title: Evaluation of WaySafe: A Disease-Risk Reduction Curriculum for Substance-Abusing Offenders.
abstract: With a focus on reducing disease risk behavior in the community, a six-session curriculum, WaySafe, was developed to increase positive decision-making skills among soon-to-be-released inmates participating in a therapeutic community substance abuse treatment program. The intervention used TCU Mapping-Enhanced Counseling as an approach to focus on cognitive aspects of risky sexual and drug use behaviors in an effort to improve problem recognition, commitment to change, and strategies for avoiding behavioral risks of infections. A total of 1393 inmates from eight different institutions in two states were randomly assigned to receive WaySafe or treatment as usual (TAU). Baseline and follow-up surveys measured knowledge, confidence, and motivation regarding general HIV information, risky sex and drug use, HIV testing, and risk reduction skills. WaySafe participants had significantly better scores on all measures at follow-up than did TAU participants, supporting the efficacy of WaySafe in improving knowledge, motivation, and confidence in avoiding risky behaviors.
authors.affiliation: Institute of Behavioral Research, Texas Christian University, Fort Worth, TX 76129. Electronic address: w.lehman@tcu.edu.
authors.forename: Wayne E K
authors.initials: WE
authors.lastname: Lehman
authors.affiliation: Institute of Behavioral Research, Texas Christian University, Fort Worth, TX 76129.
authors.forename: Grace A
authors.initials: GA
authors.lastname: Rowan
authors.affiliation: Institute of Behavioral Research, Texas Christian University, Fort Worth, TX 76129.
authors.forename: Jack M
authors.initials: JM
authors.lastname: Greener
authors.affiliation: Institute of Behavioral Research, Texas Christian University, Fort Worth, TX 76129.
authors.forename: George W
authors.initials: GW
authors.lastname: Joe
authors.affiliation: Institute of Behavioral Research, Texas Christian University, Fort Worth, TX 76129.
authors.forename: Yang
authors.initials: Y
authors.lastname: Yang
authors.affiliation: Institute of Behavioral Research, Texas Christian University, Fort Worth, TX 76129.
authors.forename: Kevin
authors.initials: K
authors.lastname: Knight
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003376:Counseling; D057237:Criminals / Q000523:psychology*; D003657:Decision Making; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D011329:Prisoners / Q000523:psychology*; D040242:Risk Reduction Behavior; D012309:Risk-Taking; D019966:Substance-Related Disorders / Q000523:psychology*; D055815:Young Adult
keywords: HIV risk behaviors; Offenders; Prison-based substance abuse treatment; Risk reduction; TCU Mapping-Enhanced Counseling