| Titre : | The Effect of Peer-Driven Intervention on Rates of Screening for AIDS Clinical Trials Among African Americans and Hispanics. (2011) |
| Auteurs : | Marya VIORST GWADZ ; Angela BANFIELD ; Charles-M CLELAND ; Noelle-R LEONARD ; MILDVAN (Donna) : USA. Division of Infectious Diseases. Beth Israel Medical Center. New York. ; RIEDEL (Marion) : USA. Columbia University School of Social Work. New York. ; New York University College of Nursing. New York. NY. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 101, n° 6, 2011) |
| Pagination : | 1096-1102 |
| Langues: | Anglais |
| Mots-clés : | Sida ; Taux ; Dépistage ; Essai thérapeutique ; Homme ; Virose ; Infection ; Immunopathologie |
| Résumé : | [BDSP. Notice produite par INIST-CNRS R0x9qlJo. Diffusion soumise à autorisation]. 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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