Top

Published in:

01-01-2016

Pilot Test of an Adapted, Evidence-Based HIV Sexual Risk Reduction Intervention for Homeless Women

Authors: Suzanne L. Wenzel, Julie A. Cederbaum, Ahyoung Song, Hsun-Ta Hsu, Jaih B. Craddock, Wichada Hantanachaikul, Joan S. Tucker

Published in: Prevention Science | Issue 1/2016

Abstract

Women experiencing homelessness are at heightened risk for HIV, yet risk reduction interventions specifically designed for this population are lacking. This study reports on a pilot efficacy trial of a brief evidence-based intervention, Sister To Sister (STS), that we specifically adapted for homeless women in the temporary/emergency settings where they typically seek services. Seventy-nine women, recruited from three service sites in Los Angeles County, were assigned to the 40-min adapted STS intervention or an information-only control group. At 30-day follow-up, intervention participants reported significantly greater condom use, intentions to use condoms, and sexual impulse control (as well as marginally higher positive condom beliefs and condom self-efficacy) compared to control participants. Results provide preliminary evidence that HIV risk reduction can be achieved for homeless women through a brief skill-based intervention. A randomized controlled trial employing a longer follow-up period to monitor outcomes will be necessary to determine efficacy of the adapted intervention.

Adimora, A. A., Ramirez, C., Auerbach, J. D., Aral, S. O., Hodder, S., et al. (2013). Preventing HIV infection in women. Journal of Acquired Immune Deficiency Syndromes, 63, S168–S173.PubMedPubMedCentralCrossRef

Ajzen, I., & Fishbein, M. (2005). The influence of attitudes on behavior. In D. Albarracín, B. T. Johnson, & M. P. Zanna (Eds.), The handbook of attitudes (pp. 173–221). Mahwah: Lawrence Erlbaum Associates Publishers.

Ajzen, I., Albarracín, D., & Hornik, R. (2007). Prediction and change of health behavior: Applying the theory of reasoned action approach. Mahwah: Lawrence Erlbaum.

Barkley, T. W., & Burns, J. L. (2000). Factor analysis of the Condom Use Self-Efficacy Scale among multicultural college students. Health Education Research, 15, 485–489. doi:10.1093/her/15.4.485.PubMedCrossRef

Barrera, M., Jr., Castro, F. G., Strycker, L. A., & Toobert, D. J. (2013). Cultural adaptations of behavioral health interventions: A progress report. Journal of Consulting and Clinical Psychology, 81, 196–205.PubMedPubMedCentralCrossRef

Bogart, L., & Thorburn, S. (2005). Are HIV/AIDS conspiracy beliefs a barrier to HIV prevention among African Americans? Journal of Acquired Immune Deficiency Syndromes, 38, 213–218.PubMedCrossRef

Campbell, A. N. C., Tross, S., Hu, M., Pavlicova, M., Kenney, J., & Nunes, E. V. (2011). Female condom skill and attitude: Results from a NIDA Clinical Trials Network gender-specific HIV risk reduction study. AIDS Education and Prevention, 23, 329–340.PubMedPubMedCentralCrossRef

Caton, C. L. M., El-Bassel, N., Gelman, A., Barrow, S., Herman, D., Hsu, E., Tochterman, A. Z., Johnson, K., & Felix, A. (2013). Rates and correlates of HIV and STI infection among homeless women. AIDS Behavior, 17, 856–864.PubMedCrossRef

Cederbaum, J. A., Wenzel, S. L., Gilbert, M. L., & Chereji, E. (2013). The HIV risk reduction needs of homeless women in Los Angeles. Women's Health Issues, 23, 17–172.CrossRef

Cederbaum, J. A., Song, A., Hsu, H., Tucker, J., & Wenzel, S. (2014). Adopting an EBI for homeless women: Engaging the community in shared decision-making. Journal for the Health Care for the Poor and Underserved, 25, 1552–1570.CrossRef

Centers for Disease Control and Prevention (2009). Compendium of evidence-based HIV prevention interventions. Retrieved from http://www.cdc.gov.libproxy.usc.edu/HIV/topics/research/prs/evidence-based-interventions.htm.

Centers for Disease Control and Prevention (2014). HIV among women: Fact sheet. Atlanta: Author. Retrieved from http://www.cdc.gov/hiv/pdf/risk_women.pdf.

Centers for Disease Control and Prevention (2014). HIV among African Americans. Fact sheet. Atlanta: Author. Retrieved from http://www.cdc.gov/nchhstp/newsroom/docs/CDC-HIV-AA-508.pdf.

Crepaz, N., Marshall, K. J., Aupont, L. W., et al. (2009). The efficacy of HIV/STI behavioral health interventions for African American females in the United States: A meta-analysis. American Journal of Public Health, 99, 2069–2078.PubMedPubMedCentralCrossRef

Crosby, R. A., DiClemente, R. J., Salazar, L. F., Wingood, G. M., McDermott-Sales, J., Young, A. M., & Rose, E. (2013). Predictors of consistent condom use among young African American women. AIDS Behavior, 17, 865–871.PubMedPubMedCentralCrossRef

Cunningham, S. D., & Card, J. J. (2014). Realities of replication: Implementation of evidence-based interventions for HIV prevention in real-world settings. Implementation Science, 9, 1–9.CrossRef

Dennin, P., & DiNenno, E. (2014). Communities in crisis: Is there a generalized HIV epidemic in impoverished areas of the United States? http://www.cdc.gov/hiv/risk/other/poverty.html. Accessed 29 June 2014.

DiClemente, R. J., Wingood, G. M., Blank, M. B., & Metzger, D. S. (2008). Future directions for HIV prevention research: Charting a prevention science research agenda. Journal of Acquired Immune Deficiency Syndromes, 47, S47–S48.PubMedCrossRef

Durlak, J. A., & DuPre, E. P. (2008). Implementation matters: A review of research on the influence of implementation on program outcomes and the factors affection implementation. American Journal of Community Psychology, 41, 327–350.PubMedCrossRef

Fishbein, M., & Ajzen, I. (2010). Predicting and changing behavior: The reasoned action approach. New York: Psychology Press (Taylor & Francis).

Gelman, A., Hill, J., & Yajima, M. (2012). Why we (usually) don't have to worry about multiple comparisons. Journal of Research on Educational Effectiveness, 5, 189–211.CrossRef

German, D., & Latkin, C. A. (2012). Social stability and HIV risk behavior: Evaluating the role of accumulated vulnerability. AIDS Behavior, 16, 168–178.PubMedPubMedCentralCrossRef

Jemmott, L. S., Jemmott, J. B., & O’Leary, A. (2007). Effects on sexual risk behavior and STD rate of brief HIV/STD prevention interventions for African American women in primary care settings. American Journal of Public Health, 97, 1034–1040. doi:10.2105/AJPH.2003.020271.PubMedPubMedCentralCrossRef

Jemmott, L. S., Jemmott, J. B., Hutchinson, M. K., Cederbaum, J. A., & O’Leary, A. (2008). Sexually transmitted infection/HIV risk reduction interventions in clinical settings. Journal of Obstetrics, Gynecologic, and Neonatal Nursing, 37, 137–145. doi:10.1111/j.1552-6909.2008.00221.x.CrossRef

Kennedy, D. P., Wenzel, S. L., Tucker, J. S., et al. (2010). Unprotected sex of homeless women living in Los Angeles County: an investigation of the multiple levels of risk. AIDS and Behavior, 14, 960–973.PubMedPubMedCentralCrossRef

McAliser, A. L., Perry, C. L., & Parcel, G. S. (2008). How individuals, environments, and health behaviors interact: Social cognitive theory. In K. Glanz, B. K. Rimer, & K. Viswanath (Eds.), Health behavior and health education (4th ed., pp. 169–188). San Francisco: Jossey-Bass.

McKleroy, V. S., Galbraith, J. S., Cummings, B., Jones, P., Harshbarger, C., et al. (2006). Adapting evidence-based behavioral interventions for new settings and target populations. AIDS Education and Prevention, 18, 59–74.PubMedCrossRef

Miles, J., & Banyard, P. (2007). Applying statistics in psychology: A practical introduction. London: Sage.

National Low Income Housing Coalition (2013). Housing spotlight-America’s affordable housing shortage, and how to end it. Washington, DC. Retrieved from http://nlihc.org/sites/default/files/HS_3-1.pdf.

O’Leary, A., Jemmott, L. S., & Jemmott, J. B. (2008). Mediation analysis of an effective sexual risk-reduction intervention for women: The importance of self-efficacy. Health Psychology, 27, S180–S184. doi:10.1037/0278-6133.27.2(Suppl.).S180.PubMedCrossRef

Perneger, T. V. (1998). What’s wrong with Bonferroni adjustments. British Medical Journal, 316, 1236–1238.PubMedPubMedCentralCrossRef

Riley, E. D., Gandhi, M., Hare, C. B., Cohen, J., & Hwang, S. W. (2007). Poverty, unstable housing, and HIV infection among women living in the United States. Current HIV/AIDS Reports, 4, 181–186.PubMedCrossRef

Substance Abuse and Mental Health Services Administration (2011). Current statistics on the prevalence and characteristics of people experiencing homelessness in the United States. Rockville, MD. http://homeless.samhsa.gov/ResourceFiles/hrc_factsheet.pdf.

Scott-Sheldon, L. A., Huedo-Medina, T. B., Warren, M. R., Johnson, B. T., & Carey, M. P. (2011). Efficacy of behavioral interventions to increase condom use and reduce sexually transmitted infections: A meta-analysis, 1991 to 2010. Journal of Acquired Immune Deficiency Syndromes, 58, 489–498.PubMedCrossRef

Thomas, S. B., Benjamin, G. C., Almario, D., & Lathan, M. J. (2006). Historical and current policy efforts to eliminate racial and ethnic health disparities in the United States: Future opportunities for public health education research. Health Promotion Practice, 7, 324–330.PubMedCrossRef

United States Department of Health and Human Services. (2010). Healthy People 2020. Washington, DC: United States Government Printing Office.

United States Department of Housing and Urban Development. (2010). The 2009 Annual Homeless Assessment Report to Congress. Washington, DC: U.S. Government Printing Office.

Webb, T. L., & Sheeran, P. (2006). Does changing behavioral intentions engender behavior change? A meta-analysis of the experimental evidence. Psychological Bulletin, 132, 249–268. doi:10.1037/0033-2909.132.2.249.PubMedCrossRef

Wechsberg, W. M., Lam, K. K., Zule, W. A., & Bobashez, G. (2004). Efficacy of a woman-focused intervention to reduce HIV risk and increase self-sufficiency among African American crack abusers. American Journal of Public Health, 94, 1165–1173.PubMedPubMedCentralCrossRef

Weiser, S. D., Dilworth, S. E., Neilands, T. B., Cohen, J., Bangsberg, D. R., & Riley, E. D. (2006). Gender-specific correlates of sex trade among homeless and marginally housed individuals in San Francisco. Journal of Urban Health, 83, 736–740.PubMedPubMedCentralCrossRef

Wenzel, S. L., Tucker, J. S., Elliott, M. N., et al. (2004). Prevalence and co-occurrence of violence, substance use and disorder, and HIV risk behavior: A comparison of sheltered and low-income housed women in Los Angeles County. Preventive Medicine, 39, 617–624.PubMedCrossRef

Wenzel, S. L., Tucker, J. S., Hambarsoomian, K., & Elliott, M. N. (2006). Toward a more comprehensive understanding of violence against impoverished women. Journal of Interpersonal Violence, 21, 820–839.PubMedCrossRef

Wenzel, S.L., Tucker, J.S., Elliott, M.N., & Hambarsoomian, K. (2007). Sexual risk among impoverished women: Understanding the role of housing status. AIDS and Behavior, (Suppl 6), S9–S20.

Wingood, G. M., & DiClemente, R. (1998). Partner influences and gender-related factors associated with non-condom use among young adult African American women. American Journal of Community Psychology, 26, 29–51.

Wingood, G. M., & DiClemente, R. J. (2008). The ADAPT-ITT model: A novel method of adapting evidence-based HIV interventions. Journal of Acquired Immune Deficiency Syndromes, 47, 40–46.CrossRef

Title: Pilot Test of an Adapted, Evidence-Based HIV Sexual Risk Reduction Intervention for Homeless Women
Authors: Suzanne L. Wenzel
Julie A. Cederbaum
Ahyoung Song
Hsun-Ta Hsu
Jaih B. Craddock
Wichada Hantanachaikul
Joan S. Tucker
Publication date: 01-01-2016
Publisher: Springer US
Published in: Prevention Science / Issue 1/2016
Print ISSN: 1389-4986
Electronic ISSN: 1573-6695
DOI: https://doi.org/10.1007/s11121-015-0575-6

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Pilot Test of an Adapted, Evidence-Based HIV Sexual Risk Reduction Intervention for Homeless Women

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 1/2016

Effects of Home Visitation on Maternal Competencies, Family Environment, and Child Development: a Randomized Controlled Trial

Evaluation of a Community-Based Approach to Strengthen Retention in Early Childhood Home Visiting

Alcohol Sales to Youth: Data from Rural Communities Within the Cherokee Nation

An Experimental Study of Procedures to Enhance Ratings of Fidelity to an Evidence-Based Family Intervention

Feasibility and Reliability of a Coding System to Capture In-Session Group Behavior in Adolescents

An Emotion Regulation Intervention to Reduce Risk Behaviors Among at-Risk Early Adolescents