A Meta-Intervention to Increase Completion of an HIV-Prevention Intervention: Results from a Randomized Controlled Trial in the State of Florida

Dolores Albarracín, Kristina Wilson, Marta R. Durantini, Aashna Sunderrajan, William Livingood

Research output: Contribution to journalArticle

Abstract

Objective: A randomized control trial with 722 eligible clients from a health department in the State of Florida was conducted to identify a simple, effective meta-intervention to increase completion of an HIV-prevention counseling program. Method: The overall design involved 2 factors representing an empowering and instrumental message, as well as an additional factor indicating presence or absence of expectations about the counseling. Completion of the 3-session counseling was determined by recording attendance. Results: A logistic regression analysis with the 3 factors of empowering message, instrumental message, and presence of mediator measures, as well as all interactions, revealed significant interactions between instrumental and empowering messages and between instrumental messages and presence of mediator measures. Results indicated that (a) the instrumental message alone produced most completion than any other message, and (b) when mediators were not measured, including the instrumental message led to greater completion. Conclusions: The overall gains in completion as a result of the instrumental message were 16%, implying success in the intended facilitation of counseling completion. The measures of mediators did not detect any experimental effects, probably because the effects were happening without much conscious awareness.

Original languageEnglish (US)
Pages (from-to)1052-1065
Number of pages14
JournalJournal of Consulting and Clinical Psychology
Volume84
Issue number12
DOIs
StatePublished - Dec 1 2016

Keywords

  • HIV
  • Health promotion
  • intervention
  • persuasion
  • randomized controlled trial
  • retention

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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