A multisite randomized trial of a motivational intervention targeting multiple risks in youth living with HIV: initial effects on motivation, self-efficacy, and depression.
A multisite randomized trial of a motivational intervention targeting multiple risks in youth living with HIV: initial effects on motivation, self-efficacy, and depression.
复制标题
DOI：
10.1016/j.jadohealth.2009.11.198
复制
发表时间：
2010-05
影响因子：
7.6
通讯作者：
Harris, D. Robert
中科院分区：
文献类型：
--
作者：
Naar-King, Sylvie;Parsons, Jeffrey T.;Murphy, Debra;Kolmodin, Karen;Harris, D. Robert
需要针对感染艾滋病毒的青少年 (YLH) 采取针对多种危险行为的干预措施。一项随本文介绍了 3 个月随访的中间结果，以及被认为是行为改变前兆的变量（动机、自我效能和抑郁）。从青少年试验网络 (ATN) 的四个站点和一个非 ATN 站点招募至少具有三种问题行为之一的 YLH (N = 186)，并在基线和 3 个月时进行评估。在随机分配接受治疗的 94 名青少年中，84% 接受了至少 1 次治疗，67% 接受了至少 2 次治疗，56% 接受了至少 3 次治疗，49% 完成了全部 4 次治疗。在意向治疗分析中，与对照组相比，治疗组仅抑郁症得到显着改善。然而，在按方案分析中，与对照组的青少年相比，接受至少两次干预的青少年在改变的动机准备度方面也表现出显着改善。结果表明，基于临床的激励干预措施对于接受这些干预措施的 YLH 具有潜在的好处。使用外展模式在社区中提供干预措施可以改善获取机会。对后续时间点的分析将确定对实际行为变化的影响。
Interventions targeting multiple risk behaviors are needed for youth living with HIV (YLH). A randomized clinical trial compared Healthy Choices, a 4 session motivational intervention targeting two of three risk behaviors (HIV medication adherence, sexual risk behavior and substance use) to multidisciplinary specialty care alone. This paper presents intermediary outcomes available at 3-month follow-up, variables proposed to be precursors to behavior change (motivation, self-efficacy and depression). YLH (N = 186) with at least one of the three problem behaviors were recruited from four sites in the Adolescent Trials Network (ATN) and one non-ATN site and were assessed at baseline and 3 months. Of the 94 youth randomly assigned to the treatment condition, 84% received at least one session, 67% received at least two sessions, 56% received at least 3 sessions, and 49% completed all four sessions. In intent-to-treat analysis, only depression was significantly improved in the treatment group compared to controls. However, in per-protocol analysis, youth receiving at least two sessions of the intervention also showed significant improvements in motivational readiness to change compared to youth in the control condition. Results suggest the potential benefits of clinic-based motivational interventions for YLH who access these interventions. Delivering interventions in the community using an outreach model may improve access. Analysis of subsequent time points will determine effects on actual behavior change.
登录
查看更多内容
影响因子：
3.9
作者：
Moyers, TB;Martin, T;Miller, WR
通讯作者：
Miller, WR
影响因子：
--
作者：
Rotheram-Borus, MJ;Lee, M;Lester, P
通讯作者：
Lester, P
影响因子：
4.9
作者：
Ellis, DA;Naar-King, S;Secord, E
通讯作者：
Secord, E
DOI：
10.1080/09540120500467075
发表时间：
2006-10-01
影响因子：
1.7
作者：
Naar-King, S.;Wright, K.;Ondersma, S.
通讯作者：
Ondersma, S.
DOI：
10.1080/09540120020018161
发表时间：
2001-02-01
影响因子：
1.7
作者：
Murphy, DA;Wilson, CM;Belzer, M
通讯作者：
Belzer, M