Cognición, actitud y conductacambio en UDIs hacia la reducción de los riesgos asociados al uso de drogas

  1. Patricia Insúa 1
  2. S. Moncada 2
  1. 1 Facultad de Psicología. Universidad del País Vasco
  2. 2 Plan Nacional sobre Drogas
Journal:
Adicciones: Revista de socidrogalcohol

ISSN: 0214-4840

Year of publication: 2002

Volume: 14

Issue: 2

Pages: 161-176

Type: Article

DOI: 10.20882/ADICCIONES.498 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Adicciones: Revista de socidrogalcohol

Sustainable development goals

Abstract

Objective: Objective is to evaluate 15 workshops designed to improve injection practices among injecting drug users. Method: Sample includes 229 male and female injecting drug users assigned non-randomly to one comparison group or to one workshop user-group. They were assessed three times using a questionnaire including questions on injection patterns and mediating variables for risk-injecting. Results: Workshops designed for improving injection practices were associated with significant reductions in risk-injecting behaviors and a significant increase in using a new syringe. They were also associated with significant improvements in mediating variables for injection patterns: knowledge on injection-risk and AIDS, self-efficacy and motivation for risk-reduction in injecting drug use. Moreover, users of these workshops reported high satisfaction levels. Conclusions: The findings provide encouraging support for these short-interventions designed for risk-reduction among injecting drug users, and also for previous efforts in training a network of health professionals involved in risk reduction among drug users.

Bibliographic References

  • Ajzen, I. y Fishbein, M. (1977). Attitude and Behavior relations: A theoretical analysis and review of empirical research. Psychological Bulletin, 84: 888-918
  • Ajzen, I. y Fishbein, M. (1980). Understanding Attitudes and predicting Social Behavior. USA: Prentice-Hall, Inc.
  • Ajzen, I. y Madden, T.J. (1986). “Prediction of goal-directed behaviour: The role of intention, perceived control, and prior behaviour”. Journal of Experimental Social Psychology, 26: 305-328
  • Bandura, A.(1982). Teoría del Aprendizaje Social. Madrid: Espasa-Calpe.
  • Becker, M.H. (1974). “The health beliefs model and personal health behaviour”, Health Education Monographs, 2: 324-473
  • Catania, J.A.; Kegeles, S. y Coates, T. (1990). “Towars an understanding of risk behaviour: An Aids risk reduction model (ARRM)”, Health Education Quarterly, 17, 53-72.
  • DiClemente, R.; Forrest, K.; Mickler, S.; (1989). Differential effects of AIDS knowledge and perceived susceptibility on the reduction of high-risk behavior among college adolescents. Fifth International AIDS Conference: Abstracts. International AIDS Association, pag. 742.
  • Des Jarlais, D.C.; Friedman, S.; Perlis, T. et al., (1999). “Behavior and HIV infection among new drug injectors in the era of AIDS in New York City”, Journal of Acquired Immune Deficiency Syndrome Human Retrovirology, 20: 67-72.
  • Donoghoe, M.; Stimson, G.; Dolan, K. (1989). “Sexual behaviour of injecting drug users and associated risks of HIV infection for non injecting sexual partners”, AIDS Care, 1: 51-58.
  • Ehrhardt, A.; Exner, T.; Miller, S. y Stein, Z. (1992). Sexual risk behaviour and behaviour change in heterosexual women and men. New York: Center for Clinical and Behavioural Studies at the New York State Psychiatric Institute.
  • Gibbons, F.; McGovern, P. y Lando, H. (1991). “Relapse and risk perception among members of smoking cessation clinic”, Health Psychologist, 10: 42-45
  • Gibney, L.; DiClemente, R. y Vermund, S. (1999). Preventing HIV in Developing Countries. New York: Plenum Publishers Green, L.W. y Kreuter, (1991). Health Promotion Planning: An educational and environmental approach. Mountain View, CA: Mayfield.
  • Insúa, P. (1999). Manual de Educación Sanitaria: Recursos para diseñar Talleres de prevención con usuarios de drogas. Madrid: Plan Nacional sobre Drogas.
  • Insúa, P. y Moncada, S. (2000a). “Opinión expresada sobre un programa de formación de formadores para profesionales que trabajan con UDIs”, Adicciones, 12, 4: 479-486
  • Insúa, P. y Moncada, S. (2000b). “Cómo diseñar un programa de prevención de la transmisión sexual del VIH para usuarios de drogas?”. Trastornos Adictivos, 2, 3: 201—210
  • Insúa, P. y Moncada, S. (2001). “¿Está cambiando el discurso sobre el uso de drogas en las Instituciones?: Un Programa de Formación de Formadores”. Revista Española de Drogodependencias, Vol. 26, 1: 6-28
  • Insúa, P. Lledó, M y Grijalvo, J. (2001). “Nuevos conceptos, nuevo discurso: Talleres de consumo de menos riesgo”. Trastornos Adictivos, 3, 2: 111-120.
  • Insúa, P. (2002). Evaluación de los Talleres de Sexo Más Seguro y Consumo de Menos Riesgo para Usuarios de Drogas. Características Psicométricas de los Instrumentos de Medida. Documento no publicado. Madrid: Delegación del Gobierno para el Plan Nacional sobre Drogas.
  • Kline, A.; Strickler, J. (1993). “Perceptions of risk for AIDS among women in drug treatment”. Health Psychology, 12, 4: 313-323.
  • Llorente, J.M. (1997). Validación del DTCQ-H en la población española. Tesis doctoral no publicada. Madrid: Universidad Nacional de Educación a Distancia.
  • Mantell, J.; DiVittis, A. y Auerbach, M. (1997). Evaluating HIV Prevention Interventions. New York: Plenum Press.
  • Marlatt, A. (1998). Harm Reduction. Pragmatic Strategies for Managing High-Risk Behaviors New York: The Guilford Press
  • Murphy, D. (1989). “Heterosexual contacts of intravenous drug abusers: implications for the next spread of the AIDS epidemic”. AIDS and Substance Abuse, 89-97.
  • Prochaska, J.O. y DiClemente, C.C. (1983). “Stages and processes of self-change of smoking: Toward and integrative model of change”. Journal of Consulting and Clinical Psychology, 51: 390-395.
  • Prochaska, J.O. y DiClemente, C.C. (1992). “Stages of change in the modification of problem behaviors”. En: M. Hersen, R.M. Eisler y P.M. Miller (editores): Progress in behaviour modification. Sycamore, Illinois: Sycamore Press.
  • Sankary, T.; (1989). “The impact of teenager’s knowledge and concern of AIDS on sexual behavior and prevention strategies.” Fifth International AIDS Conference: Abstracts. International AIDS Association, pag. 727.
  • Schifter, D.E. y Ajzen, I. (1985). “Intention, perceived control and weight loss: An application of the theory of planned behaviour”. Journal of Personality and Social Psychology, 49: 843-851.
  • Stimson, G.V.; Power, R.; (1992). “Assessing AIDS prevention for injecting drug users: some methodological considerations.” British Journal of Addiction, 87, 3: 455-465.
  • Stimson, G.V. (1995). “AIDS and Injecting Drug Use in the United Kingdom, 1987-1993: The Policy Response and the Prevention of the Epidemic.” Social Science Medicine, 41, 5: 699-716.
  • Strathdee, S.A.; Patrick, D.M.; Currie, S.L.; Cornelisse, P.G.A.; Rekart, M.L.; Montaner, J.S.G.; Schechter, M.T.; Oshaughnessy, M.V. (1997). “Needle exchange is not enough: Lessons from the Vancouver injecting drug use study”. AIDS. 11, 8: 59-65.
  • Watters, J.; Estilo, M.; Kral, A.; et al. (1994). HIV infection among female injection-drug users recruited in community settings. Sexually Transmitted Diseases, 21(6): 321-328.
  • Watters, J.; Estilo, M.; Clark, G.L.; Lorvick, J. (1994). Syringe and needle exchange as HIV / AIDS prevention for injection drug users. JAMA, 271(2): 115-120.
Data source: Dialnet