Minority Health Archive

The Effect of Peer-Driven Intervention on Rates of Screening for AIDS Clinical Trials Among African Americans and Hispanics

Gwadz, M. V. and Leonard, N. R. and Cleland, C. M. and Riedel, M. and Banfield, A. and Mildvan, D. (2011) The Effect of Peer-Driven Intervention on Rates of Screening for AIDS Clinical Trials Among African Americans and Hispanics. American Journal of Public Health, 101 (6). pp. 1096-1102. ISSN 0090-0036

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Abstract

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.


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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: peer-driven intervention, screening, AIDS clinical trials, African Americans, Hispanics, HIV/AIDS
Subjects: Health > Public Health > Chronic Illness & Diseases > HIV/Aids
Practice > interventions
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Depositing User: Users 141 not found.
Date Deposited: 25 Jun 2011 16:52
Last Modified: 25 Jun 2011 16:52
Link to this item (URI): http://health-equity.pitt.edu/id/eprint/2622

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