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13th International AIDS ConferenceDurban, South Africa - July 9-July 14, 2000 |
Int Conf AIDS 2000 Jul 9-14; 13:63 (abstract no.. LBPeD7115)
McCoy HV, Williams M, Bowen A
Comprehensive Drug Research Center, University of Miami School of Medicine, FL 33136. Fax: +1305-243-6008, E-mail: vmccoy@med.miami.edu.
PURPOSE: This study reports on the development of a theory driven intervention to reduce sexual risks for HIV in crack cocaine users who identified construct- specific determinants of intention and their related processes of change.
METHODS: A qualitative study interviewed 120 crack users in Washington DC, Miami and Collier County, Fl. A quantitative questionnaire, based on qualitative results, was administered to 647 crack users in the same sites. Factor analysis, logistic regressions, and structural equation modelling revealed that outcome expectancies and normative beliefs, but not self-efficacy, significantly contributed to participants' intention to use condoms with loved partners. Processes of change found to affect the predictors variables included self-liberation, counter conditioning. stimulus control/reinforcement, social liberation and dramatic relief.
RESULTS: A 4-session intervention was designed by applying statistically significant theoretical constructs to their associated processes of change and translating these into appropriate strategies and activities. Specific processes of change were empirically linked to self-efficacy, normative beliefs and outcome expectancies. Self-efficacy was illustrated by dramatic relief through actively discouraging negative discussions of HIV and condoms and by self -liberation through rehearsing condom negotiation. Normative beliefs was illustrated by stimulus control through salient others attending group sessions. Outcome expectancies were illustrated by counter conditioning through associating romantic ideas with condoms.
CONCLUSIONS: The design of the romance intervention supports recommendations for eroticizing and incorporating condoms into romantic settings. The efficacy of this intervention is currently being assessed in all three sites.
Copyright © 2000 - International AIDS Society (IAS). Reproduction of this abstract (other than one copy for personal reference) must be cleared through the IAS.
