作者: Stephanie L. Marhefka , Eric R. Buhi , Julie Baldwin , Henian Chen , Ayesha Johnson
关键词: Psychosocial 、 Randomized controlled trial 、 Psychological intervention 、 Randomization 、 Expanded access 、 Telehealth 、 Patient satisfaction 、 Social stigma 、 Physical therapy 、 Medicine
摘要: Introduction: Expanded access to efficacious interventions is needed for women living with human immunodeficiency virus (WLH) in the United States. Availability of “prevention (human [HIV)] positives” rural/remote and low HIV prevalence areas remains limited, leaving WLH these communities few options receiving effective behavioral such as Healthy Relationships (HR). Offering programs via videoconferencing groups (VGs) may expand access. This analysis tests effectiveness HR-VG (versus wait-list control) reducing sexual risk behavior among explores intervention satisfaction. Subjects Methods: In this randomized controlled trial unprotected vaginal/anal sex occasions over prior 3 months reported at 6-month follow-up were compared across randomization through zero-inflated Poisson regression modeling, controlling baseline. Seventy-one completed baseline assessment (n=36 n=35 control); 59 (83% each group) had data. Results: Among those who engaged follow-up, participants approximately seven fewer than control (95% confidence interval 5.43–7.43). Intervention high levels satisfaction HR-VG; 84% being “very satisfied” overall. Conclusions: study found promising evidence dissemination reduction VGs. Important next steps will be determine whether VGs are other subpopulations people (i.e., men non-English speakers) assess cost-effectiveness. Possibilities using psychosocial reduce stigma discussed.