title: Maintenance of safer sexual behaviours: evaluation of a theory-based intervention for HIV seropositive men with haemophilia and their female partners.
abstract: A theory-based HIV risk-reduction intervention was developed for HIV-positive men with haemophilia and their HIV-negative female romantic partners. The intervention was based on Prochaska and DiClemente's Transtheoretical Model which describes behaviour change as an incremental, stage-based process. The intervention targeted both communication about safer sex and safer sex behaviours (consistent condom use or abstinence from vaginal intercourse). A total of 255 males and 158 females from six funded haemophilia treatment centres or patient organizations (and 27 associated subsites) participated in the study. Baseline and follow-up (15 months after baseline) measures were administered to assess safer sexual behaviours, communication about safer sex and condom self-efficacy. A quasi-experimental, repeated measures design was utilized to compare two naturally occurring groups; those who received the full intervention package and those who received incomplete or no intervention components. Significant intervention effects for safer sex behaviours, communication about safer sex and condom self-efficacy were identified for the male participants, with those receiving the full intervention package demonstrating better outcomes at follow-up. Women who received the full intervention package were more likely to report the use of a condom by their male partner during the last act of vaginal intercourse.
authors.affiliation: Deartment of sychology, New Jersey City University, Jersey City, NJ 07305, USA. jparsons2@njcu.edu
authors.forename: J T
authors.initials: JT
authors.lastname: Parsons
authors.forename: H C
authors.initials: HC
authors.lastname: Huszti
authors.forename: S O
authors.initials: SO
authors.lastname: Crudder
authors.forename: L
authors.initials: L
authors.lastname: Rich
authors.forename: J
authors.initials: J
authors.lastname: Mendoza
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D003142:Communication; D017280:Condoms / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D006679:HIV Seropositivity / Q000523:psychology*; D006304:Health Status; D006467:Hemophilia A / Q000150:complications* / Q000523:psychology / Q000821:virology; D006801:Humans; D008297:Male; D011785:Quality Assurance, Health Care; D012449:Safety / Q000592:standards*; D020377:Self Efficacy; D012746:Sexual Abstinence; D012725:Sexual Behavior / Q000523:psychology; D012747:Sexual Partners / Q000523:psychology; D011795:Surveys and Questionnaires