A comparison of outcomes of specialized and traditional AIDS counseling programs for impoverished women of color

2.50
Hdl Handle:
http://hdl.handle.net/10755/148485
Type:
Presentation
Title:
A comparison of outcomes of specialized and traditional AIDS counseling programs for impoverished women of color
Abstract:
A comparison of outcomes of specialized and traditional AIDS counseling programs for impoverished women of color
Conference Sponsor:Sigma Theta Tau International
Conference Year:1991
Author:Bennett, Crystal, DNS/DNSc/DSN
P.I. Institution Name:UCLA School of Nursing
Title:Project Director
Background/Rationale: Black and Hispanic women are disproportion-

ately affected by Acquired Immunodeficiency Syndrome (AIDS), as 72

percent of women with AIDS are Black or Hispanic. With no hope for

a vaccine in the near future, AIDS education programs are critical.

However, such programs have not been developed for minority women

at risk.



Specific Aims: Evaluate and contrast the effectiveness of two

culturally sensitive AIDS educations programs on cognitive,

behavioral and psychological outcomes of inner-city Black Hispanic

women at risk for HIV infection.



Design: In this controlled, quasi-experimental repeated measures

design, 858 Black (52.2%) and Hispanic (47.8%) Homeless and Drug

Recovery Women were randomly assigned by site into specialized and

traditional intervention. The specialized program was delivered to

483 women, while the traditional program was delivered to 433 women.

Ethnic nurses provided the program. The independent variable was

type of education program. The outcome variables measured were

cognitive factors such as concerns, appraisal of threat, and

knowledge and attitudes of AIDS. Behavioral variables included

problem-and emotion-focused coping, number of sexual partners and

intravenous and non-intravenous drug use within the last six months.

Psychological outcome variables included distress and depression.

All instruments used were culturally revised standardized

instruments with well established reliability and validity in the

target population. These instruments consisted of the Inventory of

Current concerns (Weisman et al, 1980), Primary Appraisal (Folkman

et al, 1986), AIDS knowledge and Attitude (Flaskerud and Nyamathi,

1989), Coping Scale (Jalowiec and Powers, 1981), POMS (McNair et al,

1981), CES-D (Derogatis and Clearly, 1977), and risk items. Data

were collected by the ethnic staff by direct interview. A two-week

retest was conducted with 95 percent of the sample. Statistical

methods used included repeated measures ANOVA, ANCOVA and linear

analysis.



Results: Findings revealed statistically significant changes in

cognitive, behavioral and psychosocial variables from pretest to 2

week post-test. Group and group by time interactions were also

evident.



Conclusions: The project has been successful in recruiting and

following-up with at-risk minority women over a two week period.

Findings suggest the short time intervention has had a positive

impact on cognitive, behavioral and psychosocial variables

regardless of intensity of program. Implications result in need

for long term follow-up and an investigation of the impact of race,

site and acculturation on change.



Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleA comparison of outcomes of specialized and traditional AIDS counseling programs for impoverished women of coloren_GB
dc.identifier.urihttp://hdl.handle.net/10755/148485-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A comparison of outcomes of specialized and traditional AIDS counseling programs for impoverished women of color</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">1991</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Bennett, Crystal, DNS/DNSc/DSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">UCLA School of Nursing</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Project Director</td></tr><tr><td colspan="2" class="item-abstract">Background/Rationale: Black and Hispanic women are disproportion-<br/><br/>ately affected by Acquired Immunodeficiency Syndrome (AIDS), as 72<br/><br/>percent of women with AIDS are Black or Hispanic. With no hope for<br/><br/>a vaccine in the near future, AIDS education programs are critical.<br/><br/>However, such programs have not been developed for minority women<br/><br/>at risk.<br/><br/><br/><br/>Specific Aims: Evaluate and contrast the effectiveness of two<br/><br/>culturally sensitive AIDS educations programs on cognitive,<br/><br/>behavioral and psychological outcomes of inner-city Black Hispanic<br/><br/>women at risk for HIV infection.<br/><br/><br/><br/>Design: In this controlled, quasi-experimental repeated measures<br/><br/>design, 858 Black (52.2%) and Hispanic (47.8%) Homeless and Drug<br/><br/>Recovery Women were randomly assigned by site into specialized and<br/><br/>traditional intervention. The specialized program was delivered to<br/><br/>483 women, while the traditional program was delivered to 433 women.<br/><br/>Ethnic nurses provided the program. The independent variable was<br/><br/>type of education program. The outcome variables measured were<br/><br/>cognitive factors such as concerns, appraisal of threat, and<br/><br/>knowledge and attitudes of AIDS. Behavioral variables included<br/><br/>problem-and emotion-focused coping, number of sexual partners and<br/><br/>intravenous and non-intravenous drug use within the last six months.<br/><br/>Psychological outcome variables included distress and depression.<br/><br/>All instruments used were culturally revised standardized<br/><br/>instruments with well established reliability and validity in the<br/><br/>target population. These instruments consisted of the Inventory of<br/><br/>Current concerns (Weisman et al, 1980), Primary Appraisal (Folkman<br/><br/>et al, 1986), AIDS knowledge and Attitude (Flaskerud and Nyamathi,<br/><br/>1989), Coping Scale (Jalowiec and Powers, 1981), POMS (McNair et al,<br/><br/>1981), CES-D (Derogatis and Clearly, 1977), and risk items. Data<br/><br/>were collected by the ethnic staff by direct interview. A two-week<br/><br/>retest was conducted with 95 percent of the sample. Statistical<br/><br/>methods used included repeated measures ANOVA, ANCOVA and linear<br/><br/>analysis.<br/><br/><br/><br/>Results: Findings revealed statistically significant changes in<br/><br/>cognitive, behavioral and psychosocial variables from pretest to 2<br/><br/>week post-test. Group and group by time interactions were also<br/><br/>evident.<br/><br/><br/><br/>Conclusions: The project has been successful in recruiting and<br/><br/>following-up with at-risk minority women over a two week period.<br/><br/>Findings suggest the short time intervention has had a positive<br/><br/>impact on cognitive, behavioral and psychosocial variables<br/><br/>regardless of intensity of program. Implications result in need<br/><br/>for long term follow-up and an investigation of the impact of race,<br/><br/>site and acculturation on change.<br/><br/><br/><br/></td></tr></table>en_GB
dc.date.available2011-10-26T09:45:52Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:45:52Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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