Perceptions of Audio Computer-Assisted Self-Interviewing (ACASI) among Women in an HIV-Positive Prevention Program

Estes, Larissa J.; Lloyd, Linda; Teti, Michelle; Raja, Sheela; Bowleg, Lisa; Allgood, Kristi L.; Glick, Nancy

doi:10.1371/journal.pone.0009149

Cited by 51 publications

(46 citation statements)

References 35 publications

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“…ACASI was used to enhance data accuracy, increase participants’ comfort answering sexually explicit questions, and eliminate low literacy as a potential barrier to completing the interview (Estes et al 2010; Zimmerman, Atwood, and Cupp 2006). The ACASI assessed sociodemographics, detention history, sexual history, attitudes, and psychosocial constructs associated with HIV/STI-preventive behaviors.…”

Section: Methodsmentioning

confidence: 99%

Efficacy of an HIV/STI Sexual Risk-Reduction Intervention for African American Adolescent Girls in Juvenile Detention Centers: A Randomized Controlled Trial

et al. 2014

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Background Few HIV/STI interventions exist for African American adolescent girls in juvenile detention. Objective The objective was to evaluate the efficacy of an intervention to reduce incident STIs, improve HIV-preventive behaviors, and enhance psychosocial outcomes. Methods We conducted a randomized controlled trial among African American adolescent girls (13-17 years, N=188) in juvenile detention from March 2011 to May 2012. Assessments occurred at baseline and 3- and 6-months post-randomization and included: audio computer-assisted self-interview, condom skills assessment, and self-collected vaginal swab to detect Chlamydia and gonorrhea. Intervention The Imara intervention included three individual-level sessions and four phone sessions; expedited partner therapy was offered to STI-positive adolescents. The comparison group received the usual care provided by the detention center: STI testing, treatment and counseling. Results At the 6-month assessment (3-months post-intervention) Imara participants reported higher condom use self-efficacy (p<0.001), HIV/STI knowledge (p<0.001), and condom use skills (p<0.001) compared to control participants. No significant differences were observed between trial conditions in incident Chlamydia or gonorrhea infections, condom use, or number of vaginal sex partners. Conclusions Imara for detained African American adolescent girls can improve condom use skills and psychosocial outcomes; however, a critical need for interventions to reduce sexual risk remains.

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Section: Methodsmentioning

confidence: 99%

Efficacy of an HIV/STI Sexual Risk-Reduction Intervention for African American Adolescent Girls in Juvenile Detention Centers: A Randomized Controlled Trial

et al. 2014

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“…The data were self-reported, so there may have been a bias toward underreporting sexual risk behavior or other symptoms. However, the ACASI technology aims to reduce this tendency (Estes, Lloyd, Teti, Raja, Bowleg, Allgood, & Glick, 2010). Although there is a high degree of mulitcoliniarity between the various types of trauma we investigated, domestic violence, prior sexual violence, and community violence were all independently associated with sexual risk.…”

Section: Discussionmentioning

confidence: 90%

History of Traumatic Events in HIV-Positive Individuals: Risk Behavior Implications in an Urban Clinic Setting

Raja

Holland

Bois

et al. 2015

Journal of HIV/AIDS & Social Services

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As HIV=AIDS continues to disproportionately affect African American communities, the need for culturally appropriate, tailored interventions for this clientele is growing. Although prevention efforts often include information about individual coping and mental health, not all programs address the role of traumatic events, including community violence in relation to HIV risk. The authors implemented the Treatment Advocacy Program-Sinai with HIV-positive individuals at a large urban hospital. After controlling for demographics and other psychosocial factors, they found that a history of traumatic events-domestic, sexual, and community violence-were associated with sexual risk behavior for men and women in our sample; however, community violence 110 was overwhelming associated with sexual risk for women. Based on the prevalence of violence and the relationship with sexual risk, they discuss implications for prevention interventions in urban clinic settings.

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“…All rights reserved. mHealth 2017;3:46 mhealth.amegroups.com stigmatized behavior to a computer than an in-person interview (38)(39)(40). Decreasing social desirability bias using CASI/ACASI has been shown to improve validity in sexual and drug behavior research (41)(42)(43).…”

Section: Discussionmentioning

confidence: 99%

Potential benefits of using ecological momentary assessment to study high-risk polydrug use

Roth

Reed

Goldshear

et al. 2017

mHealth

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Background: While studies have documented both the feasibility and acceptability of using ecological momentary assessment (EMA) to study drug use, there is little empirical research assessing participants' perceptions of utilizing this technology-driven approach.Methods: Participants were English-speaking persons ≥18 years old who reported injection drug use and sequential (e.g., alcohol followed by opioid use) or simultaneous (i.e., injecting heroin and cocaine in one shot) polydrug use within 30 days recruited in San Diego, CA and Philadelphia, PA. Participants (N=36) completed two cell phone-based EMA simulations assessing mood, drug use, HIV risk behaviors, and daily activities, followed by semi-structured interviews that probed for potential benefits of participation over time.Qualitative analysis involved an iterative process of reviewing texts from the interviews to create a coding framework, which was then applied to all transcripts to identify themes.Results: Findings suggest participants may derive indirect benefits from participation in EMA studies including: improved self-worth from helping others; experiencing increased social support through utilization of the study-provided mobile device for non-research purposes; and most importantly, increased self-reflection, which could lead to therapeutic and intervention-like effects such as decreased substance use or reduced HIV risk. Conclusions:Participants identified a variety of potential benefits from participating in a study that utilizes EMA. This research suggests that benefits are highly salient for individuals involved in studies of polydrug use.

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Perceptions of Audio Computer-Assisted Self-Interviewing (ACASI) among Women in an HIV-Positive Prevention Program

Cited by 51 publications

References 35 publications

Efficacy of an HIV/STI Sexual Risk-Reduction Intervention for African American Adolescent Girls in Juvenile Detention Centers: A Randomized Controlled Trial

Efficacy of an HIV/STI Sexual Risk-Reduction Intervention for African American Adolescent Girls in Juvenile Detention Centers: A Randomized Controlled Trial

History of Traumatic Events in HIV-Positive Individuals: Risk Behavior Implications in an Urban Clinic Setting

Potential benefits of using ecological momentary assessment to study high-risk polydrug use

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