Malaise, motivation and motherhood: predictors of engagement in behavioral interventions from a randomized controlled trial for HIV+ women in drug abuse recovery.
Drug abuse has serious consequences for the wellbeing of persons with HIV/AIDS but suboptimal rates of client engagement limit the efficacy of interventions. The present study examines and compares client characteristics that predicted engagement (defined as attendance at two or more sessions) in a family intervention (SET) and a group intervention within a randomized trial aimed at preventing relapse and improving medication adherence for 126 predominantly African American HIV+ women in drug abuse recovery. Intervention engagement (60% overall) was not significantly different across the two interventions. Fewer physical and mental symptoms (malaise) (P < 0.05), living independently (P < 0.05), living with children (P < 0.05), and readiness to change (P < 0.05) were associated with engagement across the two interventions. Results from this study can be used to inform outreach and engagement approaches for women dually affected by drug abuse and HIV/AIDS.
Center of Excellence for Health Disparities Research: El Centro, School of Nursing and Health Studies, University of Miami, 5030 Brunson Drive, Coral Gables, FL, USA. vmitrani@miami.edu
Victoria B
VB
Mitrani
Daniel J
DJ
Feaster
Nomi S
NS
Weiss-Laxer
Brian E
BE
McCabe
D000328:Adult; D001741:Black or African American / Q000523:psychology* / Q000706:statistics & numerical data; D002648:Child; D005191:Family Characteristics; D005196:Family Therapy; D005260:Female; D015658:HIV Infections / Q000188:drug therapy* / Q000523:psychology; D006679:HIV Seropositivity / Q000523:psychology*; D015438:Health Behavior; D006266:Health Education; D006801:Humans; D055118:Medication Adherence; D009035:Mothers / Q000523:psychology*; D009042:Motivation; D012944:Social Support; D019966:Substance-Related Disorders / Q000150:complications / Q000628:therapy*