This project responds to PAS-03-168 which seeks to recruit and retain w omen and minorities for HIV/AIDS research trials. The Sisters Teaching Options for Prevention project (STOP) has two goals: it will enroll and retain a severely difficult to reach population of women--poor, inner city, female arrestees--who, despite their high risk, have been largely overlooked for HIV/AIDS research to date. Secondly, it will initiate strategies to correct barriers to participation in research, a recent goal of NIAID. The methods for recruitment, retention and intervention are based on this team's decade and a half of community based behavioral interventions aimed at reducing high risk behaviors. Grounded in the Health Belief Model, the proposed peer-delivered case management intervention provides the tools to facilitate self-directed change. Our community-based research consistently shows four key barriers to high risk women's participation in research: lack of transportation, fear and distrust, misperceptions of and risks for disease, and a research community that favors healthier populations perceived to be """"""""more compliant"""""""". Because the rate of HIV risky behaviors is highest among this group of women both locally and nationally, interventions for them at this critical juncture are imperative.
The aims of the STOP project are to: 1. Adapt a culturally-relevant, gender-specific, community-based, theoretically-driven Peer Partnered behavioral intervention for a randomized clinical trial (RCT) to reduce HIV risk behaviors, and facilitate access to needed services and research protocols. 2. Reach a difficult to recruit population of women--female offenders--in need of HIV/STD testing, counseling, and medical and behavioral interventions. 3. Enroll these women into this RCT, and retain them with high response rates, comparing a standard intervention to a Peer Partnered Case Management Intervention (PPCMI). 4. Assess the effectiveness of the Peer Partnered Case Management Intervention at 3 and 6 months to facilitate access to needed services, to reduce barriers to service access, to reduce high risk behaviors, to increase knowledge of HIV and other STDs, and to improve trust in and understanding of research involvement. 5. Disseminate the PPCMI model and findings locally, nationally and internationally. ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute of Nursing Research (NINR)
Type
Research Project (R01)
Project #
5R01NR009180-04
Application #
7255416
Study Section
Special Emphasis Panel (ZRG1-AARR-G (04))
Program Officer
Jett, Kathleen
Project Start
2004-09-15
Project End
2009-06-30
Budget Start
2007-07-01
Budget End
2008-06-30
Support Year
4
Fiscal Year
2007
Total Cost
$483,253
Indirect Cost
Name
Washington University
Department
Psychiatry
Type
Schools of Medicine
DUNS #
068552207
City
Saint Louis
State
MO
Country
United States
Zip Code
63130
Jones, Abenaa Acheampong; Gerke, Travis; Striley, Catherine W et al. (2018) One Step at a Time: A Latent Transitional Analysis on Changes in Substance Use, Exposure to Violence, and HIV/AIDS Risk Behaviors among Female Offenders. Am J Crim Justice 43:471-485
Cottler, Linda B; O'Leary, Catina C; Nickel, Katelin B et al. (2014) Breaking the blue wall of silence: risk factors for experiencing police sexual misconduct among female offenders. Am J Public Health 104:338-44
Sartor, Carolyn E; McCutcheon, Vivia V; Callahan O'Leary, Catina et al. (2012) Lifetime trauma exposure and posttraumatic stress disorder in women sentenced to drug court. Psychiatry Res 200:602-8
Johnson, Jennifer E; O'Leary, Catina C; Striley, Catherine W et al. (2011) Effects of major depression on crack use and arrests among women in drug court. Addiction 106:1279-86
Millay, Tamara A; Satyanarayana, Veena A; O'Leary, Catina C et al. (2009) Risky business: focus-group analysis of sexual behaviors, drug use and victimization among incarcerated women in St. Louis. J Urban Health 86:810-7