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Malaise, Motivation and Motherhood: Predictors of Engagement in Behavioral Interventions from a Randomized Controlled Trial for HIV+ Women in Drug Abuse Recovery

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Abstract

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.

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Acknowledgements

This research was funded by National Institute on Drug Abuse grants: R01 DA15004 and R01 DA16543. Funding was also received from the NIH Office of Research on Women’s Health. The National Institutes of Health Office of Research on Women’s Health, NCMHD grant P60MD002266, and the University of Miami, General Clinical Center Research Grant M01RR16587 also supported this research.

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Authors and Affiliations

  1. 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

    Victoria B. Mitrani, Nomi S. Weiss-Laxer & Brian E. McCabe

  2. Department of Epidemiology and Public Health, Leonard M. Miller School of Medicine, University of Miami, Miami, FL, USA

    Daniel J. Feaster

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  1. Victoria B. Mitrani
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Correspondence to Victoria B. Mitrani.

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Mitrani, V.B., Feaster, D.J., Weiss-Laxer, N.S. et al. Malaise, Motivation and Motherhood: Predictors of Engagement in Behavioral Interventions from a Randomized Controlled Trial for HIV+ Women in Drug Abuse Recovery. AIDS Behav 15, 396–406 (2011). https://doi.org/10.1007/s10461-010-9714-z

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