title: The idiographic study of inconsistent condom use behavior of persons living with HIV.
abstract: A pilot study was conducted to assess the feasibility of using, in a multiply disadvantaged population, an electronic daily diary to test hypotheses linking affective states to variability in psychosocial determinants of condom use. Twenty-one mostly non-Caucasian individuals reporting profound economic disadvantage, heavy alcohol use and HIV infection completed a 5-7 minute interactive voice response (IVR) telephone-based survey daily for three weeks. Potentially affect-related within-person variability was observed in HIV-preventive attitudes, intentions and self-efficacy. Surprisingly, in this sample, HIV-preventive attitudes, intentions and self-efficacy exhibited as much, or greater, variability within persons as compared to between persons. Positive affect was found to significantly co-vary with self-efficacy to practice safer sex B=0.20, t((199))=2.14, p=0.03. For each unit increase in daily positive affect, daily self-efficacy increased by 0.20. Results suggest that a daily diary methodology is both feasible in a high-risk population and may offer new insights into understanding unprotected sexual behavior.
authors.affiliation: University of Connecticut, Department of Psychology and Center for Health, Intervention, and Prevention, Storrs, Connecticut 06269, USA. william.barta@uconn.edu
authors.forename: W D
authors.initials: WD
authors.lastname: Barta
authors.forename: S M
authors.initials: SM
authors.lastname: Kiene
authors.forename: H
authors.initials: H
authors.lastname: Tennen
authors.forename: K S
authors.initials: KS
authors.lastname: Abu-Hasaballah
authors.forename: R
authors.initials: R
authors.lastname: Ferrer
mesh_terms: D000328:Adult; D017280:Condoms / Q000706:statistics & numerical data*; D005240:Feasibility Studies; D005260:Female; D015658:HIV Infections / Q000517:prevention & control* / Q000635:transmission; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D010865:Pilot Projects; D012309:Risk-Taking; D012725:Sexual Behavior / Q000523:psychology; D019529:Sexuality