A social network approach to demonstrate the diffusion and change process of intervention from peer health advocates to the drug using community

Jianghong Li; Margaret R. Weeks; Stephen P. Borgatti; Scott Clair; Julia Dickson-Gomez

doi:10.3109/10826084.2012.644097

A social network approach to demonstrate the diffusion and change process of intervention from peer health advocates to the drug using community

Jianghong Li, Margaret R. Weeks, Stephen P. Borgatti, Scott Clair, Julia Dickson-Gomez

Management

Research output: Contribution to journal › Article › peer-review

35 Scopus citations

Abstract

Project RAP (Risk Avoidance Partnership) trained 112 active drug users to become peer health advocates (PHAs). Six months after baseline survey (N _bl = 522), 91.6% of PHAs and 56.6% of community drug users adopted the RAP innovation of giving peer intervention, and 59.5% of all participants (N _6m = 367) were exposed to RAP innovation. Sociometric network analysis shows that adoption of and exposure to RAP innovation was associated with proximity to a PHA or a highly active interventionist (HAI), being directly linked to multiple PHAs/HAIs, and being located in a network sector where multiple PHAs/HAIs were clustered. RAP innovation has diffused into the Hartford drug-using community.

Original language	English
Pages (from-to)	474-490
Number of pages	17
Journal	Substance Use and Misuse
Volume	47
Issue number	5
DOIs	https://doi.org/10.3109/10826084.2012.644097
State	Published - Apr 2012

Bibliographical note

Funding Information:
The authors wish to acknowledge the following individuals for their contributions to the work that led to this article. Oscar Woods, Eduardo Robles, and Maria Martinez went through the tedious work of verifying thousands of network member ties. Their work was critical to the construction of sociometric network databases. Jun-Jie Li spent considerable time preparing sociometric network measures and databases. Maria Martinez, Mark Convey, Oscar Woods, Eduardo Robles, Kim Radda, Michelle Garner, Julie Gonzalez, Chris Ortiz, and others contributed to different aspects of RAP project implementation. This study was funded by the National Institute on Drug Abuse, grant #R01 DA13356. RAP is an affiliated study of the Center for Interdisciplinary Research on AIDS (P30 MH62294). Address correspondence to JiangHong Li, MD, MS, Institute for Community Research, 2 Hartford Square West, Suite 100, Hartford, CT 06106. E-mail: [email protected].

Keywords

Diffusion of innovation
HIV/AIDS
Peer interventions
Social networks
Substance abuse

ASJC Scopus subject areas

Medicine (miscellaneous)
Health(social science)
Public Health, Environmental and Occupational Health
Psychiatry and Mental health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.3109/10826084.2012.644097

Cite this

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title = "A social network approach to demonstrate the diffusion and change process of intervention from peer health advocates to the drug using community",

abstract = "Project RAP (Risk Avoidance Partnership) trained 112 active drug users to become peer health advocates (PHAs). Six months after baseline survey (N bl = 522), 91.6% of PHAs and 56.6% of community drug users adopted the RAP innovation of giving peer intervention, and 59.5% of all participants (N 6m = 367) were exposed to RAP innovation. Sociometric network analysis shows that adoption of and exposure to RAP innovation was associated with proximity to a PHA or a highly active interventionist (HAI), being directly linked to multiple PHAs/HAIs, and being located in a network sector where multiple PHAs/HAIs were clustered. RAP innovation has diffused into the Hartford drug-using community.",

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note = "Funding Information: The authors wish to acknowledge the following individuals for their contributions to the work that led to this article. Oscar Woods, Eduardo Robles, and Maria Martinez went through the tedious work of verifying thousands of network member ties. Their work was critical to the construction of sociometric network databases. Jun-Jie Li spent considerable time preparing sociometric network measures and databases. Maria Martinez, Mark Convey, Oscar Woods, Eduardo Robles, Kim Radda, Michelle Garner, Julie Gonzalez, Chris Ortiz, and others contributed to different aspects of RAP project implementation. This study was funded by the National Institute on Drug Abuse, grant #R01 DA13356. RAP is an affiliated study of the Center for Interdisciplinary Research on AIDS (P30 MH62294). Address correspondence to JiangHong Li, MD, MS, Institute for Community Research, 2 Hartford Square West, Suite 100, Hartford, CT 06106. E-mail: [email protected].",

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A social network approach to demonstrate the diffusion and change process of intervention from peer health advocates to the drug using community

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

UN SDGs

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