title: WiLLOW: reaching HIV-positive African-American women through a computer-delivered intervention.
abstract: WiLLOW is an evidence-based, group level HIV prevention program for African-American women living with HIV. This study evaluated the efficacy of a multimedia adaptation of WiLLOW in enhancing protective sexual behaviors and psychosocial mediators associated with HIV risk reduction. Using a randomized controlled design, 168 participants completed baseline, satisfaction, and three-month follow-up assessments. At follow-up intervention participants reported higher proportions of condom protected sex acts (p = .002) with both HIV-negative (p = .040) and HIV-positive (p = .003) partners. They were also more likely to report 100 % condom use (OR = 9.67; p = .03); fewer unprotected vaginal and anal sex acts (p = .002); significantly greater sexual communication self-efficacy (p = .004); and less stress (p = .012). Participants rated Multimedia WiLLOW favorably in four satisfaction categories-enjoyment (p < .001); information utility (p = .018); information clarity (p = .015) and held attention (p = .01).
authors.affiliation: Anthropology Department, Portland State University, P.O. Box 751, Portland, OR, 97207, USA, charles.klein@pdx.edu.
authors.forename: Charles H
authors.initials: CH
authors.lastname: Klein
authors.forename: Carmela G
authors.initials: CG
authors.lastname: Lomonaco
authors.forename: Rik
authors.initials: R
authors.lastname: Pavlescak
authors.forename: Josefina J
authors.initials: JJ
authors.lastname: Card
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D006679:HIV Seropositivity / Q000453:epidemiology / Q000523:psychology; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006801:Humans; D020407:Internet; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D015397:Program Evaluation; D040242:Risk Reduction Behavior; D020377:Self Efficacy; D012725:Sexual Behavior / Q000523:psychology / Q000706:statistics & numerical data*; D012944:Social Support; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology; D014584:User-Computer Interface; D016387:Women's Health