Longitudinal Study of the RAP Peer Intervention for HIV

Summary

Principal Investigator: Margaret M Weeks
Abstract: DESCRIPTION (provided by applicant): This 3-year "Longitudinal Study of the RAP Peer Intervention for HIV Prevention" will assess the long-term behavioral effects of a peer-implemented HIV prevention program on trained active drug users and the drug-using contacts to whom they provide intervention, diffusion of the intervention and its effects through drug-user social networks and into drug use sites in Hartford, CT, and sustainabilitv of peer-led HIV prevention intervention. This is a continuation of the (RAP) project (R01 DA13356) to test this theoretically driven peer intervention program regarding its effectiveness in reducing HIV risks and drug-related harm among the trained "Peer Health Advocates" (PHAs), their network Contact Referrals (CRs), and the Hartford drug-using community. The aims of the proposed continuation study are to assess: 1) long-term effects of the RAP PHA training program and the process of delivering the peer-led intervention on PHAs' HIV risk reduction attitudes and behaviors; 2) long-term effects of the RAP PHA delivered peer-led intervention on CRs' HIV risk reduction attitudes and behaviors; 3) the diffusion of the RAP peer-led intervention components (materials, messages), effects (risk/harm reduction practices), and delivery process (peers helping peers) through networks of drug users in Hartford; and 4) the sustainability of the RAP peer-led intervention (materials/messages, risk reduction practices, peer-delivery process), and factors needed to sustain it over time. The study integrates qualitative and quantitative methods to document the process of peer intervention provision in the community and its impact. This will include the following three primary activities over the three-year extension: 1) a repeat follow-up (T3) survey interview with PHAs who initiated the training (n=129; 90 after attrition), their initial Contact Referrals (CR) who we interviewed at the start of the study (n=258, 155 after attrition), and at least one new CR from PHAs' current drug-using social networks (n=90); this survey (total n=335) will be conducted at approximately 2-21/2 years post intake for PHAs and original CRs; 2) continued ethnographic observations of drug use sites and Community Advocacy Group meetings of PHAs, and in-depth interviews of PHAs, CRs, and other drug users regarding the intervention, its provision and effects, and its diffusion and sustainability; and 3) a repeat "communitywide survey" conducted with PHAs, CRs, and other drug users in Hartford, using the same methods as the communitywide survey of the original RAP study (n=700).
Funding Period: 2000-08-01 - 2009-04-30
more information: NIH RePORT

Top Publications

  1. pmc Altruism and peer-led HIV prevention targeting heroin and cocaine users
    Mark R Convey
    Institute for Community Research, 2 Hartford Square West, Hartford, CT 06106, USA
    Qual Health Res 20:1546-57. 2010
  2. pmc A social network approach to demonstrate the diffusion and change process of intervention from peer health advocates to the drug using community
    Jianghong Li
    Institute for Community Research, Hartford, Connecticut 06106, USA
    Subst Use Misuse 47:474-90. 2012
  3. ncbi Times and places: Process evaluation of a peer-led HIV prevention intervention
    Julia Dickson-Gomez
    Institute for Community Research, Hartford, CT 06106, USA
    Subst Use Misuse 41:669-90. 2006
  4. pmc Outcomes of a peer HIV prevention program with injection drug and crack users: the Risk Avoidance Partnership
    Margaret R Weeks
    Institute for Community Research, Hartford, Connecticut 06106, USA
    Subst Use Misuse 44:253-81. 2009
  5. pmc Changing drug users' risk environments: peer health advocates as multi-level community change agents
    Margaret R Weeks
    Institute for Community Research, 2 Hartford Square West, Suite 100, Hartford, CT 06106, USA
    Am J Community Psychol 43:330-44. 2009

Detail Information

Publications6

  1. pmc Altruism and peer-led HIV prevention targeting heroin and cocaine users
    Mark R Convey
    Institute for Community Research, 2 Hartford Square West, Hartford, CT 06106, USA
    Qual Health Res 20:1546-57. 2010
    ..We contend that altruism found in volunteers is an important factor in maintaining long-term participation in HIV intervention programs and initiatives using peer educators...
  2. pmc A social network approach to demonstrate the diffusion and change process of intervention from peer health advocates to the drug using community
    Jianghong Li
    Institute for Community Research, Hartford, Connecticut 06106, USA
    Subst Use Misuse 47:474-90. 2012
    ..RAP innovation has diffused into the Hartford drug-using community...
  3. ncbi Times and places: Process evaluation of a peer-led HIV prevention intervention
    Julia Dickson-Gomez
    Institute for Community Research, Hartford, CT 06106, USA
    Subst Use Misuse 41:669-90. 2006
    ..Process evaluations of successful HIV prevention interventions are necessary to understand how and why such interventions work for further intervention refinement...
  4. pmc Outcomes of a peer HIV prevention program with injection drug and crack users: the Risk Avoidance Partnership
    Margaret R Weeks
    Institute for Community Research, Hartford, Connecticut 06106, USA
    Subst Use Misuse 44:253-81. 2009
    ....
  5. pmc Changing drug users' risk environments: peer health advocates as multi-level community change agents
    Margaret R Weeks
    Institute for Community Research, 2 Hartford Square West, Suite 100, Hartford, CT 06106, USA
    Am J Community Psychol 43:330-44. 2009
    ..Implications of the RAP program for designing effective prevention programs and for analyzing long-term change to reduce HIV transmission among high-risk groups are discussed from this ecological and multi-level intervention perspective...