CDC-NCHSTP-DHAP: Compendium of HIV Prevention = Interventions with Evidence of Effectiveness - Section 1 - Page 1-5: = Magura, et al., 1994, Intensive AIDS Education in Jail

From: Subject: CDC-NCHSTP-DHAP: Compendium of HIV Prevention Interventions with Evidence of Effectiveness - Section 1 - Page 1-5: Magura, et al., 1994, Intensive AIDS Education in Jail Date: Fri, 25 Oct 2002 01:52:57 -0500 MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_000_0325_01C27BC9.3DABAFE0"; type="text/html" X-MimeOLE: Produced By Microsoft MimeOLE V5.00.2919.6600 This is a multi-part message in MIME format. ------=_NextPart_000_0325_01C27BC9.3DABAFE0 Content-Type: text/html; charset="Windows-1252" Content-Transfer-Encoding: quoted-printable Content-Location: http://www.cdc.gov/hiv/pubs/hivcompendium/section1-5.htm CDC-NCHSTP-DHAP: Compendium of HIV Prevention = Interventions with Evidence of Effectiveness - Section 1 - Page 1-5: = Magura, et al., 1994, Intensive AIDS Education in Jail

National Center for HIV, STD and TB=20 Prevention
Divisions of HIV/AIDS Prevention=20

Outcomes of Intensive AIDS = Education for=20 Male Adolescent Drug Users in Jail

Magura, S., Kang, S., & Shapiro, J.L.=20 (1994).
Journal of Adolescent Health, 15 (6), 457 - = 463

Description of Intervention: Intensive = AIDS=20 Education in Jail

The intervention was based on a problem-solving therapy = model. It=20 consisted of four 60-minute sessions focusing on health = education=20 issues relevant to male adolescent drug users, with emphasis = on=20 HIV/AIDS. The intervention was delivered at the New York = City=20 Department of Corrections Adolescent Reception and Detention = Center=20 on Rikers Island. Sessions used interactive methods and a = small=20 group format with 8 adolescents and one male counselor. = Counselors=20 were guided by a written curriculum.=20

Topics included general health knowledge, HIV and AIDS = knowledge,=20 factors associated with initiation and continuance of drug = abuse,=20 types of sexual behavior and HIV risk, the relationship of = drug use=20 and sexual behavior, and strategies to access services and = drug=20 abuse treatment in the community. Counselors adapted topics = to the=20 needs of the participants.=20

Counselors used techniques based on the problem-solving = therapy=20 model:=20

Problem orientation - group members share and = discuss=20 facts and beliefs about HIV/AIDS=20
Problem definition and formulation - members = define=20 specific high-risk attitudes and behaviors that must be = modified=20 to protect themselves and others against HIV/AIDS=20
Generation of alternative solutions - members = suggested=20 and compiled possible courses of action for risky = behaviors=20
Decision-making - members critiqued and = evaluated the=20 alternative solutions=20
Solution implementation - participants used = role play=20 and rehearsal techniques to practice alternative = solutions.=20

The young men received $5 for each group session they=20 attended.

Intervention Goal(s): To determine the effects of a = small group=20 intervention to reduce HIV drug- and sex-related risk = behaviors.

Intervention Setting: A detention center.

Population: Of the 157 incarcerated, young, male drug = users who=20 participated in the study, 65% were African American, 33% were = Hispanic,=20 and 2% were white. The age of the participants ranged from 16 to = 19=20 years.

Comparison Condition: The intervention was given to = comparison=20 participants at a later time.

Behavioral Findings: After release from jail, youth who=20 participated in the intervention were significantly more likely to = use=20 condoms during vaginal, oral, and anal sex and had fewer high-risk = sex=20 partners than youth in the comparison condition.

Contact:
Stephen Magura
National Development = and=20 Research Institutes, Inc.
2 World Trade Center, 16th = Floor
New=20 York, NY 10048

Phone:  212 845=20 4521
Fax:      212 = 845=20 4698
E-mail:  steve.magura@ndri.org

This study=20 meets CDC's HIV/AIDS Prevention Research Synthesis project = criteria for=20 relevance and methodological rigor and also has the positive and=20 significant behavioral/health findings required for the = Compendium. Date=20 added 1/99

Last Updated: August 31, = 2001=20
Centers for Disease Control & Prevention
National = Center for=20 HIV, STD, and TB Prevention
Divisions of HIV/AIDS=20 Prevention
Please send comments/suggestions/requests to: hivmail@cdc.gov

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