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. 2016 Jul;106(7):1278–1286. doi: 10.2105/AJPH.2016.303119
Aim of WORTH Activity Traditional WORTH Activity Computerized WORTH Activity
Enhance sexually transmitted infection (STI) and HIV knowledge and perceived risk and identify attitudes toward safer sex and condom use. Facilitator uses myth or fact statements and reading of case studies to transfer knowledge and correct misperceptions. Participants play interactive game, watch culturally tailored videos, and respond to questions on a computer screen.
Identify and avoid unsafe sex and drug-related risks. In group format, participants discuss triggers, including fear of IPV and substance use; share experiences; and read a case example to apply problem solving to reduce risks for unsafe sex. Participants review potential triggers for unsafe sex, which include fear of IPV and substance misuse, and identify own triggers for unsafe sex or risky drug use on their computer (self-paced activity). Using a video model, the group applies a problem-solving model to avoid triggers and reduce risks.
Practice sexual negotiation, sexual safety planning, and problem-solving skills. Facilitator discusses steps of negotiating condom use, reads a case example, and facilitates role play. Video scenarios model sexual negotiation skills and sexual safety planning to avoid risky sexual encounters. Group identifies steps in negotiation and engages in role-play practice.
Improve linkage to services and promote HIV testing and care. Facilitator reviews HIV testing options, provides resource manual, encourages participants to identify psychosocial needs, and uses manual to contact organizations to address HIV, IPV, and other services, facilitating group discussion about barriers to service access. Computerized demonstration of HIV testing and exposure window assessment assists in prioritizing psychosocial needs and links to Web-based information to access community services (self-paced activity). Facilitators can access logs and assist in addressing barriers to accessing services for HIV, IPV, and other issues.
Reduce IPV and enhance supportive network. Facilitator raises awareness about different types of IPV and supports the completion of individual IPV assessment and safety planning to reduce IPV risks. Participants are asked to identify sources of social support and service referrals that may reduce their IPV risks. Participants use a video and audio tool to learn about different types of IPV, confidentially identify IPV risks, provide feedback on IPV risks, and develop a safety plan to reduce IPV risks (self-paced activity). Computerized, interactive tool helps women to identify sources of social support and IPV services that may help them reduce their IPV risks (self-paced activity).