Sister To Sister 1st Edition Implementation Kit

Includes:

• 35 page Facilitator Curriculum
• Behavioral Skills Training Pamphlet (25 qty)
• 4 Posters
• Handout
• Required Curriculum DVD

  
  Containing two short films - “Let’s Try Something New” (Negotiation)
  and “He Said He Loved Me” (Vulnerability)

Individual items sold separately, click to see catalog.

Authors

Loretta Sweet Jemmott Ph.D., R.N., F.A.A.N. and John Jemmott III, Ph.D.

Overview of the Curriculum

The overall purpose of the "Sister To Sister" HIV Risk Reduction Intervention Project one-on-one 20-minute skill and safer sex Intervention is to provide women with the knowledge, beliefs, motivation, and confidence necessary to help them change their behavior in ways that will reduce their risk for STDs, especially HIV. It is also designed to build self-efficacy and skills to practice these behaviors.

Goal of the Curriculum

The goal of "Sister To Sister" is to increase participants’ knowledge of the impact of engaging in risky sexual behavior and to provide information to reduce those risks. Additional goals are to increase participants’ confidence and skills in negotiating condom use and to insure that condoms are used correctly and consistently.

Specifically, this curriculum emphasizes that participants can reduce their risk for STDs by engaging in safer sex behaviors.

Curriculum Objectives

Women who participate in the program will be able to:

• Identify the correct information regarding the transmission, etiology and prevention of HIV
• Identify their feelings of personal vulnerability to HIV
• Identify the HIV-related risk involved with sharing injectable drug works and strategies for reducing those risks
• Identify and demonstrate the correct steps for using a condom and demonstrate these steps on an anatomically correct penis model
• Describe ways to make condom use fun and pleasurable
• Demonstrate negotiation skills with a partner regarding condom use and/or abstinence in a role-play situation

Strategies/Methods

• Teach correct information regarding HIV/AIDS, its transmission, etiology, and prevention
• Provide epidemiological/statistical information regarding incidence of HIV/AIDS in participants’ community
• Teach negotiation skills through role-playing activities and discussion
• Assist clients to identify their personal feelings about using condoms
• Teach how to make condoms fun and pleasurable
• Demonstrate correct use of condoms via activities and discussions
• Teach the risk of injectable drug behaviors and strategies for reducing those risks
• Build self-efficacy through practice, reinforcement, and providing constructive supportive feedback
• Show educational videos

Content Outline

• Activity A: Welcome and Introduction

  Rationale: To provide the women with a general overview of the program and foster excitement and enthusiasm about their participation.

• Activity B: Video Clip 1 and Acknowledging the Threat of HIV

  Rationale: To reinforce information about women and HIV/AIDS and to increase participants’ perceived risk of HIV infection.

• Activity C: The Risk Assessment Inventory

  Rationale: Assessing participants’ personal risk of HIV infection will make the information more relevant and increase perception of vulnerability.

• Activity D: Teaching HIV Transmission Content

  Rationale: Providing the correct HIV transmission information will enhance and reinforce participants’ knowledge.

• Activity E: Condom Information and Condom Use Activity

  Rationale: This activity provides an opportunity for the participant to become more comfortable touching condoms and demonstrating how to use them correctly.

• Activity F: Negotiation Skills and Video Clip 2

  Rationale: To teach negotiation strategies and skills for talking to their partners about using condoms.

• Activity G: Role-Plays

  Rationale: To help women practice discussing condom use with a partner.

• Activity H: HIV and Injection Drug Use

  Rationale: Providing correct information about HIV and injection drug use to enhance and reinforce participants’ knowledge.

• Activity I: Positive Closing

  Rationale: To create a sense of sisterhood between the facilitator and the participant.

Special Considerations

The curriculum requires the use of a monitor with DVD capabilities.

Types of Activities

The "Sister To Sister" curriculum involves a review of the "Sister To Sister" Participant Behavioral Skills Training Pamphlet, 2 videos, “He Said He Loved Me” and “Lets Try Something New”, condom demonstration, practice with an anatomical correct penis model, and role-playing. Curriculum activities are also designed to help women recognize that faulty reasoning and decision-making can increase their risk of HIV infection. The activities help them understand the adverse consequences of participating in unsafe sexual activities and the positive consequences of safer sexual practices, including abstinence.

The women engage in activities to increase comfort with condom use and to allay common concerns about the negative effects of condom use on sexual enjoyment and spontaneity. Participants handle condoms and learn to use condoms correctly. The two brief video clips evoke feelings, thoughts, attitudes, and beliefs about HIV infection, AIDS, and sexual risk behavior while highlighting prevention skills.

The women also participate in role-playing scenarios that allow them to observe, analyze, and practice the skills of negotiating abstinence or condom use in a variety of circumstances.

Theoretical Framework

• Research shows that curriculum are more effective when based on sound theoretical frameworks.

  The Sister To Sister HIV Risk Reduction Intervention Project draws upon the Social Cognitive Theory (Bandura, 1982, 1986, 1989). Three theoretical components of the Social Cognitive Theory–perceived self-efficacy, outcome expectancies, and modeling–have utility in the reduction of HIV transmission related sexual behaviors. Self efficacy is a participant’s belief that they have the confidence to engage in behavior proposed (ex. using condoms). Outcome expectancy is the belief that the outcome of the behavior the participant is trained to engage in will be positive. Modeling is acquiring skills needed to implement the behavior the participant is trained to engage in.

• Effects on Sexual Behaviors

  Women who received the one-on-one and group skill-building interventions reported a greater proportion of condom use during sexual intercourse in the previous 3 months compared with women who received the information interventions at 3-month follow up and compared with women who had received either the information interventions or the health control intervention at 12-month follow up. When asked specifically about the last time they had sexual intercourse, women who received the skill-building interventions were more likely to report using a condom compared with those who received the health control intervention at 3-month and compared with either the health-control intervention at 12-month follow-up. Skill-building intervention or the information intervention participants also reported less unprotected sexual intercourse than did the information intervention or health-control intervention participants at 3-month follow-up and information intervention participants at 12-month follow-up. None of the contrasts were statistically significant at 6-month follow-up.

• Effects on STI Rates

  Although there were no differences at 6-month follow-up, women who had received the skill-building interventions were significantly less likely to test positive for an incident STD at 12-month follow-up than were those who received the health control intervention. In addition, the women who received the one-on-one skill intervention were less likely to test positive for an STD than were health control women at the 12-month follow up.

• Core Elements

  Implementation by specially trained female health care staff that provides direct service to women.

Recommended Intervention Training

It is recommended for clinic staff administering the intervention to complete a six-hour Sister To Sister HIV Risk Reduction Intervention training session. Training sessions may be completed via webinar or at our offices in New York City. Please contact us to discuss.

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