Darrow 2011.
Methods |
Study design: controlled before‐after cross‐sectional study Sampling frame: Florida adults Collection method: State of Florida HIV incidence data Description of the community coalition: Florida International University and 3 community‐based organizations that served African American, Hispanic, Haitian, and Afro‐Caribbean communities formed a coalition in response to REACH 2010 funding with the aim of reducing disparities in HIV among minority young adults through community awareness and education. The University served as the lead agency and contracted with the CBOs annually to provide educational outreach |
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Participants |
Communities: Broward County, Florida Country: USA Ages included in assessment: adults Reasons provided for selection of intervention community: minority population with high HIV/AIDS rates Intervention community (population size): South Florida counties of Broward, Palm Beach, and Miami‐Dade (population size not provided) Comparison community (population size): North Florida counties of Duval, Hillsborough, and Orange (population size not provided) |
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Interventions |
Name of intervention: Broward County REACH HIV Prevention Theory: none reported Aim: to improve levels of awareness of the HIV/AIDS problems among minority young adults, to increase perceptions of the seriousness of the local AIDS problem, and to stimulate action to reduce HIV/AIDS in minority communities Description of costs and resources: 6 community health outreach workers, graduate students, and other university staff delivered interventions. US$103,500 provided annually to 3 CBOs; funding amount to University not reported Components of the intervention: educational materials in the form of posters, pamphlets, bus advertisements, newspaper articles, and radio and television public service announcements, as well as community health fairs and poetry competitions Start date: 2000 Duration: 4 years |
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Outcomes |
Outcomes and measures: annual HIV incidence rates per 100,000 Time points: 1998 to 2006 |
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Notes | Outcomes measured at population level using state HIV incidence data Funding source: government |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | High risk | Non‐randomized |
Allocation concealment (selection bias) | High risk | Non‐randomized |
Baseline outcome measurement similar | Low risk | Statewide HIV surveillance data |
Baseline characteristics similar | High risk | Baseline differences in HIV incidence between intervention and control |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Statewide HIV surveillance data |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | Statewide surveillance system data |
Blinding of participants and personnel (performance bias) All outcomes | High risk | Non‐randomized |
Protection against contamination | Low risk | Counties not adjacent |
Selective reporting (reporting bias) | Low risk | Statewide HIV surveillance data |
Other bias | High risk | Included counties in the intervention group that received community outreach |