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Abstract
Factors predicting engagement into interventions for adaptation to HIV in African American women
G Prado, D J Feaster, V B Mitrani, M H Mauer, L Smith, J Szapocznik
University of Miami, Miami, United States
Background.
Psychosocial interventions have been shown to improve the quality of life of HIV+ individuals. Despite the positive impact of these interventions, many researchers have cited very low attendance rates. No empirical study, however, has examined the factors that predict engagement into these types of interventions. This study examines socioeconomic status, perceived stress, family functioning, social support, perceived control over health, distress, and therapeutic alliance as possible predictors of engagement into psychosocial interventions for adaptation to HIV in African American women.
Methods.
Participants are 136 urban, low-income HIV+ African American women enrolled in a National Institute of Mental Health funded randomized clinical trial. Participants were administered empirically validated measures. Univariate and hierarchical logistic regression analyses were used.
Results.
The results showed that several of the participant characteristics were important in predicting engagement. Participants who reported more daily hassles, a larger social support network, more spousal disagreements, more distress, and a greater alliance with the interventionist were more likely to engage in the intervention. The findings also demonstrated that therapeutic alliance was a stronger predictor than all of the participant characteristics.
Conclusions.
Results from this study may help interventions identify participants that are at risk of failing to engage in interventions that promote adaptation to HIV. Thus, interventionists can work harder to engage this subgroup of individuals into treatment. In addition, since therapeutic alliance was found to be a stronger predictor of engagement, the interventionist can do a lot more to provide the conditions that are perceived by participants as positive for the therapeutic relationship. Thus, the interventionist has a key role in whether or not the HIV+ individual engages into treatment.
The XIV International AIDS Conference
Abstract no.
C11040
Suggested Citation
" G Prado, et al.
Factors predicting engagement into interventions for adaptation to HIV in African American women
.
Print Only:
The XIV International AIDS Conference:
Abstract no.
C11040"
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