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HIV Prevention in High-Risk Drug Use Sites: Project RAP
Research Method: Intervention Research
Principal Investigators: Margaret R. Weeks, Ph.D. (PI),
Jean J. Schensul, Ph.D. (Co-PI)
Grant: National Institute on Drug Abuse (1-R01-DA13356)
Partners: Hispanic Health Council
Dates of Study: 2001-2005

Abstract
Reaching active drug users to provide them with information and materials to support HIV prevention has often been hampered by the inability to disseminate harm reduction information and model prevention behavior in locations where individual are using drugs and where risky exchanges of syringes and works actually occur. The Risk Avoidance Partnership (RAP) project is measuring HIV prevention adoption by drug users and their social networks in Hartford, CT. Using a harm-reduction framework and working with active drug users - peer leaders trained to be peer health advocates - in the settings in which they carry out their daily activities, the study is introducing peer developed harm reduction messages and products designed to promote risk prevention. Through surveys, ethnographic observation and tracking of peer-led intervention activities, the study evaluates the efficacy of this prevention approach. The project will also initiate the development of a drug-user-led community advocacy group as a vehicle for addressing issues of concern to the drug using community. The study is based on findings from "Study of High Risk Drug Use Settings for HIV Prevention".
Project Goals and Objectives
The goals of this project are to:
Develop, document and evaluate the effectiveness of an intervention approach that is based in drug using locations and uses peer leaders and drug-using networks for the distribution of HIV prevention materials and information.
Train and educate active drug users to become "leaders," or Peer Health Advocates, who educate and model HIV prevention to members of their drug using networks.
Describe the characteristics and relationships of effective Peer Health Advocates who are most successful in bringing about the long-term adoption of HIV prevention behavior amongst their friends and relations.
Initiate and document the development of, and activities associated with, a drug-user-led Community Health Advocacy group as a way to address issues identified by, and of concern to, active drug users and to support sustainability of the intervention over time.

Project Details
Peer Health Advocates (PHAs) are active drug users trained to disseminate HIV prevention information and practices to their own networks and other active drug users in locations where individuals use and elsewhere in the community. Those recruited as Peer Health Advocates participate in a 13-week training program in HIV prevention strategies, based upon messages, products and procedures developed by active drug users for use with their networks and in drug use settings. Trained PHAs (150 over two years) are encouraged to disseminate their prevention knowledge and skills among their drug using networks and in known high-risk settings where drugs are regularly used. A community-wide survey and 360 individual interviews will be used to assess changes in prevention behavior and the impact of the PHAs in the drug-using community of Hartford over time. The model's strength lies in its potential for sustainability, as most PHAs are long-term drug users who are committed to the local community, regardless of their drug use status.

Project Findings
Poster presentation (pdf)

Project Contact:
Margaret R. Weeks, Ph.D., Principal Investigator

Diafuka Saila-Ngita, Ph.D.
Project Coordinator

Project Staff:
ICR
Margaret R. Weeks, Ph.D., Principal Investigator
Jean J. Schensul, Ph.D.,
Co-Principal Investigator
Kim Radda, R.N., M.A.,
Co-Principal Investigator
Diafuka Saila-Ngita, Ph.D., Project Coordinator
Julia Dickson-Gomez, Ph.D., Ethnographer
Mark Convey, M.A., Ethnographer
Juan Restrepo, M.H.S.A., Data Manager
Katie Mosack, Ph.D.,
Data Analyst
Oscar Woods, H.S., Intervention Facilitator
Chris Ortiz, H.S.,
Intervention Facilitator
Maria Martinez
Intervention Coordinator

Hispanic Health Council
Scott Clair, Ph.D.,
Data Analyst



The Risk Avoidance Partnership: Project RAP
Peer-Led HIV Prevention with Drug Using Networks in High-Risk Settings (PDF)

Presentation by Margaret R. Weeks, Ph.D.

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Link to Research Methods page


Link to Intervention Research Methods page