title: The effect of peer-driven intervention on rates of screening for AIDS clinical trials among African Americans and Hispanics.
abstract: OBJECTIVE
  We examined the efficacy of a peer-driven intervention to increase rates of screening for AIDS clinical trials among African Americans and Hispanics living with HIV/AIDS.
  
  
  METHODS
  We used a randomized controlled trial design to examine the efficacy of peer-driven intervention (6 hours of structured sessions and the opportunity to educate 3 peers) compared with a time-matched control intervention. Participants were recruited using respondent-driven sampling (n = 342; 43.9% female; 64.9% African American, 26.6% Hispanic). Most participants (93.3%) completed intervention sessions and 64.9% recruited or educated peers. Baseline and post-baseline interviews (94.4% completed) were computer-assisted. A mixed model was used to examine intervention effects on screening.
  
  
  RESULTS
  Screening was much more likely in the peer-driven intervention than in the control arm (adjusted odds ratio [AOR] = 55.0; z = 5.49, P < .001); about half of the participants in the intervention arm (46.0%) were screened compared with 1.6% of controls. The experience of recruiting and educating each peer also increased screening odds among those who were themselves recruited and educated by peers (AOR = 1.4; z = 2.06, P < .05).
  
  
  CONCLUSIONS
  Peer-driven intervention was highly efficacious in increasing AIDS clinical trial screening rates among African Americans and Hispanics living with HIV/AIDS.
authors.affiliation: New York University College of Nursing, 726 Broadway, 10 Fl., New York, NY 10003, USA. Marya.gwadz@nyu.edu
authors.forename: Marya Viorst
authors.initials: MV
authors.lastname: Gwadz
authors.forename: Noelle R
authors.initials: NR
authors.lastname: Leonard
authors.forename: Charles M
authors.initials: CM
authors.lastname: Cleland
authors.forename: Marion
authors.initials: M
authors.lastname: Riedel
authors.forename: Angela
authors.initials: A
authors.lastname: Banfield
authors.forename: Donna
authors.initials: D
authors.lastname: Mildvan
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology* / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D015658:HIV Infections / Q000175:diagnosis / Q000208:ethnology*; D006293:Health Promotion / Q000379:methods*; D006630:Hispanic or Latino / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data*; D008875:Middle Aged; D010379:Peer Group; D055815:Young Adult