Reducing HIV & Domestic Violence Risk in Women Offenders

NCT00289939 | Completed Phase 3

• 1 other identifier: R01DA012572
• Study Type: interventional
• Target: 530
• Locations: 1 country
• Sites: 1

Brief Summary

The long-term goal of this work is to reduce the prevalence of HIV and domestic violence among women at risk by encouraging self-protective behaviors. To obtain this goal, Multnomah County Health Department and Oregon Department of Human Services have conducted a randomized trial of an intervention to prevent HIV and domestic violence among women who have recent criminal justice involvement and who are at risk for HIV infection. Women enrolled in the study were randomly assigned to one of three study conditions:

• Group 1: these women received information on local resources addressing HIV prevention, domestic violence, and life stability issues; they did not receive any counseling sessions as part of the study itself.
• Group 2: these women received up to ten supportive counseling sessions based on the techniques of motivational interviewing. These sessions aimed to reduce HIV risk and to improve life stability.
• Group 3: these women received up to ten supportive counseling sessions based on motivational interviewing. These sessions aimed to reduce risk for HIV and domestic violence and to improve life stability. The primary hypotheses of this study were:
• 1\. Supportive counseling (motivational interviewing) addressing HIV prevention and increased life stability will lead to reductions of HIV risk behavior among women enrolled in the study.
• 2\. Supportive counseling (motivational interviewing) addressing domestic violence prevention, HIV prevention, and increased life stability, will bring about reductions in experiences of domestic violence and a reduction of HIV risk among these women.
• 3\. The supportive counseling received in this study will enhance these women's self-efficacy, self-esteem, and psychological well-being. Women in all three experimental groups were interviewed at the beginning of the study and again after 4, 7, and 10 months. These assessment interviews asked questions about: HIV risk; experiences of domestic violence; and life stability issues such as education, employment, and housing; and included biological testing for HIV and sexually transmitted diseases. Women in Group 2 and Group 3 participated in up to 10 sessions of supportive counseling (motivational interviewing) between the time of enrollment and the 4-month interviews.

Conditions

HIV Infections; Domestic Violence; Sexually Transmitted Diseases

Keywords

women; women's health; HIV; risk factors; risk behaviors; prevention; motivational interviewing; domestic violence; partner violence; behavioral trial; community justice; criminal justice

Outcome Measures

Primary Outcomes (4)

• unprotected sex

• injection drug use

• intimate partner violence

• violence from others

Secondary Outcomes (6)

• self-esteem

• anxiety

• depression

• housing stability

• employment

Interventions

Motivational interviewing to reduce risk for HIV and DV BEHAVIORAL

Eligibility Criteria

• Age: 18 Years+
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• women
• who were 18 years or older
• who had been in jail or prison in the past year or who were currently on parole or probation
• who had engaged in HIV-related risk behaviors (injection drug use, crack use, intercourse with a male injection drug user, exchanging sex, or having had ten or more sexual partners) in the past year

You may not qualify if:

• they were unable to give informed consent
• they were HIV positive at the time of screening for enrollment
• they reported highly unstable living conditions at screening

Sponsors & Collaborators

• Multnomah County Health Department: lead
• Oregon Department of Human Services: collaborator

Study Sites (1)

SE Health Center

Portland, Oregon, 97292, United States

Location

MeSH Terms

Conditions

HIV Infections; Sexually Transmitted Diseases; Risk-Taking

Interventions

Seroconversion

Condition Hierarchy (Ancestors)

Blood-Borne Infections; Communicable Diseases; Infections; Sexually Transmitted Diseases, Viral; Lentivirus Infections; Retroviridae Infections; RNA Virus Infections; Virus Diseases; Genital Diseases; Urogenital Diseases; Immunologic Deficiency Syndromes; Immune System Diseases; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Behavior

Intervention Hierarchy (Ancestors)

Immune System Phenomena

Study Officials

• Michael J. Stark, Ph.D.

  Multnomah County Health Department

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 3
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER GOV

Study Record Dates

• First Submitted: February 9, 2006
• First Posted: February 10, 2006
• Study Start: September 1, 2000
• Study Completion: January 1, 2005
• Last Updated: February 28, 2006

Record last verified: 2005-07

Locations

US (1)