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Randomized Controlled Trial
. 2015 Nov:58:25-32.
doi: 10.1016/j.jsat.2015.05.007. Epub 2015 May 16.

Evaluation of WaySafe: A Disease-Risk Reduction Curriculum for Substance-Abusing Offenders

Wayne E K Lehman  1 , Grace A Rowan  2 , Jack M Greener  2 , George W Joe  2 , Yang Yang  2 , Kevin Knight  2
Affiliations
Randomized Controlled Trial

Evaluation of WaySafe: A Disease-Risk Reduction Curriculum for Substance-Abusing Offenders

Wayne E K Lehman et al. J Subst Abuse Treat. 2015 Nov.

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.

Keywords: HIV risk behaviors; Offenders; Prison-based substance abuse treatment; Risk reduction; TCU Mapping-Enhanced Counseling.

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