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Quality assurance of HIV prevention counseling in a multi-center randomized controlled trial. Project RESPECT Study Group.
  • Published Date:

    1996

  • Source:
    Public Health Rep. 111(Suppl 1):99-107
  • Language:
    English
Filetype[PDF-1.69 MB]


Details:
  • Alternative Title:
    Public Health Rep
  • Personal Author:
  • Description:
    Current HIV prevention counseling strategies rely largely on interventions aimed at changing behaviors. Among these is HIV prevention counseling and testing, which has been a prominent component in the federally supported strategies for HIV/AIDS prevention in the United States. To assess the efficacy of HIV counseling in reducing risk behaviors and preventing HIV infection and other sexually transmitted diseases, a multicenter, randomized controlled trial is being conducted among sexually transmitted disease clinic patients (Project RESPECT). The trial compares three separate HIV prevention strategies on increasing condom use and decreasing new cases of sexually transmitted diseases. The strategies are (a) Enhanced HIV Prevention Counseling, a 4-session individual counseling intervention based on behavioral and social science theory; (b) HIV Prevention Counseling, a 2-session individual pre- and post test counseling strategy that attempts to increase perception of risk and reduce risk behaviors using small, achievable steps; and (c) HIV Education, a brief 2-session pre- and post-test strategy that is purely informational. One difficulty in conducting randomized trials of behavioral interventions is assuring that the interventions are being conducted both as conceptualized and in a consistent manner by different counselors and, for multicenter studies, at different study sites. This article describes the quality assurance measures that have been used for Project RESPECT. These have included development of standard tools, standard training, frequent observation and feedback to study personnel, and process evaluation.
  • Subject:
  • Pubmed ID:
    8862164
  • Pubmed Central ID:
    PMCnull
  • Document Type:
    Journal Article
  • Collection(s):
    Public Health Reports
  • Main Document Checksum:
  • File Type:
  • Supporting Files:
    No Additional Files
    1. Filetype[PDF - 790.40 KB]
      Published Date:
      1996
      Source:
      Public Health Rep. 111(Suppl 1)
      File Type:
      Filetype[PDF - 790.40 KB]
    2. Filetype[PDF - 809.37 KB]
      Published Date:
      1996
      Source:
      Public Health Rep. 111(Suppl 1)
      Description:
      Special Issue: Behavioral Science in HIV Prevention.
      File Type:
      Filetype[PDF - 809.37 KB]
    3. Filetype[PDF - 602.32 KB]
      Published Date:
      1996
      Source:
      Public Health Rep. 111(Suppl 1)
      Description:
      This special volume of Public Health Reports presents avariety of methods, based on behavioral science, that havebeen employed in developing interventions for HIV prevention,particularly for programs targeted at high-risk, hardto-reach populations. C...
      File Type:
      Filetype[PDF - 602.32 KB]
    4. Filetype[PDF - 789.41 KB]
      Personal Author:
      Simons, Paul Z.; Rietmeijer, Cornelis A.; Kane, M. Steven; Guenther-Grey, Caroly; Higgins, Donna L.; Cohn, David L.;
      Published Date:
      1996
      Source:
      Public Health Rep. 111(Suppl 1):50-53
      Description:
      As part of a multi-site Centers for Disease Control and Prevention-funded initiative, a community-level HIV prevention project targeting injection drug users was implemented in the FivePoints community in Denver, Colorado. The protocol for the initia...
      File Type:
      Filetype[PDF - 789.41 KB]
    5. Filetype[PDF - 1.26 MB]
      Personal Author:
      Valentine, J; Wright-De Agüero, L;
      Published Date:
      1996
      Source:
      Public Health Rep. 111(Suppl 1):69-74
      Description:
      Health departments and community-based organizations across the United States are funded by the Centers for Disease Control and Prevention to conduct street outreach to facilitate risk reduction among a variety of hard-to-reach populations who are at...
      File Type:
      Filetype[PDF - 1.26 MB]
    6. Filetype[PDF - 2.02 MB]
      Personal Author:
      Person, B; Cotton, D;
      Published Date:
      1996
      Source:
      Public Health Rep. 111(Suppl 1):89-98
      Description:
      The prevention of HIV in Women and Infants Demonstration Projects use a conceptual model for maximizing broad community participation for HIV prevention called the Community Mobilization Framework. The projects' comprehensive approach attempts to bri...
      File Type:
      Filetype[PDF - 2.02 MB]
    7. Filetype[PDF - 1.72 MB]
      Personal Author:
      Cabral, R J; Galavotti, C; Gargiullo, P M; Armstrong, K; Cohen, A; Gielen, A C; Watkinson, L;
      Published Date:
      1996
      Source:
      Public Health Rep. 111(Suppl 1):75-82
      Description:
      This report describes a mid-course process evaluation of an HIV risk-reduction counseling intervention delivered by specially trained peer paraprofessionals. One of the key questions addressed is whether paraprofessionals can successfully implement a...
      File Type:
      Filetype[PDF - 1.72 MB]
    8. Filetype[PDF - 1.45 MB]
      Personal Author:
      Gorsky, Robin D.
      Published Date:
      1996
      Source:
      Public Health Rep. 111(Suppl 1):115-122
      Description:
      This paper describes a method for estimating the true resource costs of counseling for HIV prevention. The method includes identifying the resources used in counseling, determining the true unit costs of the resources used, and calculating the total ...
      File Type:
      Filetype[PDF - 1.45 MB]
    9. Filetype[PDF - 1.08 MB]
      Personal Author:
      Buehler, James W.; Diaz, Theresa; Hersh, Bradley S.; Chu, Susan Y.;
      Published Date:
      1996
      Source:
      Public Health Rep. 111(Suppl 1):133-137
      Description:
      A variety of surveillance methods are used to characterize the epidemic of HIV infection and AIDS. Such surveillance includes AIDS case reporting, reporting of diagnosed HIV infections, and HIV seroprevalence surveys among targeted sentinel populatio...
      File Type:
      Filetype[PDF - 1.08 MB]
    10. Filetype[PDF - 1.21 MB]
      Personal Author:
      Holtgrave, David R.; Harrison, Janet; Gerber, Russell A.; Aultman, Terru V.; Scarlett, Margaret;
      Published Date:
      1996
      Source:
      Public Health Rep. 111(Suppl 1):108-114
      Description:
      To be effective, HIV prevention programs should be planned in partnership with affected communities and should be built on a solid scientific foundation. In 1994, the Centers for Disease Control and Prevention (CDC) and its prevention partners implem...
      File Type:
      Filetype[PDF - 1.21 MB]
    11. Filetype[PDF - 1.15 MB]
      Personal Author:
      Corby, Nancy H.; Enguídanos, Susan M.; Kay, Linda S.;
      Published Date:
      1996
      Source:
      Public Health Rep. 111(Suppl 1):54-58
      Description:
      A theory-based HIV prevention intervention was implemented as part of a five-city AIDS Community Demonstration Project for the development and testing of a community-level intervention to reduce AIDS risk among historically underserved groups. This i...
      File Type:
      Filetype[PDF - 1.15 MB]
    12. Filetype[PDF - 1.63 MB]
      Personal Author:
      Schnell, D J; Galavotti, C; Fishbein, Martin; Chan, D K;
      Published Date:
      1996
      Source:
      Public Health Rep. 111(Suppl 1):59-68
      Description:
      The stages of behavior change model has been used to understand a variety of health behaviors. Since consistent condom use has been promoted as a risk-reduction behavior for prevention of human immunodeficiency virus (HIV) infection, an algorithm for...
      File Type:
      Filetype[PDF - 1.63 MB]
    13. Filetype[PDF - 1.02 MB]
      Personal Author:
      Safran, Mark A.; Wilson, Ronald W.;
      Published Date:
      1996
      Source:
      Public Health Rep. 111(Suppl 1):123-128
      Description:
      This article discusses methods and elements of three major national health survey systems, particularly as they relate to HIV infection and AIDS. The National Health Interview Survey and the Behavioral Risk Factor Surveillance System provide informat...
      File Type:
      Filetype[PDF - 1.02 MB]
    14. Filetype[PDF - 620.00 KB]
      Personal Author:
      Anderson, John E.
      Published Date:
      1996
      Source:
      Public Health Rep. 111(Suppl 1):129-132
      Description:
      This paper describes two systems, the HIV Counseling and Testing Data System and the National Health Interview Survey, AIDS Knowledge and Attitudes Supplement, that collect behavioral information on HIV counseling and testing in the United States. To...
      File Type:
      Filetype[PDF - 620.00 KB]
    15. Filetype[PDF - 1.98 MB]
      Personal Author:
      Guenther-Grey, C; Noroian, D; Fonseka, J; Higgins, D;
      Published Date:
      1996
      Source:
      Public Health Rep. 111(Suppl 1):41-49
      Description:
      Outreach has a long history in health and social service programs as an important method for reaching at-risk persons within their communities. One method of "outreach" is based on the recruitment of networks of community members (or "networkers") to...
      File Type:
      Filetype[PDF - 1.98 MB]
    16. Filetype[PDF - 1.72 MB]
      Personal Author:
      Higgins, D L; O'Reilly, K; Tashima, N; Crain, C; Beeker, C; Goldbaum, G; Elifson, C S; Galavotti, C; Guenther-Grey, C;
      Published Date:
      1996
      Source:
      Public Health Rep. 111(Suppl 1):28-35
      Description:
      The AIDS Community Demonstration Projects provided community-level HIV prevention interventions to historically hard-to-reach groups at high risk for HIV infection. The projects operated under a common research protocol which encompassed formative re...
      File Type:
      Filetype[PDF - 1.72 MB]
    17. Filetype[PDF - 1.04 MB]
      Personal Author:
      Goldbaum, Gary; Perdue, Thomas R.; Higgins, Donna;
      Published Date:
      1996
      Source:
      Public Health Rep. 111(Suppl 1):36-40
      Description:
      Non-gay-identifying men who have sex with men are at risk for human immunodeficiency virus (HIV) infection. To understand these men and to develop interventions to reduce their HIV risks, the authors interviewed staff at agencies that serve non-gay-i...
      File Type:
      Filetype[PDF - 1.04 MB]
    18. Filetype[PDF - 1.71 MB]
      Personal Author:
      Middlestadt, Susan E.; Bhattacharyya, Karabi; Rosenbaum, Julia; Fishbein, Martin; Shepherd, Melissa;
      Published Date:
      1996
      Source:
      Public Health Rep. 111(Suppl 1):18-27
      Description:
      Through one of its many HIV prevention programs, the Prevention Marketing Initiative, the Centers for Disease Control and Prevention promotes a multifaceted strategy for preventing the sexual transmission of HIV/AIDS among people less than 25 years o...
      File Type:
      Filetype[PDF - 1.71 MB]