Skip to main content
Erschienen in: AIDS and Behavior 3/2010

01.06.2010 | Original Paper

A Randomized Trial to Evaluate the Efficacy of a Computer-Tailored Intervention to Promote Safer Injection Practices Among Drug Users

verfasst von: Hélène Gagnon, Gaston Godin, Michel Alary, Julie Bruneau, Joanne Otis

Erschienen in: AIDS and Behavior | Ausgabe 3/2010

Einloggen, um Zugang zu erhalten

Abstract

The aim of this study was to evaluate the efficacy of a theory-based intervention to increase the use of a new syringe for each injection among injection drug users (IDUs). Users of two needle exchange programs (NEPs) were involved. At both sites, participants were assigned at random to either the experimental or the control group. Once a week for four weeks, users reported to the NEPs where they logged onto a computer and received an audiovisual message. A total of 260 IDUs were recruited. At baseline, 52.3% of participants reported that they had not always used new syringes in the previous week. The results indicate that it is possible for IDUs to adopt safer injection practices. One month after the intervention began, participants in the experimental group were using fewer dirty syringes compared to the control group (RR: 0.47 CI95% 0.28–0.79; P = .004). This short-term effect was no longer present 3 months later.
Literatur
1.
Zurück zum Zitat Gibson DR, Flynn NM, Perales D. Effectiveness of syringe exchange programs in reducing HIV risk behavior and HIV seroconversion among injecting drug users. AIDS. 2001;15:1329–41.CrossRefPubMed Gibson DR, Flynn NM, Perales D. Effectiveness of syringe exchange programs in reducing HIV risk behavior and HIV seroconversion among injecting drug users. AIDS. 2001;15:1329–41.CrossRefPubMed
2.
Zurück zum Zitat Strathdee SA, Patrick DM, Currie SL, et al. Needle exchange is not enough: lessons from the Vancouver injecting drug use study. AIDS. 1997;11:F59–65.CrossRefPubMed Strathdee SA, Patrick DM, Currie SL, et al. Needle exchange is not enough: lessons from the Vancouver injecting drug use study. AIDS. 1997;11:F59–65.CrossRefPubMed
3.
Zurück zum Zitat Golub ET, Strathdee SA, Bailey SL, et al. Distributive syringe sharing among young adult injection drug users in five U.S. cities. Drug Alcohol Depend. 2007;91S:S30–8.CrossRef Golub ET, Strathdee SA, Bailey SL, et al. Distributive syringe sharing among young adult injection drug users in five U.S. cities. Drug Alcohol Depend. 2007;91S:S30–8.CrossRef
4.
Zurück zum Zitat Bailey SL, Ouellet LJ, Mackesy-Amiti ME, et al. Perceived risk, peer influences, and injection partner type predict receptive syringe sharing among young adult injection drug users in five U.S. cities. Drug Alcohol Depend. 2007;91S:S18–29.CrossRef Bailey SL, Ouellet LJ, Mackesy-Amiti ME, et al. Perceived risk, peer influences, and injection partner type predict receptive syringe sharing among young adult injection drug users in five U.S. cities. Drug Alcohol Depend. 2007;91S:S18–29.CrossRef
5.
Zurück zum Zitat Parent R, Morissette C, Roy E, Alary M, Leclerc P. Groupe SurvUDI. Surveillance épidémiologique du VIH et du VHC chez les utilisateurs de drogues par injection au Québec: faits saillants des observations du réseau SurvUDI. Bull Epid Heb Thématique. 2006;40(41):307–10. Parent R, Morissette C, Roy E, Alary M, Leclerc P. Groupe SurvUDI. Surveillance épidémiologique du VIH et du VHC chez les utilisateurs de drogues par injection au Québec: faits saillants des observations du réseau SurvUDI. Bull Epid Heb Thématique. 2006;40(41):307–10.
6.
Zurück zum Zitat Gagnon H, Godin G. Psychosocial factors explaining drug users’ intention to use a new syringe at each injection. Addict Res Theory. 2009;17(5):481–92.CrossRef Gagnon H, Godin G. Psychosocial factors explaining drug users’ intention to use a new syringe at each injection. Addict Res Theory. 2009;17(5):481–92.CrossRef
7.
Zurück zum Zitat Bartholomew LK, Parcel GS, Kok G, Gottlieb NH. Planning health promotion programs: an intervention mapping approach, second edition. San Francisco, CA: Jossey-Bass; 2006. Bartholomew LK, Parcel GS, Kok G, Gottlieb NH. Planning health promotion programs: an intervention mapping approach, second edition. San Francisco, CA: Jossey-Bass; 2006.
8.
Zurück zum Zitat Alewijnse D, Metsemakers J, Mesters I, van den Borne B. Effectiveness of pelvic floor muscle exercise therapy supplemented with a health education program to promote long-term adherence among women with urinary incontinence. Neurourol Urodyn. 2003;22:284–95.CrossRefPubMed Alewijnse D, Metsemakers J, Mesters I, van den Borne B. Effectiveness of pelvic floor muscle exercise therapy supplemented with a health education program to promote long-term adherence among women with urinary incontinence. Neurourol Urodyn. 2003;22:284–95.CrossRefPubMed
9.
Zurück zum Zitat Godin G, Naccache H, Côté F, Leclerc R, Fréchette M, Alary M. Promotion of safe sex: evaluation of a community-level intervention programme in gay bars, saunas and sex shops. Health Educ Res. 2008;23:287–97.CrossRefPubMed Godin G, Naccache H, Côté F, Leclerc R, Fréchette M, Alary M. Promotion of safe sex: evaluation of a community-level intervention programme in gay bars, saunas and sex shops. Health Educ Res. 2008;23:287–97.CrossRefPubMed
10.
Zurück zum Zitat Bélanger D, Godin G, Alary M, Noël L, Côté N, Claessens C. Prediction of needle sharing among injection drug users. J Appl Soc Psychol. 2002;32(7):1361–78.CrossRef Bélanger D, Godin G, Alary M, Noël L, Côté N, Claessens C. Prediction of needle sharing among injection drug users. J Appl Soc Psychol. 2002;32(7):1361–78.CrossRef
11.
Zurück zum Zitat Côté F, Godin G, Mercure S, Noel L, Preventing AM, IV H. Transmission among marginalized injection drug users: new insights from a Quebec city base research. Int J Drug Policy. 2006;17:411–7.CrossRef Côté F, Godin G, Mercure S, Noel L, Preventing AM, IV H. Transmission among marginalized injection drug users: new insights from a Quebec city base research. Int J Drug Policy. 2006;17:411–7.CrossRef
12.
Zurück zum Zitat Ajzen I. From intentions to actions: a theory of planned behavior. In: Kuhl J, Beckman J, editors. Action control: from cognition to behavior. Heidelberg: Springer; 1985. Ajzen I. From intentions to actions: a theory of planned behavior. In: Kuhl J, Beckman J, editors. Action control: from cognition to behavior. Heidelberg: Springer; 1985.
13.
Zurück zum Zitat Hardeman W, Johnston M, Johnston D, Bonetti D, Wareham N, Kinmonth AL. Application of the theory of planned behaviour in behaviour change Interventions: a systematic review. Psychol Health. 2002;17(2):123–58. Hardeman W, Johnston M, Johnston D, Bonetti D, Wareham N, Kinmonth AL. Application of the theory of planned behaviour in behaviour change Interventions: a systematic review. Psychol Health. 2002;17(2):123–58.
14.
Zurück zum Zitat Kalichman SC, Hospers HJ. Efficacy of behavioral-skills enhancement HIV risk-reduction interventions in community settings. AIDS. 1997;11(suppl A):S191–9.PubMed Kalichman SC, Hospers HJ. Efficacy of behavioral-skills enhancement HIV risk-reduction interventions in community settings. AIDS. 1997;11(suppl A):S191–9.PubMed
15.
Zurück zum Zitat van Empelen P, Kok G, Schaalma HP, Bartholomew LK. An AIDS risk reduction program for Dutch drug users: an intervention mapping approach to planning. Health Promot Pract. 2003;4(4):402–12.CrossRefPubMed van Empelen P, Kok G, Schaalma HP, Bartholomew LK. An AIDS risk reduction program for Dutch drug users: an intervention mapping approach to planning. Health Promot Pract. 2003;4(4):402–12.CrossRefPubMed
16.
Zurück zum Zitat Dijkstra A, de Vries H. The development of computer-generated tailored interventions. Patient Educ Couns. 1999;36:193–203.CrossRefPubMed Dijkstra A, de Vries H. The development of computer-generated tailored interventions. Patient Educ Couns. 1999;36:193–203.CrossRefPubMed
17.
Zurück zum Zitat Petty RE, Cacioppo JT. The elaboration likelihood model of persuasion. Adv Exp Soc Psychol. 1986;19:179–82. Petty RE, Cacioppo JT. The elaboration likelihood model of persuasion. Adv Exp Soc Psychol. 1986;19:179–82.
18.
Zurück zum Zitat Bandura A. Health promotion from the perspective of social cognitive theory. Psychol Health. 1997;00:1–27. Bandura A. Health promotion from the perspective of social cognitive theory. Psychol Health. 1997;00:1–27.
19.
Zurück zum Zitat Gollwitzer PM. Implementation intentions: strong effects of simple plans. Am Psychol. 1999;54(7):493–503.CrossRef Gollwitzer PM. Implementation intentions: strong effects of simple plans. Am Psychol. 1999;54(7):493–503.CrossRef
20.
Zurück zum Zitat Sheeran P, Milne S, Webb TL, Golwitzer PM, Conner M, Norman P. Implementation intentions and health behaviours. In: Conner M, Norman P, editors. Predicting health behaviour: research and practice with social cognition models. 2nd ed. Maidenhead: Open University Press; 2005. Sheeran P, Milne S, Webb TL, Golwitzer PM, Conner M, Norman P. Implementation intentions and health behaviours. In: Conner M, Norman P, editors. Predicting health behaviour: research and practice with social cognition models. 2nd ed. Maidenhead: Open University Press; 2005.
21.
Zurück zum Zitat Kreuter MW, Farrell D, Olevitch L, Brennan L. Tailoring health messages: customizing communication with computer technology. Mahwah, NJ: Lawrence Erlbaum Associates; 2000. Kreuter MW, Farrell D, Olevitch L, Brennan L. Tailoring health messages: customizing communication with computer technology. Mahwah, NJ: Lawrence Erlbaum Associates; 2000.
22.
Zurück zum Zitat de Vries H, Brug J. Computer-tailoring interventions motivating people to adopt health promoting behaviours: introduction to a new approach. Patient Educ Couns. 1999;36:99–105.CrossRefPubMed de Vries H, Brug J. Computer-tailoring interventions motivating people to adopt health promoting behaviours: introduction to a new approach. Patient Educ Couns. 1999;36:99–105.CrossRefPubMed
23.
Zurück zum Zitat Albarracin D, McNatt PS, Klein CYF, Ho RM, Mitchell AL, Tarcan Kumbale G. Persuasive communications to change actions: an analysis of behavioral and cognitive impact in HIV prevention. Health Psychol. 2003;22(2):166–77.CrossRefPubMed Albarracin D, McNatt PS, Klein CYF, Ho RM, Mitchell AL, Tarcan Kumbale G. Persuasive communications to change actions: an analysis of behavioral and cognitive impact in HIV prevention. Health Psychol. 2003;22(2):166–77.CrossRefPubMed
24.
Zurück zum Zitat Durantini MR, Albarracin D, Mitchell AL, Earl AN, Gillette JC. Conceptualizing the influence of social agents of behavior change: a meta-analysis of the effectiveness of HIV-prevention interventionists for different groups. Psychol Bull. 2006;132(2):212–48.CrossRefPubMed Durantini MR, Albarracin D, Mitchell AL, Earl AN, Gillette JC. Conceptualizing the influence of social agents of behavior change: a meta-analysis of the effectiveness of HIV-prevention interventionists for different groups. Psychol Bull. 2006;132(2):212–48.CrossRefPubMed
25.
Zurück zum Zitat Bounaud V, Collin JF, Godin G. Implantation d’une stratégie d’éducation à la santé sur support informatique pour un programme d’échange de seringues à Québec: étude de faisabilité. Nancy: Université Henri Poincaré; 2004. Bounaud V, Collin JF, Godin G. Implantation d’une stratégie d’éducation à la santé sur support informatique pour un programme d’échange de seringues à Québec: étude de faisabilité. Nancy: Université Henri Poincaré; 2004.
26.
Zurück zum Zitat Liang K, Zeger S. Longitudinal data analysis using general linear models. Biometrika. 1986;73(1):13–22.CrossRef Liang K, Zeger S. Longitudinal data analysis using general linear models. Biometrika. 1986;73(1):13–22.CrossRef
27.
Zurück zum Zitat SAS Institute. SAS/STAT 9.1 User’s guide. Cary, NC: SAS Institute Inc; 2004. SAS Institute. SAS/STAT 9.1 User’s guide. Cary, NC: SAS Institute Inc; 2004.
28.
Zurück zum Zitat Kalichman SC, Sikkema KJ, Kelly JA, Bulto M. Use of a brief behavioral skills intervention to prevent HIV infection among chronic mentally ill adults. Psychiatr Serv. 1995;46(3):275–80.PubMed Kalichman SC, Sikkema KJ, Kelly JA, Bulto M. Use of a brief behavioral skills intervention to prevent HIV infection among chronic mentally ill adults. Psychiatr Serv. 1995;46(3):275–80.PubMed
29.
Zurück zum Zitat DesJarlais DC, Friedman SR. Fifteen years of research on preventing HIV infection among injection drug users: what we have learned, what we have done, what we have not done. Public Health Rep. 1998;113:182–8. DesJarlais DC, Friedman SR. Fifteen years of research on preventing HIV infection among injection drug users: what we have learned, what we have done, what we have not done. Public Health Rep. 1998;113:182–8.
30.
Zurück zum Zitat Brug J, Campbell M, van Assema P. The application and impact of computer-generated personalized nutrition education: a review of the literature. Patient Educ Couns. 1999;36:145–56.CrossRefPubMed Brug J, Campbell M, van Assema P. The application and impact of computer-generated personalized nutrition education: a review of the literature. Patient Educ Couns. 1999;36:145–56.CrossRefPubMed
31.
Zurück zum Zitat Kiene SM, Barta WD. A brief individualized computer-delivered sexual risk education intervention increases HIV/AIDS preventive behavior. J Adolesc Health. 2006;39:404–10.CrossRefPubMed Kiene SM, Barta WD. A brief individualized computer-delivered sexual risk education intervention increases HIV/AIDS preventive behavior. J Adolesc Health. 2006;39:404–10.CrossRefPubMed
32.
Zurück zum Zitat Rakowski W. The potential variances of tailoring in health behavior interventions. Ann Behav Med. 1999;21(4):284–9.CrossRefPubMed Rakowski W. The potential variances of tailoring in health behavior interventions. Ann Behav Med. 1999;21(4):284–9.CrossRefPubMed
33.
Zurück zum Zitat Corsi KF, Van Hunnik B, Kwiatkowski CF, Booth RE. Computerized tracking and follow-up techniques in longitudinal research with drug users. Health Serv Outcomes Res Method. 2006;6:101–10.CrossRef Corsi KF, Van Hunnik B, Kwiatkowski CF, Booth RE. Computerized tracking and follow-up techniques in longitudinal research with drug users. Health Serv Outcomes Res Method. 2006;6:101–10.CrossRef
34.
Zurück zum Zitat Noel L, Allard PR, Cloutier R. Statistiques sur les services relatifs aux programmes de prévention du VIH et des hépatites B et C offerts aux utilisateurs de drogues par injection du Québec. Québec: Institut national de santé publique du Québec; 2007. Noel L, Allard PR, Cloutier R. Statistiques sur les services relatifs aux programmes de prévention du VIH et des hépatites B et C offerts aux utilisateurs de drogues par injection du Québec. Québec: Institut national de santé publique du Québec; 2007.
Metadaten
Titel
A Randomized Trial to Evaluate the Efficacy of a Computer-Tailored Intervention to Promote Safer Injection Practices Among Drug Users
verfasst von
Hélène Gagnon
Gaston Godin
Michel Alary
Julie Bruneau
Joanne Otis
Publikationsdatum
01.06.2010
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 3/2010
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-009-9651-x

Weitere Artikel der Ausgabe 3/2010

AIDS and Behavior 3/2010 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.