital
- Enrollment
- 86
- Locations
- 1
- Primary Endpoint
- change in number of sexual partners in the past 3 months
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
The purpose of this study is to develop and evaluate an HIV risk reduction intervention for women with a history of abuse.
Detailed Description
The purpose of the proposed research is to pilot test an innovative, theoretically-guided sexual risk reduction intervention for women with a history of abuse. T intervention builds on previous findings suggesting that it is important to address the psychological consequences of abuse, as well as the typical antecedents of sexual risk behavior. To inform intervention development, women who reported a history of abuse were recruited to participate in key informant interviews. Based on interview findings and guided by theory and empirical precedent, a novel sexual risk reduction intervention was developed and refined. The intervention will be pilot tested with 80 women recruited from a publicly-funded clinic who report a history of abuse and current sexual risk behavior. These women will complete a computerized survey to assess abuse, adult sexual risk behavior, HIV-related information, safer sex motivation, behavioral skills, interpersonal trust, guilt, and powerlessness. Behavioral skills will also be assessed through role-plays and simulation scenarios. Women will be randomly assigned to the novel intervention or to a structurally equivalent intervention focused only on the psychological antecedents of sexual risk behavior. Three months after intervention completion, women will return to complete computerized interviews and behavioral skills assessments. The long-term goal of this research is to develop a feasible and effective sexual risk reduction intervention for women who have a history of abuse.
Investigators
Theresa E. Senn
Senior Research Scientist and Associate Professor (Research)
The Miriam Hospital
Eligibility Criteria
Inclusion Criteria
- •history of abuse
- •current sexual risk behavior
Exclusion Criteria
- •less than age 18
- •impaired mentally
- •do not speak English
- •severely depressed or suicidal
Outcomes
Primary Outcomes
change in number of sexual partners in the past 3 months
Time Frame: baseline and 3 months
at baseline and at 3 months post intervention, participants will respond to the question, "How many sexual partners have you had in the past 3 months?", assessed by computerized survey
change in number of episodes of unprotected sex in the past 3 months
Time Frame: baseline and 3 months
at baseline and at 3 months post intervention, participants will report (a) the number of times they had sex with a primary partner in the past 3 months (b) out of the number of sex episodes with a primary partner in the past 3 months, how many times a condom was used; (c) the number of times they had sex with non-primary partners in the past 3 months; and (d) out of the number of sex episodes with a non-primary partner in the past 3 months, how many times a condom was used; responses to these 4 items will be used to determine the change in the total number of unprotected sex episodes (past 3 months) from baseline to 3 months post-intervention, assessed by computerized survey
Secondary Outcomes
- change in scores on Abuse-Related Beliefs Questionnaire(baseline and 3 months)
- change in performance on condom application exercise(baseline and 3 months)
- change in scores on Dyadic Trust Scale(baseline and 3 months)
- change in scores on Condom Attitudes measure(baseline and 3 months)
- change in scores on the HIV Knowledge Questionnaire(baseline and 3 months)
- change in scores on Traumatic Sexualization Survey(baseline and 3 months)
- change in scores on Sexual Relationship Power Scale(baseline and 3 months)
- change in scoress on the PTSD Checklist-Civilian Version(baseline and after each intervention session)