Article de Périodique
The Staying Safe intervention: training people who inject drugs in strategies to avoid injection-related HCV and HIV infection (2014)
Auteur(s) :
P. MATEU-GELABERT ;
M. VIORST GWADZ ;
H. GUARINO ;
M. SANDOVAL ;
C. M. CLELAND ;
A. JORDAN ;
H. HAGAN ;
H. LUNE ;
S. R. FRIEDMAN
Article en page(s) :
144-157
Domaine :
Drogues illicites / Illicit drugs
Langue(s) :
Anglais
Thésaurus géographique
ETATS-UNIS
Thésaurus mots-clés
INTERVENTION
;
REDUCTION DES RISQUES ET DES DOMMAGES
;
INJECTION
;
APPRENTISSAGE
;
PROGRAMME
;
EFFICACITE
;
HEPATITE
;
VIH
;
EVALUATION
Résumé :
This pilot study explores the feasibility and preliminary efficacy of the Staying Safe Intervention, an innovative, strengths-based program to facilitate prevention of infection with the human immunodeficiency virus and with the hepatitis C virus among people who inject drugs (PWID). The authors explored changes in the intervention's two primary endpoints: (a) frequency and amount of drug intake, and (b) frequency of risky injection practices. We also explored changes in hypothesized mediators of intervention efficacy: planning skills, motivation/self-efficacy to inject safely, skills to avoid PWID-associated stigma, social support, drug-related withdrawal symptoms, and injection network size and risk norms. A 1-week, five-session intervention (10 hours total) was evaluated using a pre- versus 3-month posttest design. Fifty-one participants completed pre- and posttest assessments. Participants reported significant reductions in drug intake and injection-related risk behavior. Participants also reported significant increases in planning skills, motivation/self-efficacy, and stigma management strategies, while reducing their exposure to drug withdrawal episodes and risky injection networks.
Affiliation :
National Development Research Institutes (NDRI) Inc., New York, NY, USA