Woman to Woman (W2W): Adapting an HIV risk reduction intervention for older women

Laneshia R. Conner, Malitta Engstrom, Eric Junious, Kevin Edwards-Knight

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Woman to Woman (W2W) is a novel adaptation of the Sisters Informing Sisters about Topics on AIDS (SISTA) HIV prevention program. This article describes the process of adapting and piloting W2W based on recommendations from existing HIV prevention research. Six older women, all of whom had histories of homelessness and the majority of whom identified as African American, enrolled in the study, which piloted the adapted intervention and materials, evaluated the acceptability of the program, and assessed the measures related to the intervention. Participants described satisfaction with the program and had high rates of attendance; observations regarding the measures suggest the need to further develop assessments of HIV knowledge, condom use self-efficacy, and risk behaviors in this context.

Original languageEnglish
Pages (from-to)428-443
Number of pages16
JournalJournal of Women and Aging
Issue number5
StatePublished - Sep 3 2018

Bibliographical note

Funding Information:
The study recruited participants who resided in several Housing First sites in an urban county in the Southern United States. The study was approved by the University of North Carolina at Charlotte Institutional Review Board and received an annual review. The study was supported through a faculty research grant program at the University. Participants were identified and recruited with the assistance of a case worker employed at the host site. To ensure that older adults at high risk of HIV were recruited for the study, the first author established the inclusion age of 45 instead of 50 due to the premature aging that occurs with homelessness (Shibusawa & Padgett, 2009). Women under age 45 who did not have proficiency in English to participate in the sessions and who experienced documented cognitive impairment that would limit their ability to participate in the sessions would have been excluded from the study if they had responded to outreach efforts; however, no women were excluded from the study for these reasons. A total of six women, four of whom identified as African American, participated in the study. All women who agreed to participate provided written informed consent at the outset of participation.


  • Best practices
  • HIV
  • intervention
  • older women
  • prevention

ASJC Scopus subject areas

  • Gender Studies
  • Geriatrics and Gerontology


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