Gwadz, M. V. and Leonard, N. R. and Cleland, C. M. and Riedel, M. and Banfield, A. and Mildvan, D.
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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|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
|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.lib.umd.edu/id/eprint/2622|
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