University of Porto, Portugal and Federal University of Bahia, Brazil.
University of Houston, Houston, Texas.
AIDS Educ Prev. 2021 Jun;33(3):169-186. doi: 10.1521/aeap.2021.33.3.169.
The objective of this study was to evaluate the efficacy of two psychosocial interventions (Didactic and ACCENT) on socio-cognitive risk factors, in vulnerable Mozambican women at risk for HIV/AIDS infection. The study design was a randomized controlled trial on Mozambican women at HIV/AIDS risk ( = 150). The participants were randomized into three groups: Didactic Intervention (experimental group), ACCENT intervention (experimental group), and control group. We used an adapted version of the Women's Health Questionnaire, which includes a series of scales and questionnaires assessing psychosocial relevant dimensions to female protection towards HIV/AIDS: HIV/AIDS knowledge, condom use negotiation self-efficacy, and perceived barriers against safer sex. Both interventions were equally effective in increasing HIV/AIDS knowledge. The ACCENT intervention was especially effective in promoting condom use negotiation self-efficacy and in decreasing perceived barriers against safer sex, essential variables for sexual protection. These results support the adaptation of Western interventions to the African context.
本研究旨在评估两种心理社会干预措施（Didactic 和 ACCENT）对社会认知风险因素的疗效，这些措施针对的是易感染艾滋病毒/艾滋病的莫桑比克弱势女性。研究设计为一项针对艾滋病毒/艾滋病高危莫桑比克女性（n = 150）的随机对照试验。参与者被随机分为三组：Didactic 干预组（实验组）、ACCEPT 干预组（实验组）和对照组。我们使用了经过改编的女性健康问卷，其中包括一系列评估女性对艾滋病毒/艾滋病保护的相关维度的量表和问卷：艾滋病毒/艾滋病知识、避孕套使用谈判自我效能感和对安全性行为的感知障碍。这两种干预措施在提高艾滋病毒/艾滋病知识方面同样有效。ACCEPT 干预措施特别有效地促进了避孕套使用谈判自我效能感，并降低了对安全性行为的感知障碍，这些都是性保护的重要变量。这些结果支持将西方干预措施适应当地的非洲背景。
