title: Relational factors and family treatment engagement among low-income, HIV-positive African American mothers.
abstract: Clinically derived hypotheses regarding treatment engagement of families of low-income, HIV-positive, African American mothers are tested using univariate and multivariate logistic regression models. Predictors are baseline family relational factors (family support, mother's desire for involvement with family, and family hassles) and mother's history of substance dependence. The study examines a subsample of 49 mothers enrolled in a clinical trial testing the efficacy of Structural Ecosystems Therapy (SET). SET is a family-based intervention intended to relieve and prevent psychosocial distress associated with HIV/AIDS. Participants in the subsample were randomly assigned to SET and attended at least two therapy sessions. Findings reveal that family relational factors predicted family treatment engagement (family support, p < .004; mother's desire for involvement with family, p < .008; family hassles, p < .027). Family support predicted family treatment engagement beyond the prediction provided by the other relational factors and the mother's own treatment engagement (p < .016). History of substance dependence was neither associated with family treatment engagement nor family support. Post hoc analyses revealed that family hassles (p < .003) and mother's desire for involvement with family (p < .018) were differentially related to family treatment engagement in low- versus high-support families. Implications for clinical practice and future research are discussed.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, University of Miami School of Medicine, USA. vmitrani@med.miami.edu
authors.forename: Victoria B
authors.initials: VB
authors.lastname: Mitrani
authors.forename: Guillermo
authors.initials: G
authors.lastname: Prado
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Feaster
authors.forename: Carleen
authors.initials: C
authors.lastname: Robinson-Batista
authors.forename: José
authors.initials: J
authors.lastname: Szapocznik
mesh_terms: D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D000704:Analysis of Variance; D005191:Family Characteristics; D005196:Family Therapy; D005260:Female; D006679:HIV Seropositivity / Q000523:psychology*; D015438:Health Behavior; D006801:Humans; D016015:Logistic Models; D008137:Longitudinal Studies; D009035:Mothers / Q000523:psychology*; D011203:Poverty; D012944:Social Support; D014481:United States