title: The influence of motivational messages on future planning behaviors among HIV concordant positive and discordant couples in Lusaka, Zambia.
abstract: In Zambia the HIV/AIDS epidemic has resulted in many single female-headed households. Strong patriarchal laws and customs prevent widows and children from maintaining economic assets. This study examines the impact of a video-based motivational intervention promoting future planning in 1,504 HIV-infected couples in Lusaka, Zambia. Following a group video session, couples randomized to the motivational arm could choose to write a will, identify a guardian for their children and make financial plans. Desirable behaviours modelled in the motivational video were measured at quarterly intervals for a year and compared in intervention and control arms. Demographic measures including age, income and educational status were not associated with planning behaviours. Participation in the intervention was associated with will writing (23% versus 5%) and naming a guardian (32% versus 17%) but not with other planning behaviours. The study demonstrates the ability of motivational messages integrated into HIV VCT to encourage future planning behaviour and points to the need to expand existing HIV and VCT services to meet other non-health needs of those living with HIV.
authors.affiliation: Hubert Department of Global Health, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, Atlanta, GA 30322, USA. rbsteph@sph.emory.edu
authors.forename: R
authors.initials: R
authors.lastname: Stephenson
authors.forename: E
authors.initials: E
authors.lastname: Mendenhall
authors.forename: L
authors.initials: L
authors.lastname: Muzizi
authors.forename: B
authors.initials: B
authors.lastname: Vwalika
authors.forename: E
authors.initials: E
authors.lastname: Chomba
authors.forename: Y
authors.initials: Y
authors.lastname: Ahmed
authors.forename: L
authors.initials: L
authors.lastname: Clark
authors.forename: D
authors.initials: D
authors.lastname: Roth
authors.forename: J
authors.initials: J
authors.lastname: Telfair
authors.forename: A
authors.initials: A
authors.lastname: Haworth
authors.forename: S
authors.initials: S
authors.lastname: Allen
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003376:Counseling / Q000379:methods; D003657:Decision Making; D005191:Family Characteristics; D005260:Female; D015658:HIV Infections / Q000191:economics / Q000453:epidemiology / Q000523:psychology*; D006801:Humans; D007872:Legal Guardians / Q000523:psychology; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010934:Planning Techniques; D012959:Socioeconomic Factors; D014743:Videotape Recording; D017805:Widowhood / Q000191:economics / Q000523:psychology*; D014918:Wills / Q000191:economics / Q000523:psychology; D015024:Zambia / Q000453:epidemiology