jemadari research project: final results larry m. gant, ph.d. school of social work, university of...

JEMADARI Research Project:JEMADARI Research Project:Final ResultsFinal Results

Larry M. Gant, Ph.D.

School of Social Work, University of Michigan

Carol J. Boyd, Ph.D, Janie Slayden, M.A.,

James A. Cranford, Ph.D.

Substance Abuse Research Center, University of Michigan

Annual Meeting of the JEMADARI Research Project

May 2nd, 2006

Goals of the JEMADARI Research ProjectGoals of the JEMADARI Research Project

1. To reduce drug-related risk behaviors.1. To reduce drug-related risk behaviors.

A. Alcohol useA. Alcohol use

B. Marijuana useB. Marijuana use

C. Cocaine useC. Cocaine use

Goals of the JEMADARI Research ProjectGoals of the JEMADARI Research Project

2. To reduce HIV-related risk behaviors.2. To reduce HIV-related risk behaviors.

A. Giving or receiving money in exchange for A. Giving or receiving money in exchange for sexsex

B. Under influence of alcohol during sexB. Under influence of alcohol during sex

C. Unplanned sex after alcohol or drug useC. Unplanned sex after alcohol or drug use

D. Condom useD. Condom use

Research Design for JEMADARIResearch Design for JEMADARI

Pre-Test

Intervention Post-Test 1(1 week

after finalintervention)

Post-Test 2(6 months

after pre-test)

Experimental Group –AIDS Education

X HIV Risk-Reduction

X X

ControlGroup –Nutrition & Fitness

X Nutrition & Fitness

X X

Research Design for JEMADARIResearch Design for JEMADARI

Pre-Test

N=471

Intervention Post-Test 1

N=231

Post-Test 2

N=181

Experimental Group –AIDS Education

n=226 HIV Risk-Reduction

n=121 N=78

ControlGroup –Nutrition & Fitness

n=245 Nutrition & Fitness

n=110 N=103

Final Results: Cohorts 1 – 12Final Results: Cohorts 1 – 12

1. To reduce drug-related risk behaviors.1. To reduce drug-related risk behaviors.

A. Alcohol useA. Alcohol useB. Marijuana useB. Marijuana use

C. Cocaine useC. Cocaine use

Final Results: Cohorts 1 – 12Final Results: Cohorts 1 – 12

Alcohol UseAlcohol Use

Experimental Experimental andand control groups showed control groups showed

reductions in alcohol consumption from reductions in alcohol consumption from

pre-test to post-test 2.pre-test to post-test 2.

Final Results: Cohorts 1 – 12Final Results: Cohorts 1 – 12

1. To reduce drug-related risk behaviors.1. To reduce drug-related risk behaviors.

A. Alcohol useA. Alcohol use

B. Marijuana useB. Marijuana useC. Cocaine useC. Cocaine use

Final Results: Cohorts 1 – 12Final Results: Cohorts 1 – 12

Marijuana UseMarijuana Use

Experimental Experimental andand control groups showed control groups showed

reductions in marijuana use from pre-test reductions in marijuana use from pre-test

to post-test 2.to post-test 2.

Final Results: Cohorts 1 – 12Final Results: Cohorts 1 – 12

1. To reduce drug-related risk behaviors.1. To reduce drug-related risk behaviors.

A. Alcohol useA. Alcohol use

B. Marijuana useB. Marijuana use

C. Cocaine useC. Cocaine use

Final Results: Cohorts 1 – 12Final Results: Cohorts 1 – 12

Cocaine UseCocaine Use

Experimental Experimental andand control groups showed control groups showed

reductions in cocaine use from pre-test to reductions in cocaine use from pre-test to

post-test 2.post-test 2.

SummarySummary

Did the intervention reduce Did the intervention reduce drug-related risk drug-related risk

behaviorsbehaviors??

YES IT DID.YES IT DID.

But.....beneficial effects were not confined But.....beneficial effects were not confined

to the experimental group.to the experimental group.

Goals of the JEMADARI Research ProjectGoals of the JEMADARI Research Project

2. To reduce HIV-related risk behaviors.2. To reduce HIV-related risk behaviors.

A. Giving or receiving money in A. Giving or receiving money in exchange for sexexchange for sexB. Under influence of alcohol during sexB. Under influence of alcohol during sex

C. Unplanned sex after alcohol or drug useC. Unplanned sex after alcohol or drug use

D. Condom useD. Condom use

Final Results: Cohorts 1 – 12Final Results: Cohorts 1 – 12

Giving/Receiving Money in Exchange for SexGiving/Receiving Money in Exchange for Sex

Experimental Experimental andand control groups showed control groups showed

reductionsreductions in giving and receiving money in in giving and receiving money in

exchange for sex from pre-test to post-test 2.exchange for sex from pre-test to post-test 2.

Goals of the JEMADARI Research ProjectGoals of the JEMADARI Research Project

2. To reduce HIV-related risk behaviors.2. To reduce HIV-related risk behaviors.

A. Giving or receiving money in exchange for sexA. Giving or receiving money in exchange for sex

B. Under influence of alcohol during sexB. Under influence of alcohol during sexC. Unplanned sex after alcohol or drug useC. Unplanned sex after alcohol or drug use

D. Condom useD. Condom use

Final Results: Cohorts 1 – 12Final Results: Cohorts 1 – 12

Under the Influence of Alcohol During SexUnder the Influence of Alcohol During Sex

Experimental Experimental andand control groups showed control groups showed

reductions in incidence of sex while under the reductions in incidence of sex while under the

influence of alcohol, from pre-test to post-test 2.influence of alcohol, from pre-test to post-test 2.

AND...AND...

Effects appear to be stronger for the experimental Effects appear to be stronger for the experimental

group.group.

Goals of the JEMADARI Research ProjectGoals of the JEMADARI Research Project

2. To reduce HIV-related risk behaviors.2. To reduce HIV-related risk behaviors.

A. Giving or receiving money in exchange for sexA. Giving or receiving money in exchange for sex

B. Under influence of alcohol during sexB. Under influence of alcohol during sex

C. Unplanned sex after alcohol or drug C. Unplanned sex after alcohol or drug useuseD. Condom useD. Condom use

Final Results: Cohorts 1 – 12Final Results: Cohorts 1 – 12

Unplanned Sex After Alcohol or Drug UseUnplanned Sex After Alcohol or Drug Use

Experimental Experimental andand control groups showed control groups showed

reductionsreductions in unplanned sex after in unplanned sex after

alcohol/drug use from pre-test to post-test 2.alcohol/drug use from pre-test to post-test 2.

Goals of the JEMADARI Research ProjectGoals of the JEMADARI Research Project

2. To reduce HIV-related risk behaviors.2. To reduce HIV-related risk behaviors.

A. Giving or receiving money in exchange for sexA. Giving or receiving money in exchange for sex

B. Under influence of alcohol during sexB. Under influence of alcohol during sex

C. Unplanned sex after alcohol or drug useC. Unplanned sex after alcohol or drug use

D. Condom useD. Condom use

Final Results: Cohorts 1 – 12Final Results: Cohorts 1 – 12

Condom Use During Most Recent SexCondom Use During Most Recent Sex

Experimental Experimental andand control groups showed control groups showed

increasesincreases in condom use from pre-test to in condom use from pre-test to

post-test 2.post-test 2.

SummarySummary

Did the intervention reduce Did the intervention reduce sexual risk sexual risk

behaviorsbehaviors??

YES IT DID.YES IT DID.

AND.....in some cases, AND.....in some cases, effects were strongereffects were stronger for for

the experimental versus the control group.the experimental versus the control group.

CONCLUSIONSCONCLUSIONS

1. Results indicate that 1. Results indicate that the the

intervention reduces alcohol /drug-intervention reduces alcohol /drug-

related andrelated and sexual risk behaviors.sexual risk behaviors.

2. The intervention 2. The intervention may have stronger may have stronger

effects on sexual risk behaviors.effects on sexual risk behaviors.

OUR NEXT TASK:OUR NEXT TASK:

TO DETERMINE TO DETERMINE

HOWHOW

THE INTERVENTION THE INTERVENTION WORKS.WORKS.