Evaluation of 37 AIDS prevention projects: successful approaches and barriers to program effectiveness.

N K Janz, M A Zimmerman, P A Wren, B A Israel, N Freudenberg, R J Carter
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引用次数: 94

Abstract

In 1988, the Robert Wood Johnson Foundation awarded grants to 54 AIDS prevention and service projects. This article presents the results from a survey of the 37 projects that contained a substantial prevention effort and embellishes these findings with qualitative data from in-depth site visits to 12 projects. Survey respondents reported conducting a mean of 19 different intervention activities. Small-group discussion, outreach to populations engaged in high-risk behaviors, and training peers and volunteers were the intervention activities rated most effective by project staff. Qualitative analysis identified eight factors facilitating intervention effectiveness. Three site-visited projects were chosen to exemplify the ways in which these facilitating factors contributed to the perceived effectiveness of small-group discussions, outreach, and the training of peer educators. Recommendations to guide the development and delivery of future community-based AIDS prevention projects are presented.

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37个艾滋病预防项目的评价:成功的方法和方案有效性的障碍。
1988年,罗伯特·伍德·约翰逊基金会资助了54个艾滋病预防和服务项目。本文介绍了对37个项目的调查结果,这些项目包含了大量的预防工作,并通过对12个项目进行深入实地考察的定性数据来修饰这些发现。调查答复者报告平均开展了19项不同的干预活动。小组讨论、接触高危行为人群、培训同伴和志愿者是项目工作人员认为最有效的干预活动。定性分析确定了促进干预效果的八个因素。选择了三个实地考察项目来举例说明这些促进因素如何促进小组讨论、外联和同伴教育者培训的有效性。提出了指导今后以社区为基础的艾滋病预防项目的发展和实施的建议。
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