Project  SPARC S ubstance Abuse/HIV/Hepatitis P revention for A dults R eentering the  C ommunity Community Pediatrics Tes...
Key Ideas <ul><li>Substance abuse, HIV/AIDS, and hepatitis are interrelated.  </li></ul><ul><li>San Antonio has unique nee...
HIV/AIDS and Hepatitis <ul><li>Complicate each other’s treatment </li></ul><ul><li>CDC recommended addressing together </l...
<ul><li>TX ranks 4 th  in nation for HIV prevalence  (CDC, 2008) </li></ul><ul><li>7% of total PLWHA in SA; 6% diagnosed i...
Population <ul><li>Minority adults involved in criminal justice system for drug-related crimes </li></ul><ul><li>Integrate...
Drug Court Participants & Sexual Partners <ul><ul><li>N=230 </li></ul></ul><ul><ul><li>Mean age: 33.75 (range 17-61) </li>...
Educational Tools <ul><li>Scientific & colloquial terms </li></ul><ul><li>Role-playing </li></ul><ul><li>Movies </li></ul>...
Body Openings Activity <ul><li>Rank these body openings for effectiveness in HIV transmission:  </li></ul><ul><ul><li>Vein...
Condom Demonstration <ul><li>Hands on </li></ul><ul><li>Helps with anxieties </li></ul><ul><li>Practice/learn important st...
Condom Demonstration
Condom Cons and Comebacks <ul><li>“ It doesn’t feel as good.” </li></ul><ul><ul><li>Use lube – inside and out! </li></ul><...
Assessment <ul><li>10-item true-false knowledge assessment  </li></ul><ul><ul><li>“ Birth control pills protect women from...
Results <ul><ul><li>Overall: t[308]=9.45, p<.001 </li></ul></ul><ul><ul><li>Drug court: t[187]=9.24, p<.001 </li></ul></ul...
Conclusions <ul><li>SPARC curriculum improves HIV and hepatitis knowledge </li></ul><ul><li>Both full and brief curricula ...
Acknowledgements <ul><li>SPARC Team </li></ul><ul><li>Delma Johnson, Surveyor </li></ul><ul><li>Candi Pieper & Gloria Pere...
<ul><li>THANK YOU </li></ul><ul><li>Questions? </li></ul>Community Pediatrics Presenters Teshina Mattson April Biasiolli D...
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Substance Abuse/HIV/Hepatitis Prevention for Adults Reentering the Community (SPARC)

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Project SPARC designed and implemented an evidence-based integrated substance abuse, HIV/AIDS, and hepatitis prevention curriculum to people involved in the criminal justice system for drug-related crimes to increase HIV/AIDS and hepatitis knowledge among high-risk individuals.

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Substance Abuse/HIV/Hepatitis Prevention for Adults Reentering the Community (SPARC)

  1. 1. Project SPARC S ubstance Abuse/HIV/Hepatitis P revention for A dults R eentering the C ommunity Community Pediatrics Teshina Mattson April Biasiolli Drew Russell Nancy Amodei, PhD Anthony Scott, PhD Irene Chedjieu
  2. 2. Key Ideas <ul><li>Substance abuse, HIV/AIDS, and hepatitis are interrelated. </li></ul><ul><li>San Antonio has unique needs related to these diseases. </li></ul><ul><li>Educational activities emphasize participation and encourage learning. </li></ul><ul><li>Project SPARC curriculum improves HIV and hepatitis knowledge. </li></ul>
  3. 3. HIV/AIDS and Hepatitis <ul><li>Complicate each other’s treatment </li></ul><ul><li>CDC recommended addressing together </li></ul><ul><li>Associated with: Incarceration Drug use Risky Sex Sex work </li></ul>
  4. 4. <ul><li>TX ranks 4 th in nation for HIV prevalence (CDC, 2008) </li></ul><ul><li>7% of total PLWHA in SA; 6% diagnosed in TDCJ (TX-DSHS, 2008) </li></ul><ul><li>HCV affects 1.79% of TX population (Yalamanchili, 2005); 27-48% of incarcerated (Baillargeon, 2003) </li></ul><ul><li>Minorities disproportionately effected </li></ul>Bexar County: San Antonio
  5. 5. Population <ul><li>Minority adults involved in criminal justice system for drug-related crimes </li></ul><ul><li>Integrated substance abuse, HIV, and hepatitis education </li></ul><ul><ul><li>Drug Court: 5 x 2-hour </li></ul></ul><ul><ul><li>Treatment: 1 x 2-hour </li></ul></ul><ul><ul><li>Bexar County Drug Court </li></ul></ul><ul><ul><li>In-patient treatment </li></ul></ul>Intervention Social-Cognitive Theory
  6. 6. Drug Court Participants & Sexual Partners <ul><ul><li>N=230 </li></ul></ul><ul><ul><li>Mean age: 33.75 (range 17-61) </li></ul></ul><ul><ul><li>52% male </li></ul></ul><ul><ul><li>56% white; 22% black; 21.3% other </li></ul></ul><ul><ul><li>57% Hispanic (N=131) </li></ul></ul><ul><ul><li>N=138 </li></ul></ul><ul><ul><li>Mean age: 30 (range 19-63) </li></ul></ul><ul><ul><li>87% male </li></ul></ul><ul><ul><li>61% white; 17% black; 25% other </li></ul></ul><ul><ul><li>70% Hispanic (N=97) </li></ul></ul>In-patient Treatment Participants Demographics
  7. 7. Educational Tools <ul><li>Scientific & colloquial terms </li></ul><ul><li>Role-playing </li></ul><ul><li>Movies </li></ul><ul><li>Metaphors </li></ul><ul><li>Jokes </li></ul><ul><li>Discussions </li></ul><ul><li>Interactive activities </li></ul><ul><li>Risk reduction reasoning </li></ul>
  8. 8. Body Openings Activity <ul><li>Rank these body openings for effectiveness in HIV transmission: </li></ul><ul><ul><li>Vein </li></ul></ul><ul><ul><li>Anus </li></ul></ul><ul><ul><li>Vagina </li></ul></ul><ul><ul><li>Meatus </li></ul></ul><ul><ul><li>Mouth </li></ul></ul><ul><li>Teaches vocabulary </li></ul><ul><li>Gets participants involved </li></ul><ul><li>Think about HIV in a new way: “If you were HIV, how would you want to get into the body?” </li></ul>
  9. 9. Condom Demonstration <ul><li>Hands on </li></ul><ul><li>Helps with anxieties </li></ul><ul><li>Practice/learn important steps </li></ul><ul><li>Creates a light-hearted atmosphere </li></ul>
  10. 10. Condom Demonstration
  11. 11. Condom Cons and Comebacks <ul><li>“ It doesn’t feel as good.” </li></ul><ul><ul><li>Use lube – inside and out! </li></ul></ul><ul><ul><li>Try out different types </li></ul></ul><ul><li>“ I don’t want to ruin the moment.” </li></ul><ul><ul><li>Keep condoms handy. </li></ul></ul><ul><ul><li>Practice </li></ul></ul><ul><ul><li>Make it part of foreplay </li></ul></ul><ul><li>“ I’m embarrassed to talk about it.” </li></ul><ul><ul><li>Role-play or practice mentally </li></ul></ul><ul><ul><li>Use non-verbal communication </li></ul></ul><ul><ul><li>Be positive: “I want use to both feel safe and relaxed.” </li></ul></ul><ul><li>“ My partner will think I’m ‘dirty’ or cheating.” </li></ul><ul><ul><li>Listen and acknowledge feelings </li></ul></ul><ul><ul><li>STIs are common & often asymptomatic </li></ul></ul>
  12. 12. Assessment <ul><li>10-item true-false knowledge assessment </li></ul><ul><ul><li>“ Birth control pills protect women from getting HIV/AIDS.” </li></ul></ul><ul><ul><li>“ Only people who look sick can spread the HIV/AIDS virus.” </li></ul></ul><ul><ul><li>“ There is no cure for AIDS.” </li></ul></ul><ul><ul><li>“ Hepatitis is a disease that causes inflammation of the liver.” </li></ul></ul><ul><ul><li>“ Everyone who has the hepatitis C virus develops symptoms.” </li></ul></ul><ul><li>Score 0-100 </li></ul>
  13. 13. Results <ul><ul><li>Overall: t[308]=9.45, p<.001 </li></ul></ul><ul><ul><li>Drug court: t[187]=9.24, p<.001 </li></ul></ul><ul><ul><li>Treatment: t[120]=4.1, p<.001 </li></ul></ul>
  14. 14. Conclusions <ul><li>SPARC curriculum improves HIV and hepatitis knowledge </li></ul><ul><li>Both full and brief curricula effective </li></ul>Implications <ul><li>Contributes to prevention outcomes & knowledge regarding effective programs for minorities involved in criminal justice system </li></ul><ul><li>There is a need and eagerness to learn from this population </li></ul>
  15. 15. Acknowledgements <ul><li>SPARC Team </li></ul><ul><li>Delma Johnson, Surveyor </li></ul><ul><li>Candi Pieper & Gloria Perez, Administrative Support </li></ul><ul><li>Bexar County Drug Court Team </li></ul><ul><li>Judge Alfonso Alonso </li></ul><ul><li>Judge Ernie Glenn </li></ul><ul><li>Roberto Ruiz & Diana Zamarron, </li></ul><ul><li>DC Coordinators </li></ul>Providers Alamo Medical Research San Antonio AIDS Foundation & Hope Action Care
  16. 16. <ul><li>THANK YOU </li></ul><ul><li>Questions? </li></ul>Community Pediatrics Presenters Teshina Mattson April Biasiolli Drew Russell

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