Community Influences Transitions in Youth Health II - Center for the Study of Community Health
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Sexually Transmitted Diseases
- Sponsor
- University of Alabama at Birmingham
- Enrollment
- 334
- Locations
- 1
- Primary Endpoint
- Perceived HIV-related Stigma
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
The purpose of this protocol is to develop and evaluate an HIV prevention Entertainment Education (EE) intervention aimed at reaching underserved, at-risk African Americans, aged 18-25 years, living in disadvantaged urban neighborhoods in the Birmingham area.
Detailed Description
The goal of this 5 year project is to promote HIV testing and improve HIV-related risk behaviors (e.g. condom use, substance use before sex, regular Sexually Transmitted Infection (STI) testing) via population-sensitive and population-specific HIV prevention videos that are appealing, evidence-based, scalable, and sustainable to the target population. Formative research was conducted in Phase I (Year 1-2), to pre-test the questionnaire and gather in-depth data (via focus groups, intercept interviews, and individual structured interviews) to inform intervention development. Phase 2 of the project involved developing, delivering, and subsequently evaluating the efficacy of peer-driven EE HIV prevention messaging to broader social networks via a social media platform, with the platform contingent on formative data. An HIV education video series, "The Beat HIVe", was produced and served as intervention materials for the quasi-experimental research project. Respondent Driven Sampling (RDS) was used to access and use the social networks of high-risk youths as channel and agents for change. RDS is a recent innovative adaptation of chain-referral network sampling that provides peer-driven access to hard-to-reach subpopulations while reducing sampling biases associated with conventional snowball sampling.
Investigators
Susan Davies
Professor
University of Alabama at Birmingham
Eligibility Criteria
Inclusion Criteria
- •African American young adults Aged 18-25 Living in the Birmingham USA Competent to give informed consent
Exclusion Criteria
- •Obvious psychosis, dementia, inability to hear. Plan to move within the next 6 months
Outcomes
Primary Outcomes
Perceived HIV-related Stigma
Time Frame: 6 months
The scores are scaled in the positive direction implying that the higher the score, the higher the level of stigma. The possible overall stigma score ranges from 40 to 160, low-level stigma is between 25th percentile and 50th percentile (40-80), middle-level stigma is between 50th percentile and 75th percentile (81-120), while high-level stigma is for values greater than 75th percentile (121-160).
Condom Use Self-Efficacy Scale
Time Frame: 3 months
This is a 28 item self-report questionnaire which elicits responses using a five-point Likert scale format, ranging from 'strongly disagree' to 'strongly agree'. Each of the responses is scored as follows: 'strongly disagree' = 0, 'disagree' = 1, 'undecided' = 2, 'agree' = 3 and 'strongly agree' = 4. After reversing for negatively worded items, scores are summed. The possible range of scores is 0-112, with higher scores indicating greater condom use self-efficacy.
HIV Knowledge Questionnaire-18
Time Frame: 6 months
This scale assess an individual level of HIV-related knowledge. For each of the 18 true/false, HIV- related questions, a score of 1 was assigned to each 'correct' answer. Assessments were based on the analysis of the summation of these scores, which had a possible range of 0 to 18, whereby higher scores indicated greater knowledge of HIV.
Secondary Outcomes
- HIV Testing Questionnaire(6 months)
- Timeline Followback(6 months)