Project Salud: Efficacy of a Community-Based HIV Prevention Intervention for Hispanic Migrant Workers in South Florida

AIDS education and prevention: official publication of the International Society for AIDS Education (Impact Factor: 1.51). 10/2013; 25(5):363-75. DOI: 10.1521/aeap.2013.25.5.363
Source: PubMed


Project Salud evaluates the efficacy of a community-based intervention to reduce risk behaviors and enhance factors for HIV-preventative behaviors. A randomized controlled trial of 278 high risk Latino migrant workers was conducted between 2008 and 2010. Participants completed an audio computer-assisted self-interview questionnaire at baseline and 3- and 9-month post-intervention follow-ups. Participants were randomly assigned to the community-based intervention (A-SEMI) or the health promotion condition (HPC). Both interventions consisted of four 2.5-hour interactive sessions and were structurally equivalent in administration and format. Relative to the comparison condition, A-SEMI participants reported more consistent condom use, were less likely to report never having used condoms, and were more likely to have used condoms at last sexual encounter during the past 90 and 30 days. A-SEMI participants also experienced a positive change in regard to factors for HIV-preventive behaviors over the entire 9-month period. Our results support the implementation of communitybased, culturally tailored interventions among Latino migrant workers.

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    • "The main objective of Project Salud was to assess the differential effectiveness of an adapted stage-enhanced motivational interviewing (A-SEMI) intervention compared with a health promotion comparison (HPC) condition for producing reductions in HIV risk and increasing health behaviors among LMWs in the Homestead area of South Florida. The design of the A-SEMI intervention is considered to be an enhancement over existing cognitive behavioral risk reduction approaches because A-SEMI integrates key contextual components from effective HIV prevention interventions (i.e., peer counseling) linked to maintenance of risk reduction effects while culturally adapting these components to the specific needs of the LMW community (29). "
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