Effects of Intervention Attrition and Research Attrition on the Evaluation of an HIV Prevention Program

Lauby, Jennifer; Kotranski, Lynne; Feighan, Kelly; Collier, Karyn; Semaan, Salaam; Halbert, Joan

doi:10.1177/002204269602600310

Cited by 18 publications

(8 citation statements)

References 13 publications

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“…Finally, in contrast to earlier studies (Lauby et al, 1996;Song, Lee, Rotheram-Borus, & Swendeman, 2006), we found that men were less likely to attend the intervention. Workshops were held on both Fridays and Saturdays for men, so it is unlikely that the day of the week can explain this finding.…”

Section: Discussioncontrasting

confidence: 99%

“…Previous research investigating the relation between sexual risk behavior and intervention attendance has been mixed (e.g., DiFranceisco et al, 1998;Lauby et al, 1996;Rutledge et al, 2002). Because participants were recruited from an STD clinic and screened into the study based on sexual risk behavior, rates of sexual risk behavior were relatively high, and perhaps we encountered a ceiling effect; that is, rates of sexual behaviors may have been so high in both attendees and non-attendees that we were unable to detect an effect of sexual behavior on workshop attendance.…”

Section: Discussionmentioning

confidence: 99%

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Even If You Build It, We May Not Come: Correlates of Non-attendance at a Sexual Risk Reduction Workshop for STD Clinic Patients

et al. 2007

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Sexual risk reduction interventions have been shown to reduce sexual risk behavior; however, attendance at these interventions is sometimes disappointingly low. To improve recruitment efforts, we investigated whether patient characteristics were associated with non-attendance at a single-session, sexual risk reduction intervention. Patients from an STD clinic (N = 990; 48% female; 64% African American) who were eligible and who agreed to participate in a randomized, clinical trial were invited to a 4-h, sexual risk reduction workshop. Fifty-six percent of those who were invited attended the workshop. Those who did not attend were more likely to be younger, male, Caucasian, and employed. Attendance did not differ as a function of sexual behavior or infection status. These findings identify the population sub-groups who are likely to require special effort to attract to a workshop. We encourage more effective marketing and recruitment approaches for sexual risk reduction programs.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Even If You Build It, We May Not Come: Correlates of Non-attendance at a Sexual Risk Reduction Workshop for STD Clinic Patients

et al. 2007

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“…Younger age, gender, race, substance use, and higher levels of sexual risk behavior have been associated with failure to return for results in HIV testing and counseling (Molitor et al, 1999). In a study on the effects of intervention attrition on the evaluation of an HIV prevention program for adult out-of-treatment drug users, Lauby and colleagues (1996) found that participants who lived alone and did not receive welfare benefits were more like to drop out. Those who ever had an STD or reported needle risk behaviors were more likely to complete the intervention.…”

Section: Introductionmentioning

confidence: 99%

Individual-Level Predictors of Nonparticipation and Dropout in a Life-Skills HIV Prevention Program for Adolescents in Foster Care

Thompson¹,

Auslander²,

Alonzo³

2012

AIDS Education and Prevention

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Purpose To identify individual-level characteristics of foster care adolescents who are more likely to not participate in, and drop out of, a life-skills HIV prevention program delivered over 8 months. Methods Structured interviews were conducted with 320 foster care adolescents (15–18 years). Logistic regression and survival analyses (Cox Proportional Hazards Regression) determined the influence of demographics, HIV sexual risk behaviors, substance use, mental health problems, and other individual-level risk factors on nonparticipation and dropout. Results Older age and having vaginal intercourse without a condom were significant predictors of nonparticipation. Older age and marijuana use significantly increased the hazard of dropping out of the program. Conclusions Foster care adolescents at increased risk for HIV infection were more likely to never participate in and drop out of the program. To improve initial and ongoing participation, HIV prevention efforts for adolescents in foster care should be tailored to individual-level HIV risk behaviors and incorporate early and ongoing engagement and retention strategies.

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“…While researchers frequently do not report intervention retention rates, those who do have found rates to be as low as 44 Á/54% (El-Bassel et al ., 1995;Kelly et al ., 1994). In the few studies that have specifically examined correlates of low attendance, predictors of attrition have included testing HIV-negative, reporting injection needle risk, or ever having an STD (Lauby et al ., 1996); and perceiving more positive outcomes with condom use, having lower safer sex knowledge, and being younger (DiFranceisco et al ., 1998). In contrast, Kelly et al .…”

Section: Introductionmentioning

confidence: 99%

The influence of psychosocial difficulties on women's attrition in an HIV/STD prevention program

et al. 2003

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We examined attrition from an HIV/STD group counselling intervention in two ways: quantitative analyses of the entire sample (n=287) and structured interviews of a subset of 30 women with low attendance. In the interviews, the most common reasons for low attendance were time conflicts and enrolling primarily to obtain the monetary incentives given for completing research questionnaires. Latent class statistical analysis of the full sample identified two subgroups that differed from each other in the number of psychosocial problems recently experienced. Relative to the 'non-distressed' class, the 'distressed' class members had higher probabilities of psychological distress, low incomes, heavy substance use, sex for trade, relationship violence, and unstable housing. This group had higher HIV/STD risk, but lower intervention attendance. Members also had less education and less knowledge about HIV/STD. A higher proportion of the distressed group was African-American. Study findings suggest that in interventions for women at HIV/STD risk, it is not necessarily enough to ensure cultural relevance and to provide food, childcare, and transportation. To increase retention, interventionists should consider (1) the use of strategies to support attendance (such as monetary incentives and attention to group process factors) and (2) intervention formats that are brief, matched to participants' stage of change, population-specific, and/or maximally accessible.

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Effects of Intervention Attrition and Research Attrition on the Evaluation of an HIV Prevention Program

Cited by 18 publications

References 13 publications

Even If You Build It, We May Not Come: Correlates of Non-attendance at a Sexual Risk Reduction Workshop for STD Clinic Patients

Even If You Build It, We May Not Come: Correlates of Non-attendance at a Sexual Risk Reduction Workshop for STD Clinic Patients

Individual-Level Predictors of Nonparticipation and Dropout in a Life-Skills HIV Prevention Program for Adolescents in Foster Care

The influence of psychosocial difficulties on women's attrition in an HIV/STD prevention program

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