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Project ÒRÉ

Project ÒRÉ. Investigative Team: M.Margaret Dolcini, Ph.D., Gary W Harper, Ph.D., MPH, Cherrie Boyer, Ph.D., Heneliaka Jones, B.S., Cassandra Perkins, Muszetta Jones Smith, B.S., Rayshone Bow, Stacey Mills, Danetta Cowliah, India Alexis, B.A., Kristin Burnett In Cooperation With:

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Project ÒRÉ

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  1. Project ÒRÉ Investigative Team: M.Margaret Dolcini, Ph.D., Gary W Harper, Ph.D., MPH, Cherrie Boyer, Ph.D., Heneliaka Jones, B.S., Cassandra Perkins, Muszetta Jones Smith, B.S., Rayshone Bow, Stacey Mills, Danetta Cowliah, India Alexis, B.A., Kristin Burnett In Cooperation With: Bayview Hunters Point Library, Bayview Hunters Point YMCA, Bayview Hunters Point Foundation, Booker T. Washington Community Center, Hawkins Village, Potrero Hill Neighborhood House Funded by: The National Institutes of Health through the Adolescent Trails Network (PI, Craig Wilson, MD)

  2. Sexually active African American adolescent females are at high risk for HIV and other STIs • Effective interventions must be tailored to meet the needs of the specific priority population • The present study builds on prior research by this group on inner city youths’ social relationships and sexual health and tests a novel friendship based intervention developed for this population

  3. Prior research indicates that: • Inner city African American youth have close same gender friendship networks, with shared norms regarding sex and drug use • Friends share information about sex and dating and sometimes influence how romantic and sexual relationships unfold • Friendships tend to be stable, thus making friendships based interventions feasible

  4. We developed and pilot tested a novel friendship based intervention with African American youth aged 14-21 years • Based on promising pilot data we were funded to conduct a group randomized controlled trial of our intervention

  5. Study Design Neighborhoods (4 groups) randomized to: Attention Neighborhoods (2) Experimental Neighborhoods (2) Pre-Screen index cased for eligibility: Female, African American, age 14-18, sexually experienced, and conduct informed consent Index Cases identify and recruit 2-5 eligible friends to participate. Determine friend's eligibility & conduct informed consent Give pre-workshop questionnaire to all participants (Index cases and friends recruited) Attention Control Condition: Health intervention 35 groups (132 participants) Experimental Condition: Project ÒRÉ Intervention 35 groups (133 participants) Post-workshop questionnaire (all participants from both conditions) 3 month follow-up questionnaire (all participants from both conditions)

  6. Intervention Development • Used data from longitudinal study, focus groups, qualitative interviews, clinical experience, and other interventions • Incorporated input from two consultants and youth in the community • Incorporated rite of passage rituals, community-specific risk data, and videos made with community youth • Emphasized issues of connectedness among friends and “friends protecting friends” • Specific modules focus on theoretically important dimensions of the AIDS Risk Reduction Model (ARRM) and are highly interactive

  7. Lessons Learned • Knowing the community and the dynamics of the priority population enhances our ability to develop strong programs • Novel programs can be developed that build on prior scientific knowledge and incorporate community specific information • A friendship based HIV/STI program was well accepted by African American young women in the study communities

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