Healthy Living Project (HLP): Multi-Institutional Collaborative Research Project

 

The UCLA Healthy Living Project was funded by the National Institute of Mental Health (NIMH) and was designed to promote health-related behavior changes in adults living with HIV. This project aimed to reduce sexual and injection drug use risk behaviors among 1,200 HIV positive men and women in order to decrease the likelihood of secondary HIV transmission. The research study focused on four subgroups: women, heterosexual men, men who have sex with men, and injection drug users. The study was conducted at four sites: Los Angeles, Milwaukee, New York, and San Francisco.

Targeted Risk Group:

Adults living with HIV

Interventions, Training Manuals, etc. : 

Surveys/Scales Used: 

  1. Social Provisions (12 downloads)
  2. Coping Self Efficacy (0 downloads)
  3. Anger Burnout - Profile of Mood States (0 downloads)
  4. Romantic Relationships (1 download)
  5. AHIMSA Acculturation, Habits, and Interests Multicultural Scale for Adolescents (1 download)
  6. Traditional Medicines (0 downloads)
  7. Sexually Transmitted Disease (0 downloads)
  8. Perceived Stress Scale (PSS) (1 download)
  9. Medication Adherence (0 downloads)
  10. State Trait Anxiety Inventory (1 download)
  11. SF 36 Short Form Survey (0 downloads)
  12. CDC Sexual Behavior Questions (CSBQ) (1 download)
  13. Detention/Jail History (0 downloads)
  14. HIV Disclosure (0 downloads)
  15. Alcohol and Other Drug Abuse (AOD) (0 downloads)
  16. Positive States of Mind Scale (PSOMS) (0 downloads)
  17. Living Situation for Adolescents (1 download)
  18. Healthcare Utilization, Providers, and General Health Assessment: Including STD and Pregnancy (0 downloads)
  19. HIV Testing (0 downloads)

Intervention model:

Cognitive behavioral intervention comprised of 15 individually delivered counseling sessions covering three areas: “Stress, Coping, and Adjustment,” “Risk Behaviors,” and “Health Behavior.”

Research Methods: 

In a random assignment study, individuals assigned to take part in the intervention were compared with individuals assigned to a control group, i.e. delayed intervention, on HIV-transmission behaviors, including unprotected sex and substance use. Because participants were followed over two years, longitudinal random effect regression models were used to test the efficacy of the intervention.

Local Significance: 

The intervention was demonstrated to reduce risky sexual behavior and substance use.
At the end of the study, the goal was to train service provider staff to deliver the intervention to their clients. By collaborating with service providers early on in the intervention study, it was possible to learn how to tailor the intervention to the specific needs of the agencies involved and the people they serve.

International Significance: 

HLP provided a behavioral intervention that can be adapted for other countries and cultures to reduce HIV-transmission risk behaviors