Contextualizing &responding to HIV risk behaviors among Black drug offenders


Abstract: DESCRIPTION (provided by applicant): Formerly incarcerated Black drug offenders are at an elevated risk for HIV infection. Despite substantial research expressing the need for HIV prevention services for ex-offenders post-release, this population has limited access to quality programming and services related to HIV risk reduction. This K01 application seeks to inform and adapt an HIV risk reduction intervention to address the needs of formerly incarcerated Black drug offenders who are being released from prisons in the New York City metropolitan area. This application supports the Principal Investigator's interest in becoming an independent behavioral scientist specializing in HIV prevention intervention development and adaptation. The proposed mentorship and training program will focus on the following key areas: mixed methods research;adaptation science;and intervention implementation. The proposed study will occur in three phases implemented over the course of five years. The formative phase will consist of survey administration on HIV literacy, needs and barriers to practicing protective behaviors, and HIV testing from 120 recently released Black drug offenders. Also during this phase, in-depth interviews with a subsample of 24 participants (12 male and 12 female participants) will also be conducted to gather more comprehensive information exploring needs and barriers to practicing HIV protective behaviors. The intervention development and adaptation phase, will consist of analyzing data from the survey research and in-depth interviews to tailor it for use with recently released Black drug offenders. In phase 3, the feasibility and acceptability of the adapted intervention will be pilot tested using a randomized clinical trial with 64 participants who are randomized to the adapted intervention or an Enhanced Referral Intervention arm. Building on the Information-Motivation and Behavioral Skills Model, this study will address the following specific aims: 1) To examine individual-level, environmental and contextual factors that affect HIV risk-related behaviors (i.e. illicit drug use and risky sexual behavior) among formerly incarcerated Black male and female drug offenders;2) To adapt Project START, an HIV risk reduction intervention for formerly incarcerated men, using data gathered from Aim 1, to increase access to HIV testing and address drivers of HIV vulnerability among recently released Black male and female drug offenders;and 3) To pilot test the feasibility and acceptability of the adapted Project START using a randomized clinical trial with 64 participants (32 men, 32 women). The proposed study will utilize a mixed-methods approach to investigate drivers of HIV risk among recently released Black drug offenders. By providing more contextual information on risk behaviors, future evidence-based approaches can be developed and rapidly deployed, advancing HIV prevention science, and providing essential support for a vulnerable population that consistently experiences barriers in accessing HIV prevention services.
Funding Period: -----------------201 - ----------------2018
more information: NIH RePORT

Detail Information

Research Grants30

    John C Crabbe; Fiscal Year: 2013
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  2. The Shelf Live Evaluation of Investigational Dosage Forms
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  3. TRIAD-2 Center for Health Disparities Research
    Debra C Wallace; Fiscal Year: 2013
    ..Thus, this is an ideal natural laboratory for disparities research. ..
  4. Repeat STI Patients: Tailored Socio-Contextual Intervention to Reduce HIV Risk
    Lance S Weinhardt; Fiscal Year: 2013
  5. Evaluating a Structural and Behavioral HIV Risk Reduction Program for Black Men
    Jay G Silverman; Fiscal Year: 2013
    ..Additionally, quality assurance and process evaluation efforts will be conducted to ensure high quality program adherence and delivery, as well as to support program replication should the model prove effective. ..
  6. Health-Seeking Behaviors among Men with Criminal Justice and Substance Abuse Hist
    Pamela Valera; Fiscal Year: 2013
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  7. Reducing Health Disparities in Vulnerable African American Families and Communiti
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  8. Relationship Disruption during Incarceration and HIV Risk in African American Men
    MARIA RABIA KHAN; Fiscal Year: 2013
  9. Center for the Study of Adolescent Risk and Resilience
    RICK HOYLE; Fiscal Year: 2013
    ..The C-StARR will serve as a national resource for prevention scientists, intervention specialists, and policy makers. ..
  10. Drug Use and Sexual Risk Behaviors Among Emerging Adults in the ER
    ERIN ELIZABETH BONAR; Fiscal Year: 2013
    ..I will accomplish these research and training goals through close mentorship from a team with expertise in these content areas, didactic coursework, and directed readings. ..
  11. Social Networks and HIV Risk Behaviors of Special Populations of Drug Users
    CARRIE BETH OSER; Fiscal Year: 2013
  12. Southwest Center for Agricultural Health, Injury Prevention, and Education
    Jeffrey L Levin; Fiscal Year: 2013
    ..The Center's impact will be expanded by a Feasibilty program that augments the proposed scope of work and is responsive to emerging issues. ..
  13. A Randomized Trial of Interim Methadone and Patient Navigation Initiated in Jail
    Robert P Schwartz; Fiscal Year: 2013
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  14. OUHSC Specific Pathogen Free Baboon Research Resource
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  15. High Risk Crack Use Settings and HIV in El Salvador
    JULIA B DICKSON-GOMEZ; Fiscal Year: 2013
  16. HIV/STI Risk Reduction for Incarcerated Women with Interpersonal Violence
    Caron Zlotnick; Fiscal Year: 2013
  17. Drug Abuse, Incarceration &Health Disparities in HIV/AIDS: A Longitudinal Study
    Linda A Teplin; Fiscal Year: 2013
    ..This study responds to the initiatives of NIDA, NIAAA, and other NIH institutes to reduce health disparities in HIV/AIDS in minority populations. ..
  18. Culturally-Specific HIV Prevention with Latino Adolescent Alcohol Abusers
    Lynn Hernandez; Fiscal Year: 2013
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  19. Hopkins Center for Eliminate Cardiovascular Health Disparities
    Lisa A Cooper; Fiscal Year: 2013
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  20. Substance Use Among Violently Injured Youth in an Urban ER: Services and Outcome
    Rebecca M Cunningham; Fiscal Year: 2013
    ..e. delinquency, HIV risk behaviors, and weapon carriage). The results of this proposed study will inform future intervention development among inner-city youth with substance use. ..
  21. Juvenile Offender HIV Prevention and Drug Abuse Services
    HOWARD ARTHUR LIDDLE; Fiscal Year: 2013
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  22. Center for Substance Use and HIV/AIDS Research on Latinos in the United States
    MARIO R DE LA ROSA; Fiscal Year: 2013
  23. Structural and Social Contexts of Substance Use, Violence and HIV Risk Among Adol
    JULIA B DICKSON-GOMEZ; Fiscal Year: 2013
    ..We will have a Community Advisory Board, made up of community stakeholders and gang members, and a Scientific Advisor to advise us in all phases of the project. ..