Document Detail


The effect of peer-driven intervention on rates of screening for AIDS clinical trials among African Americans and Hispanics.
MedLine Citation:
PMID:  21330587     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: We examined the efficacy of a peer-driven intervention to increase rates of screening for AIDS clinical trials among African Americans and Hispanics living with HIV/AIDS.
METHODS: We used a randomized controlled trial design to examine the efficacy of peer-driven intervention (6 hours of structured sessions and the opportunity to educate 3 peers) compared with a time-matched control intervention. Participants were recruited using respondent-driven sampling (n = 342; 43.9% female; 64.9% African American, 26.6% Hispanic). Most participants (93.3%) completed intervention sessions and 64.9% recruited or educated peers. Baseline and post-baseline interviews (94.4% completed) were computer-assisted. A mixed model was used to examine intervention effects on screening.
RESULTS: Screening was much more likely in the peer-driven intervention than in the control arm (adjusted odds ratio [AOR] = 55.0; z = 5.49, P < .001); about half of the participants in the intervention arm (46.0%) were screened compared with 1.6% of controls. The experience of recruiting and educating each peer also increased screening odds among those who were themselves recruited and educated by peers (AOR = 1.4; z = 2.06, P < .05).
CONCLUSIONS: Peer-driven intervention was highly efficacious in increasing AIDS clinical trial screening rates among African Americans and Hispanics living with HIV/AIDS.
Authors:
Marya Viorst Gwadz; Noelle R Leonard; Charles M Cleland; Marion Riedel; Angela Banfield; Donna Mildvan;
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial     Date:  2011-02-17
Journal Detail:
Title:  American journal of public health     Volume:  101     ISSN:  1541-0048     ISO Abbreviation:  Am J Public Health     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-05-13     Completed Date:  2011-07-12     Revised Date:  2011-10-24    
Medline Journal Info:
Nlm Unique ID:  1254074     Medline TA:  Am J Public Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1096-102     Citation Subset:  AIM; IM    
Affiliation:
New York University College of Nursing, 726 Broadway, 10 Fl., New York, NY 10003, USA. Marya.gwadz@nyu.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
African Americans / psychology*,  statistics & numerical data
Female
Follow-Up Studies
HIV Infections / diagnosis,  ethnology*
Health Promotion / methods*
Hispanic Americans / psychology*,  statistics & numerical data
Humans
Male
Mass Screening / statistics & numerical data*
Middle Aged
Peer Group*
Young Adult
Comments/Corrections
Erratum In:
Am J Public Health. 2011 Oct;101(10):1815

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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