7659
document
Evaluating the impact of peer , nurse case-managed , and standard HIV risk-reduction programs on psychosocial and health-promoting behavioral outcomes among homeless women . Investigators examined the 6-month impact of three cognitive-behavioral HIV risk-reduction programs on behavioral factors ( substance use and sexual risk behaviors ) and cognitive and psychological resources of 325 women who resided in emergency or sober-living shelters and their 308 intimate sexual partners . Participants were randomized by shelter to a peer-mentored , a nurse case-managed , or a standard care HIV risk-reduction program . Significant improvements were observed in all groups in all behavioral factors and cognitive and psychological resources except for self-esteem . Participants in the peer-mentored and nurse case-managed groups did not differ significantly from the standard group in self-esteem , life satisfaction , psychological well-being , use of noninjection drugs , sex with multiple partners , and unprotected sex at 6 months ( n = 633 ) . It was concluded that a standard approach by health care professionals appears to effectively modify HIV risk behaviors for a majority of homeless participants and may have important economic and policy implications . Further , the impact of short-term programs that address psychological vulnerabilities of impoverished populations needs to be studied further .
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Intervention_Educational
peer , nurse case-managed , and standard HIV risk-reduction programs
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Intervention_Educational
cognitive-behavioral HIV risk-reduction programs
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Intervention_Educational
peer-mentored , a nurse case-managed
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Intervention_Control
standard care HIV risk-reduction program
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Intervention_Educational
peer-mentored and nurse case-managed
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Intervention_Control
standard group
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Outcome_Mental
psychosocial and health-promoting behavioral outcomes
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Outcome_Mental
behavioral factors
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Outcome_Other
cognitive and psychological resources
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Outcome_Other
peer-mentored , a nurse case-managed , or a standard care HIV risk-reduction
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Outcome_Mental
behavioral factors and cognitive and psychological resources
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Outcome_Mental
self-esteem
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Outcome_Mental
self-esteem , life satisfaction , psychological well-being , use of noninjection drugs , sex with multiple partners , and unprotected sex
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Outcome_Mental
modify HIV risk behaviors
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Participant_Sex
women
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Participant_Sample-size
325
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Participant_Sex
women
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Participant_Sample-size
308
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Participant_Condition
homeless
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Participant_Condition
impoverished