This study, funded by NIMHD, focuses on working with Hispanic and African American youngsters ages 12-15 and their families to integrate CIFFTA interventions with technology for intervention delivery.
This translational randomized trial, funded by El Centro in Year 6, will recruit 300 Spanish-speaking women between the ages of 18 and 50 who are sexually active from Miami-Dade County Department of Heath sites and randomize to either the SEPA intervention or a Wait-List Control condition. The proposed study’s overarching goal is to reduce the ethnic disparities in HIV between Hispanic and non-Hispanic women.
This pilot study assessed the HIV prevention needs of older Hispanic Women (OHW), identifying socio-cultural risk factors, age related factors, partner factors, acceptability of rapid HIV testing, and intervention preferences to facilitate the adaptation of the SEPA(Salud/Health, Educacion/Education, Prevencion/Prevention, Autocuidado/Self-care) intervention for this population.
This mixed methods pilot study, funded by El Centro in Year 2, enrolled 121 Hispanic men and women who were expecting a baby to assess attitudes and beliefs surrounding male circumcision.
This randomized clinical trial, funded by El Centro in Year 1, tests the efficacy of a culturally informed and flexible family-based therapy for adolescents in reducing/preventing substance abuse and risky sexual behaviors by modifying current mental disorders that place youngsters at risk. Two hundred Hispanic youth (11-14 years of age) and families were recruited into the study and were randomized into either the experimental CIFFTA treatment or an individually focused “Treatment As Usual”. Families are assessed at baseline, 4, 12 and 20 months to evaluate the impact of the intervention for reducing existing psychiatric, behavioral and family problems in youth, and prevention effects of the intervention on the emergence of HIV/STI.
This randomized clinical trial , funded by NIDA, uses the CIFFTA intervention for adolescents 14-17 who have been diagnosed with a Substance Abuse Disorder. Hispanic youth and families are randomized into either the CIFFTA treatment or Traditional Family Therapy. Families are assessed at baseline, 4, 6 and 12 months to evaluate effects on reducing substance use, risky sexual behaviors, and related behavior problems.
This pilot study, aim developed an internet STI-HIV prevention intervention for young Chilean women between the ages of 18 and 24. Phase I of the study adapted and refined the SEPA prevention intervention for low-income Chilean women for use as an internet based intervention for young Chilean women. Phase II of the study will piloted the internet based STI-HIV prevention intervention.
This prospective cohort study aims to test the effectiveness of a bystander based intervention to reduce sexual assault with English and Spanish speaking men who are not enrolled in a 4-year college program as compared with a control group not receiving the intervention. The intervention, shown to be effective with Caucasian male university students, has been adapted for the population.
This qualitative study, aims to gain understanding about attitudes and community responses to intimate partner violence among expectant mothers residing in the rural communities around Bluefields, Nicaragua and female relatives of those expectant women as well as the health care practitioners providing care for the population and to better understand the public, particularly legal response to intimate partner violence in Bluefields, Nicaragua.
This pilot study examined women who engaged in consensual intercourse and described genital injuries at the time of the exam, the effect of skin color on injuries present at the time of the exam, and the effect of reported pain and roughness, use of a condom, and the use of lubrication on injuries present at the time of the exam.
This qualitative study, explores the health experiences of adolescent and young adult Creole girls in Bluefields, Nicaragua and what health issues they identify as priorities for future interventions.
This community based participator research study (CBPR) aims to explore potential health effects of familial economic migration on creole adolescents/young adults who remain in their country of origin and culturally appropriate intervention to address these and to test the feasibility and cultural appropriateness of assessment instruments to gather descriptive data on the attitudes and beliefs of the population across ethnic groups.
This study, which was a companion to a randomized clinical trial, tested the effects of a family intervention, Structural Ecosystems Therapy (SET), on family members of HIV+ women in drug recovery. Women in the trial were randomly assigned to either SET or a psychoeducational health group. Women and their family members were assessed at baseline, 4, 8 and 12 months. The study examined the impact of SET on family functioning and on family-member outcomes.
This qualitative study aims to understand the experiences, hopes and concerns of HIV+ pregnant women with respect to the involvement of their family and the baby’s father and, in the long-term, to inform the development of a family-based intervention to improve family support of HIV+ pregnant mothers.
This mixed methods pilot study, funded by the Aqua Foundation for Women and conducted in partnership with the South Beach AIDS Project, Inc., aims to explore the health risk behaviors of 50 transgender women living in South Florida. In Phase I, participants will complete measures of health risks. In Phase II, a qualitative interview will be administered to 30 of the participants to gain their perspectives on how to address health risk behaviors in the transgender community.
This mixed methods pilot study, funded by El Centro in Year 2, enrolled 74 Hispanic HIV+ adults to assess the relationship of acculturation, health literacy and other psychosocial factors to adherence patterns and healthcare utilization.
This administrative supplement to El Centro in Year 4, aimed to expand mental health capacity in Cap Haitien, Haiti in collaboration with Hospital Universitaire Justinien and the Northern Health Department of Haiti, which serves a population of 1 million people. Approximately 100 local health providers were trained to identify, triage and provide supportive services for mental health disorders 25 trainees participated in a “train the trainers” program as a means of sustaining increased capacity.
Project JOVEN is funded by the Robert Wood Johnson Foundation. Phase I of the study aims to develop, refine and manualize this culturally-specific, school-based, and theoretically grounded teen dating violence prevention program for Hispanic 9th graders, including components for parents and school personnel. Phase II will pilot test the program to assess its feasibility and acceptability and evaluate it to determine the preliminary efficacy when compared to a no-intervention control group in preventing and reducing the occurrence of teen dating violence and affecting mediators that have been found to be risk or protective factors for teen dating violence.
This community-based participatory research (CBPR) pilot study, funded by El Centro in Year 3, created a community partnership for the prevention of domestic violence, conducted focus groups with domestic violence service providers and community adults, secondary analysis and a community forum regarding the needs and preferences for domestic violence prevention programs targeting high-risk Hispanics in Miami-Dade County. This study led to funding from the Robert Wood Johnson Foundation for the JOVEN (Juntos Opuestos a la Violencia Entre Novios/Together Against Dating Violence) study.
This mixed methods pilot study, funded by El Centro in Year 1, examined the experiences of 164 community-dwelling Hispanic heterosexual men and men who have sex with men (MSM) with respect to substance abuse, violence, and intimate/sexual relationships.
This randomized clinical trial , funded by El Centro in Year 1, tested the efficacy of the SEPA intervention vs. a delayed control to prevent HIV/AIDS and other STIs, and to reduce/prevent family and intimate partner violence among Hispanic women. The trial enrolled 548 women (age 18 – 50 years) who completed structured interviews at baseline and 3, 6, and 12 months post-baseline.
This pilot study, funded by El Centro in Year 4, tested the acceptability and feasibility of SEPA-O, an adaptation of the SEPA intervention, for older Hispanic women in preparation for a randomized trial.
This translational randomized trial, funded by El Centro in Year 6, will enroll 172 mothers in outpatient substance abuse treatment at Banyan Health Systems and their children (ages 2-17). Mothers will be randomly assigned to substance abuse treatment as usual (TAU) or TAU+ SET. SET is a family-based intervention delivered in the home which is empirically supported for mothers in recovery. SET has been revised so that it can be delivered by nurses as a means of achieving better integration between their substance abuse treatment and primary care. Mothers/children will be assessed at baseline, 3, 6, and 9 months post-baseline. The main study outcomes are relapse prevention and improved health in the mothers; and improved health of children.
This qualitative research study, aims to explore the nature of sexual decision making among Hispanic Men and to investigate the need for and delivery methods preferred for interventions targeting sexual decision making among HIV seronegative Hispanic MSM.
This randomized clinical trial tested the impact of Mano a Mano-Mujer (MM-M), an adaptation of the SEPA intervention for Chilean women, on HIV prevention and depressive symptoms. A total of 400 women in Santiago Chile were enrolled in the study and were randomized into either experimental intervention or a control group. The intervention consisted of six sessions delivered in small groups. Face-to-face interviews were conducted at baseline and at 3-month follow-up.
This mixed methods study, funded by the University of Miami’s NIH-funded Center for AIDS Research (CFAR), examines the influence of Hispanic cultural factors on risk behaviors and mental health among Hispanic MSM. Participants complete self-report measures of sexual behaviors, acculturation, mental health, substance abuse and violence in Phase I of the study. In Phase II of the study, participants are interviewed to gain perspective on how to incorporate Hispanic culture into risk reduction programs for Hispanic MSM.
This study aims to determine the influence of skin color in the prevalence and frequency of detected genital injuries in women after sexual intercourse in cases of sexual assault, and to compare these findings to those previously obtained by the principal investigator in cases of consensual sexual intercourse. The proposed study will also provide data to validate an easy to use instrument for quantifying genital skin color that has been developed by the principal investigator.
This qualitative study, aims to gain the perspectives of mothers in substance abuse treatment (or recently in treatment) in the areas of treatment motivation, stressors and motivators including family, preferences and barriers for involving family in aftercare, and perceptions of family therapy, with the goal informing the development of a family-based substance abuse treatment aftercare interventions for mothers and their children.
This qualitative study, aims to describe the experiences of 30 young, minority adults living with perinatal-acquired HIV infection related to their adolescence and transition to young adulthood.