Lucy Marion, PhD, RN, FAAN¹, Lorna Finnegan, PhD, APN², Barbara Dancy, PhD, RN, FAAN³, and Marie Talashek, EdD, RN³. (1) School of Nursing, Medical College of Georgia, 997 St. Sebastian Way, Augusta, GA 30912, 706-721-3771, LUMARION@mail.mcg.edu, (2) School of Nursing, Saint Xavier University, 3700 W. 103rd Street, Chicago, IL 60655, (3) College of Nursing, University of Illinois at Chicago, 845 S. Damen, Chicago, IL 60612

The Interaction Model of Client Health Behavior (IMCHB) provided structure to integrate conceptual frameworks for health behavior change and health services delivery for this study. The presentation will describe how this randomized community trial with very high risk African American women (AA) (N = 350) incorporated contextual and psychological variables to describe at risk sexual behaviors and STD incidence at baseline at the beginning of a 12 month multimodal advanced practice nursing (APN) care management intervention. The control group received a brief educational intervention with STD screening at baseline followed by a concentrated intervention at 12 months. Presentation of findings will focus on a description of the sample. Successful and unsuccessful recruitment strategies for this population with extreme poverty, high rates of chemical dependency, and marked mobility will be described. Finally, the screening and diagnosis of gonorrhea, chalmydia, and trichomonas infections through PCR testing in the intervention and control groups will be included. Funded by National Institute of Nursing Research NRO1 NR 04836

Learning Objectives:

Upon completion of this session, the participant will be able to
• Describe the sample of high risk AA women on Chicago's West Side according to sociodemographics and other contextual factors and personal/psychological factors
• Discuss the challenges of recruiting a sample of women with very high risk for STDs, and
• Give the incidence of STDs in the control and intervention groups at baseline.

Keywords: African American, Special Issues

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.