Effectiveness of an HIV Prevention Intervention in Prison Among African Americans, Hispanics, and Caucasians

Bryan, Angela D.; Robbins, Reuben N; Ruiz, Monica S.; O'Neill, Dennis

doi:10.1177/1090198105277336

Cited by 63 publications

(90 citation statements)

References 31 publications

(62 reference statements)

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“…• 97 not a research study • In total, therefore, 57 studies 23,[25][26][27]31,32,[36][37][38]101,106, were included in the review of effectiveness (see Table 4 and Appendix 11).…”

Section: Search Resultsmentioning

confidence: 99%

“…38,121,136,138,139 Nineteen were of moderate quality 25,31,37,101,106,[126][127][128][131][132][133]135,137,140,147,148,151,161,162 and 32 were of poor quality. 23,27,32,36,119,120,[122][123][124][125]129,130,134,[141][142][143][144][145][146]149,150,[152][153][154][155][156][157][158]…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…23,25,123,124,126,135,136,138,139,147,151,153,155,156 Peer education was the most studied intervention mode (21 studies). 23,27,101,106,120,121,123,125,126,[128][129][130][131]134,143,144,[158][159][160]162,164 Of the other studies 14 were on peer support, 25,26,32,38,140,[149][150][151][152][153][154][155][156][157] two were on peer advisors, 135,139 two were on health trainers, …”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…A total of 16 studies gave details of the underpinning theoretical model for the intervention 38,101,106,126,130,131,134,150,151,[153][154][155][156][161][162][163] In total, 19 studies had a quantitative design, 23,27,101,106,[122][123][124]126,130,132,134,143,144,146,154,[160][161][162]164 16 had a qualitative design 31,38,119,121,125,128,[137][138][139][140]142,147,148,150,159,…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…104,105 Interventions that have adopted a harm-reduction philosophy use a range of health outcome measures including changes in attitudes and beliefs, behavioural intentions, greater uptake of screening services and reductions in risk behaviour. [104][105][106] A preliminary logic model ( Figure 1) was developed to make explicit the links between determinants of prison health, the focus on the prison as a setting for health, the types of peer models and the potential range of outcomes for individuals and for health services. 45 This study then examined whether or not different types of peer interventions, through the mechanisms of therapeutic alliances and modifying barriers to health care, resulted in positive health outcomes and what the wider impacts were in the prison system.…”

Section: Initial Study Logic Model and Outcomes Frameworkmentioning

confidence: 99%

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A systematic review of the effectiveness and cost-effectiveness of peer-based interventions to maintain and improve offender health in prison settings

South

Bagnall

Hulme

et al. 2014

Health Services and Delivery Research

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BackgroundOffender health is deemed a priority issue by the Department of Health. Peer support is an established feature of prison life in England and Wales; however, more needs to be known about the effectiveness of peer-based interventions to maintain and improve health in prison settings.ObjectivesThe study aimed to synthesise the evidence on peer-based interventions in prison settings by carrying out a systematic review and holding an expert symposium. Review questions were (1) what are the effects of peer-based interventions on prisoner health and the determinants of prisoner health?, (2) what are the positive and negative impacts on health services within prison settings of delivering peer-based interventions?, (3) how do the effects of peer-based approaches compare with those of professionally led approaches? and (4) what are the costs and cost-effectiveness of peer-based interventions in prison settings?Data sourcesFor the systematic review, 20 electronic databases including MEDLINE, PsycINFO, the Cumulative Index to Nursing and Allied Health Literature and EMBASE were searched from 1985. Grey literature and relevant websites were also searched. To supplement the review findings 58 delegates, representing a variety of organisations, attended an expert symposium, which provided contextual information.Review methodsTwo reviewers independently selected studies using the following inclusion criteria: population – prisoners resident in prisons and young offender institutions; intervention – peer-based interventions; comparators: review questions 3 and 4 compared peer-led and professionally led approaches; outcomes – prisoner health or determinants of health, organisational/process outcomes or views of prison populations; study design: quantitative, qualitative and mixed-methods evaluations. Two reviewers extracted data and assessed validity using piloted electronic forms and validity assessment criteria based on published checklists. Results from quantitative studies were combined using narrative summary and meta-analysis when appropriate; results from qualitative studies were combined using thematic synthesis.ResultsA total of 15,320 potentially relevant papers were identified of which 57 studies were included in the effectiveness review and one study was included in the cost-effectiveness review; most were of poor methodological quality. A typology of peer-based interventions was developed. Evidence suggested that peer education interventions are effective at reducing risky behaviours and that peer support services provide an acceptable source of help within the prison environment and have a positive effect on recipients; the strongest evidence came from the Listener scheme. Consistent evidence from many predominantly qualitative studies suggested that being a peer deliverer was associated with positive effects across all intervention types. There was limited evidence about recruitment of peer deliverers. Recurring themes were the importance of prison managerial and staff support for schemes to operate successfully, and risk management. There was little evidence on the cost-effectiveness of peer-based interventions. An economic model, developed from the results of the effectiveness review, although based on data of variable quality and a number of assumptions, showed the cost-effectiveness of peer-led over professionally led education in prison for the prevention of human immunodeficiency virus (HIV) infection.LimitationsThe 58 included studies were, on the whole, of poor methodological quality.ConclusionsThere is consistent evidence from a large number of studies that being a peer worker is associated with positive health. Peer support services can also provide an acceptable source of help within the prison environment and can have a positive effect on recipients. This was confirmed by expert evidence. Research into cost-effectiveness is sparse but a limited HIV-specific economic model, although based on a number of assumptions and evidence of variable quality, showed that peer interventions were cost-effective compared with professionally led interventions. Well-designed intervention studies are needed to provide robust evidence including assessing outcomes for the target population, economic analysis of cost-effectiveness and impacts on prison health services. More research is needed to examine issues of reach, utilisation and acceptability from the perspective of recipients and those who choose not to receive peer support.Study registrationThis study was registered as PROSPERO CRD42012002349.FundingThe National Institute for Health Research Health Services and Delivery Research programme.

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“…• 97 not a research study • In total, therefore, 57 studies 23,[25][26][27]31,32,[36][37][38]101,106, were included in the review of effectiveness (see Table 4 and Appendix 11).…”

Section: Search Resultsmentioning

confidence: 99%

Section: Description Of Included Studiesmentioning

confidence: 99%

Section: Description Of Included Studiesmentioning

confidence: 99%

Section: Description Of Included Studiesmentioning

confidence: 99%

Section: Initial Study Logic Model and Outcomes Frameworkmentioning

confidence: 99%

See 3 more Smart Citations

A systematic review of the effectiveness and cost-effectiveness of peer-based interventions to maintain and improve offender health in prison settings

South

Bagnall

Hulme

et al. 2014

Health Services and Delivery Research

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Black and white and read all over: Race differences in reactions to recruitment Web sites

Goldberg

Allen

2008

Human Resource Management

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Based on signaling theory, this study examines the impact of Web‐site design and content characteristics on applicants' intentions to pursue employment, the mediating effects of engagement with the Web site and attitude toward the organization, and the moderating effects of applicant race on these relationships. The design characteristics of ease of use and usefulness impact attraction indirectly through Web‐site engagement and attitude toward the organization. Further, Web sites' parasocial interaction (allowance for two‐way communication) predicts intentions to pursue both directly and indirectly through engagement and attitude toward the organization. Unexpectedly, diversity statements did not impact attraction in the full sample. Multigroup analyses revealed that many of the paths between the predictors of parasocial interaction and (to a lesser extent) diversity statements and the outcomes differed by race, with stronger effects observed for blacks than whites. Theoretical and practical implications are discussed. © 2008 Wiley Periodicals, Inc.

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Public Health Behind Bars

Greifinger¹

2007

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Effectiveness of an HIV Prevention Intervention in Prison Among African Americans, Hispanics, and Caucasians

Cited by 63 publications

References 31 publications

A systematic review of the effectiveness and cost-effectiveness of peer-based interventions to maintain and improve offender health in prison settings

A systematic review of the effectiveness and cost-effectiveness of peer-based interventions to maintain and improve offender health in prison settings

Black and white and read all over: Race differences in reactions to recruitment Web sites

Public Health Behind Bars

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