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Results of a Pilot Test of a Brief Computer-Assisted Tailored HIV Prevention Intervention for Use with a Range of Demographic and Risk Groups

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Abstract

There is a need for brief HIV prevention interventions that can be disseminated and implemented widely. This article reports the results of a small randomized field experiment that compared the relative effects of a brief two-session counselor-delivered computer-tailored intervention and a control condition. The intervention is designed for use with African-American, non-Hispanic white and Hispanic males and females who may be at risk of HIV through unprotected sex, selling sex, male to male sex, injecting drug use or use of stimulants. Participants (n = 120) were recruited using a quota sampling approach and randomized using block randomization, which resulted in ten male and ten female participants of each racial/ethnic group (i.e. African-American, non-Hispanic white and Hispanic) being assigned to either the intervention or a control arm. In logistic regression analyses using a generalized estimating equations approach, at 3-month followup, participants in the intervention arm were more likely than participants in the control arm to report condom use at last sex (Odds ratio [OR] = 4.75; 95 % Confidence interval [CI] = 1.70–13.26; p = 0.003). The findings suggest that a brief tailored intervention may increase condom use. Larger studies with longer followups are needed to determine if these results can be replicated.

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Acknowledgments

We are grateful for the assistance of Steffanie Strathdee, Sebastian Bonner, Anita Raj, Rochelle Shain, Janet St. Lawrence, and Melissa Davey-Rothwell who shared their evidence-based interventions with us and granted us permission to incorporate elements of them into this intervention. This project was funded by NIH Grant number R21DA026771 from the National Institute on Drug Abuse.

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Authors and Affiliations

  1. Substance Abuse Treatment Evaluations and Interventions Program, RTI International, 3040 Cornwallis Rd., Research Triangle Park, NC, 27709-2194, USA

    William A. Zule, Curtis M. Coomes & Wendee M. Wechsberg

  2. Statistics and Epidemiology Division, RTI International, Research Triangle Park, NC, USA

    Georgiy V. Bobashev

  3. Duke Center for Health Policy and Inequalities Research, Duke University, Durham, NC, USA

    Susan M. Reif

  4. School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

    Winona Poulton

Authors
  1. William A. Zule
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  2. Georgiy V. Bobashev
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  3. Susan M. Reif
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  4. Winona Poulton
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  5. Curtis M. Coomes
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  6. Wendee M. Wechsberg
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Correspondence to William A. Zule.

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Zule, W.A., Bobashev, G.V., Reif, S.M. et al. Results of a Pilot Test of a Brief Computer-Assisted Tailored HIV Prevention Intervention for Use with a Range of Demographic and Risk Groups. AIDS Behav 17, 3045–3058 (2013). https://doi.org/10.1007/s10461-013-0557-2

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  • DOI: https://doi.org/10.1007/s10461-013-0557-2

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