TY - JOUR
T1 - Evaluating the effectiveness of personal resilience and enrichment programme (PREP) for HIV prevention among female sex workers
T2 - A randomised controlled trial
AU - Yuen, Winnie Wing Yan
AU - Wong, William Chi Wai
AU - Tang, Catherine So Kum
AU - Holroyd, Eleanor
AU - Tiwari, Agnes Fung Yee
AU - Fong, Daniel Yee Tak
AU - Chin, Weng Yee
N1 - Funding Information:
This study is funded by the AIDS Trust Fund, HKSAR (MSS-204R). The authors would like to acknowledge the two local NGOs, Action for REACHOUT and JJJ Association for their administrative support and referring participants to the study, as well as the study participants.
PY - 2013
Y1 - 2013
N2 - Abstract. Background: Female sex workers (FSWs) are often considered as the vector, if not reservoir, of HIV and other sexually transmitted infections. Building upon the existing evidence on the role of psychological health in sexual health, the aim of this protocol is to describe a trial investigating the effectiveness of the Personal Resilience and Enrichment Programme (PREP), a resilience-promoting intervention that targets at psychological well-being i.e. self-esteem, self-efficacy and coping, to facilitate adaptation and ultimately safe sexual practices among FSWs, which could be an innovative strategy in controlling the spread of these infections. Methods. A total of 132 FSWs will be recruited and randomly assigned to either the intervention or usual care (control) groups in a multi-centred randomised controlled trial. Based on the resilience framework, this intervention is comprised of six weekly sessions focused on the awareness, expression and management of emotions, identifying roles and personal strengths, and effective problem-solving skills. Complex intervention assessment on both intervention process and effectiveness will be adopted when the primary outcome reduction of sexual risk behaviour and other psychological outcomes include their perceived stress, self-esteem, self-efficacy, coping overall resilience, and psychological distress will be measured at baseline, post-treatment and 3-month post-intervention and differences assessed by ANOVA. The relationship of resilience factors, psychological health and HIV preventive behaviours will be evaluated using structural equation modelling. Discussion. It is anticipated that this study will increase our understanding of the relationships between individual resilience attributes, positive adaptation, psychological health and sexual health practices. If successful, this programme will provide an innovative direction for HIV prevention by applying the personal resilience factors to promote both psychological well-being and safe sex for this high risk population. Trial Registration. ChiCTR-PRC-13003091.
AB - Abstract. Background: Female sex workers (FSWs) are often considered as the vector, if not reservoir, of HIV and other sexually transmitted infections. Building upon the existing evidence on the role of psychological health in sexual health, the aim of this protocol is to describe a trial investigating the effectiveness of the Personal Resilience and Enrichment Programme (PREP), a resilience-promoting intervention that targets at psychological well-being i.e. self-esteem, self-efficacy and coping, to facilitate adaptation and ultimately safe sexual practices among FSWs, which could be an innovative strategy in controlling the spread of these infections. Methods. A total of 132 FSWs will be recruited and randomly assigned to either the intervention or usual care (control) groups in a multi-centred randomised controlled trial. Based on the resilience framework, this intervention is comprised of six weekly sessions focused on the awareness, expression and management of emotions, identifying roles and personal strengths, and effective problem-solving skills. Complex intervention assessment on both intervention process and effectiveness will be adopted when the primary outcome reduction of sexual risk behaviour and other psychological outcomes include their perceived stress, self-esteem, self-efficacy, coping overall resilience, and psychological distress will be measured at baseline, post-treatment and 3-month post-intervention and differences assessed by ANOVA. The relationship of resilience factors, psychological health and HIV preventive behaviours will be evaluated using structural equation modelling. Discussion. It is anticipated that this study will increase our understanding of the relationships between individual resilience attributes, positive adaptation, psychological health and sexual health practices. If successful, this programme will provide an innovative direction for HIV prevention by applying the personal resilience factors to promote both psychological well-being and safe sex for this high risk population. Trial Registration. ChiCTR-PRC-13003091.
KW - Female sex workers
KW - HIV prevention
KW - Protocol
KW - Randomised controlled trial
KW - Resilience
UR - http://www.scopus.com/inward/record.url?scp=84880957214&partnerID=8YFLogxK
U2 - 10.1186/1471-2458-13-683
DO - 10.1186/1471-2458-13-683
M3 - Article
C2 - 23886280
AN - SCOPUS:84880957214
SN - 1472-698X
VL - 13
JO - BMC Public Health
JF - BMC Public Health
IS - 1
M1 - 683
ER -
