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.
AIDS Behav. 2011 Feb;15(2):396-406. doi: 10.1007/s10461-010-9714-z.
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.
药物滥用对 HIV/AIDS 患者的健康有严重影响，但客户参与率不理想限制了干预措施的效果。本研究在一项旨在预防复发和提高药物依从性的随机试验中，检查并比较了客户特征，这些特征预测了两种干预措施（SET 和团体干预）的参与度（定义为参加两个或更多个疗程），该试验针对的是 126 名主要为非裔美国的 HIV+药物滥用康复女性。两种干预措施的干预参与度（总体 60%）没有显著差异。较少的身体和精神症状（不适）（P < 0.05）、独立生活（P < 0.05）、与孩子一起生活（P < 0.05）和改变的意愿（P < 0.05）与两种干预措施的参与度相关。这项研究的结果可用于为同时受到药物滥用和 HIV/AIDS 影响的女性提供外展和参与方法。
