Intermediate Outcomes of a Brief Intervention With Probationers: Probation With an Attitude! Change?

Steven S. Martin, University of Delaware
Hilary L. Surratt, University of Delaware
James A. Inciardi, University of Delaware
Daniel J. O'Connell, University of Delaware
Erik F. Dietz, University of Delaware
Clifford A. Butzin, University of Delaware

ABSTRACT
A major risk group for HIV infection is drug-involved offenders. Not only do they have much higher than average rates of injection drug use, but also higher rates of risky sexual behaviors and combinations of both drug and sexual risk behaviors. A number of studies have examined HIV risk behaviors in prisoner populations, but relatively few have examined such behaviors in probationer populations. This paper examines a sample of over 300 newly assigned probationers. Though not a strictly random sample, the sample is selected to be representative of the supervised probationer population in Delaware. The sample respondents receive a baseline interview, then they are randomly selected to receive either the NIDA standarad HIV intervention or a focused intervention based on a cognitive thought-mapping model. Intervention boosters are offered at two follow-up intervals, and participants are reinterviewed subsequently. In this paper, we first describe demographic, criminal history, drug history, sexual behavior, and seropositivity characteristics of the entire sample. Then, we examine putative predictors of change in attitudes and behavior in a series of stepwise OLS and logistic regression models. Discussion centers on the baseline predictors of relative risks and the impact of the interventions in changing attitudes and behaviors of the probationers related to both HIV risk and to criminal behaviors.

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Updated 05/20/2006