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- Title
The Effect of Peer-Driven Intervention on Rates of Screening for AIDS Clinical Trials Among African Americans and Hispanics.
- Authors
Gwadz, Marya Viorst; Leonard, Noelle R.; Cleland, Charles M.; Riedel, Marion; Banfield, Angela; Mildvan, Donna; the ACT2 Project Collaborative Research Team
- Abstract
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.
- Subjects
NEW York (State); AIDS; ANALYSIS of variance; BLACK people; COMPARATIVE studies; HEALTH services accessibility; HISPANIC Americans; MEDICAL screening; PROBABILITY theory; RESEARCH funding; STATISTICAL sampling; AFFINITY groups; ELIGIBILITY (Social aspects); RANDOMIZED controlled trials; MOTIVATIONAL interviewing; CONTROL groups; HUMAN research subjects; PATIENT selection
- Publication
American Journal of Public Health, 2011, Vol 101, Issue 6, p1096
- ISSN
0090-0036
- Publication type
Article
- DOI
10.2105/AJPH. 2010.196048