title: The effects of AIDS prevention programs by lay health advisors for migrants in The Netherlands.
abstract: Two studies describe the effectiveness of acquired immunodeficiency syndrome (AIDS) prevention programs by lay health advisors (LHAs) for migrants in The Netherlands. The effects of such AIDS programs were evaluated (Study 1) and compared with the effects of professional health advisors (PHAs, i.e. medical doctors or nurses) (Study 2). The first study concerned Turkish and Moroccan migrants and showed positive effects on knowledge, behavioral control, and social norm towards condom use. Iraqi refugees participated in the second study that concerned a direct comparison of LHA- and PHA-based programs. Both programs result in positive effects in terms of attitude change and knowledge, but the LHA program resulted in a stronger intention to discuss AIDS with children. Analyses predicting intention to use condoms provide evidence that LHA programs lead to a stronger relation between attitudes and intention. This suggests that LHA-based AIDS programs are more successful in inducing internally motivated intentions to safe sex practices, such as condom use.
authors.affiliation: Department of Experimental Psychology, Faculty of Psychology, University of Maastricht, P.O. Box 616, 6200 MD Maastricht, The Netherlands. c.martijn@psychology.unimaas.nl
authors.forename: Carolien
authors.initials: C
authors.lastname: Martijn
authors.forename: Nanne K
authors.initials: NK
authors.lastname: de Vries
authors.forename: Toon
authors.initials: T
authors.lastname: Voorham
authors.forename: Jeanine
authors.initials: J
authors.lastname: Brandsma
authors.forename: Max
authors.initials: M
authors.lastname: Meis
authors.forename: Harm J
authors.initials: HJ
authors.lastname: Hospers
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000517:prevention & control*; D000328:Adult; D001294:Attitude to Health / Q000208:ethnology; D003150:Community Health Workers / Q000458:organization & administration*; D017280:Condoms / Q000706:statistics & numerical data; D005260:Female; D006266:Health Education / Q000458:organization & administration*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007493:Iraq / Q000208:ethnology; D008297:Male; D009018:Morocco / Q000208:ethnology; D009042:Motivation; D020380:Needs Assessment; D009426:Netherlands; D011361:Professional Competence / Q000592:standards; D015397:Program Evaluation; D021841:Safe Sex; D012736:Sex Education / Q000458:organization & administration*; D011795:Surveys and Questionnaires; D014171:Transients and Migrants / Q000193:education* / Q000523:psychology; D014421:Turkey / Q000208:ethnology