Police Training to Reduce Occupational Needlesticks and HIV Among Substance Users (ESCUDO)
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|ClinicalTrials.gov Identifier: NCT02444403|
Recruitment Status : Completed
First Posted : May 14, 2015
Last Update Posted : December 17, 2020
|Condition or disease||Intervention/treatment||Phase|
|Occupational Needlestick Injuries||Behavioral: Police Education Program designed to align law enforcement and HIV prevention in Tijuana||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||500 participants|
|Intervention Model:||Single Group Assignment|
|Masking:||None (Open Label)|
|Official Title:||Proyecto ESCUDO: Police Training to Reduce Occupational Needlesticks and HIV Among Substance Users|
|Study Start Date :||June 2015|
|Actual Primary Completion Date :||May 29, 2018|
|Actual Study Completion Date :||May 29, 2018|
Police Education Program (PEP)
The entire police force mandated for periodic refresher training will be assigned to classes which receive one PEP course over 2 years.
Behavioral: Police Education Program designed to align law enforcement and HIV prevention in Tijuana
The 3.5-hour PEP course consists of 3 modules. Module I covers basic epidemiology, prevention and treatment of HIV, viral hepatitis and STIs, safe syringe disposal and fundamentals of addiction. Post-exposure protocols and appropriate follow-up procedures are outlined. Module II covers key provisions of Mexico's national drug policy (narcomenudeo, which defines amounts of drugs allowed for personal possession), as well as other legal provisions pertinent to HIV prevention, including the legality of syringe and condom possession. Module III covers public health-based interventions targeting PWID (SEPs, OST) and deconstructs myths typical among law enforcement (i.e., drug users do not care about their health, SEPs increase the risk of NSIs).
A sub-cohort sample will be invited to undergo pre- and post-PEP surveys with semi-annual follow-up for 2 years to assess self-reported NSIs (Aim 1), attitudinal and behavior changes (Aim 2) and mediators/moderators (Aim 3).
Other Name: Police Education Program (PEP)
- Incidence of Occupational Needle Stick Injuries [ Time Frame: 3 years ]• The number of incident NSIs reported by each police officer, under the surveillance system. Cumulative NSI incidence will be measured over a three year period to accommodate the implementation of the step-wedge design intervention framework.
- HIV Knowledge [ Time Frame: 0, 3, 6, 12, 18 and 24 months ]Knowledge score: knowledge of transmission, prevention and treatment of HIV and related infections (STIs and viral hepatitis).
- Attitudinal and behavior changes [ Time Frame: 0, 3, 6, 12, 18 and 24 months ]Attitudes score: attitudes towards PWID, sex workers and HIV-infected persons.
- Adverse behaviors that interfere with HIV prevention [ Time Frame: 0, 3, 6, 12, 18 and 24 months ]Self-reporting of adverse behaviors that interfere with HIV prevention (i.e. syringe confiscation and syringe-related arrests) and Tijuana police department geo-coded arrest data will be used to determine the rate of arrests that occur near SEP and drug treatment programs, pre- and post-PEP.
- Protective behaviors [ Time Frame: 2 years ]Self-reporting of protective behaviors for HIV prevention (i.e. use of gloves as barrier protection during pat-downs and arrests, self-reported reductions in syringe confiscation) and Tijuana police department geo-coded arrest data will be used to determine the extent to which the PEP decreases the number of arrests near SEP and OST sites in Tijuana, pre- and post-PEP.
- Mediating and moderating factors [ Time Frame: 2 years ]Potential mediating and moderating factors influencing PEP efficacy from SDT constructs (motivation, years spent in the police force and autonomous support from supervisors) within each model used to assess the effect of the intervention of the outcome (e.g., NSI incidence).
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02444403
|Instituto de Capacitacion Y Adiestramiento Profesional|
|Tijuana, Baja California, Mexico, 22502|
|Principal Investigator:||Steffanie A Strathdee, PhD||Associate Dean of Global Health Sciences, Harold Simon Professor, Chief, Division of Global Public Health, University of California San Diego, Department of Medicine|
|Principal Investigator:||Leo Beletsky, JD, MPH||Associate Professor of Law and Health Sciences, School of Law & Bouvé College of Health Sciences, Northeastern University, Adjunct Professor, Division of Global Public Health, University of California San Diego Department of Medicine|