Efficacy of a Booster Counseling Session 6 Months After HIV Testing and Counseling: A Randomized, Controlled Trial (RESPECT-2)

Metcalf, Carol; Malotte, C. Kevin; Douglas, John M.; Paul, Sindy M.; Dillon, Beth; Cross, Helene; Brookes, Lesley C.; Deaugustine, Nettie; Lindsey, Catherine; Byers, Robert H.; Peterman, Thomas A.

doi:10.1097/01.olq.0000151420.92624.c0

Cited by 45 publications

(23 citation statements)

References 22 publications

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“…If the child intervention is provided alone without caregiver and community components, it may be necessary to add booster sessions at regular intervals to serve as reminders of curriculum content and to provide refresher practice sessions for coping skills. Within the context of the HIV literature, booster or maintenance sessions have been found to be effective in sustaining healthy behaviors following HIV prevention counseling (Metcalf et al, 2005), and such booster sessions that could be conducted either in vivo or through mHealth venues (e.g., texting, mobile apps) that are garnering a growing evidence base in LMICs (Hall, Fottrell, Wilkinson, & Byass, 2014). …”

Section: Discussionmentioning

confidence: 99%

A randomized controlled trial of a resilience-based intervention on psychosocial well-being of children affected by HIV/AIDS: Effects at 6- and 12-month follow-up

Harrison

Fairchild

et al. 2017

Social Science & Medicine

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Background: Global literature suggests that resilience-based interventions may yield improvements in psychosocial well-being for vulnerable children, but limited data are available regarding the efficacy of such interventions among children affected by parental HIV/AIDS. Objective: To evaluate initial efficacy of a multi-level resilience-based intervention among children affected by parental HIV/AIDS in China in improving children’s psychosocial well-being and resilience-related outcomes. Method: Seven hundred-ninety children, 6 to 17 years of age, were recruited from rural China. Children were either AIDS orphans or were living with one or two parents infected with HIV/AIDS. Children and primary caregivers were randomly assigned to participate in a 4-arm trial to evaluate the Child-Caregiver-Advocacy Resilience (ChildCARE) intervention. This resilience-based HIV intervention provides programming at three levels (child, caregiver, community). Initial survey data were collected at baseline, 6-months, and 12-months in order to examine efficacy of the child-only and child+caregiver arms in improving children’s resilience. Results: Intervention groups displayed improvements in several resilience-related outcomes at 6-and 12-month follow-ups, including self-reported coping, hopefulness, emotional regulation, and self-control. The child-only intervention arm showed some fading of intervention effects by 12-months. Conclusion: Preliminary findings suggest that the ChildCARE intervention is efficacious in promoting psychosocial well-being of children affected by parental HIV/AIDS in rural China. Targeting both children and caregivers for psychosocial intervention may be effective in improving children’s resilience. Additional evaluation and modifications, including the inclusion of booster sessions, should be considered to further strengthen the program.

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Section: Discussionmentioning

confidence: 99%

A randomized controlled trial of a resilience-based intervention on psychosocial well-being of children affected by HIV/AIDS: Effects at 6- and 12-month follow-up

Harrison

Fairchild

et al. 2017

Social Science & Medicine

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“…These brief reviews or reminders would occur after completion of the main intervention to combat potential fading of effects. Previous research has documented the effectiveness of booster sessions as part of HIV behavioral interventions [52–56]. …”

Section: Discussionmentioning

confidence: 99%

A Randomized Trial to Evaluate the Efficacy of a Web-Based HIV Behavioral Intervention for High-Risk African American Women

et al. 2015

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The aim of this study was to develop and test a cost-effective, scalable HIV behavioral intervention for African American women. Eighty-three African American women were recruited from a community health center and randomly assigned to either the web-based Safe Sistah program or to a delayed HIV education control condition. The primary outcome was self-reported condom use. Secondary measures assessed other aspects of the gender-focused training included in Safe Sistah. Participants completed self-report assessments prior to randomization, 1- and 4-months after their program experience. Across the entire study period, women in the experimental condition significantly increased their condom use relative to controls (F = 5.126, p = 0.027). Significant effects were also found for sexual communication, sex refusal, condom use after alcohol consumption, and HIV prevention knowledge. These findings indicate that this web-based program could be an important component in reducing the HIV disparities among African American women.

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“…Complexities in collection and interpretation of STI data as proxies for sexual risk behavior include the inability to account for individuals who acquired symptomatic STIs and were successfully treated between STI assessments, and individuals assessed with an STI and referred to treatment, who did not successfully complete treatment or clear the infection. Failure to observe intervention impact on STI endpoints is present in a number of published HIV prevention behavioral intervention trials 63,64 . With the current intervention effects replicating on diverse measures of risk behavior (ACASI, interview, asked as count data, as estimates of frequency of condom use, and for varying time intervals), confidence in the integrity and accuracy of the behavioral risk reduction findings may be increased.…”

Section: Discussionmentioning

confidence: 99%

HIV Prevention Counseling Intervention Delivered During Routine Clinical Care Reduces HIV Risk Behavior in HIV-Infected South Africans Receiving Antiretroviral Therapy

Fisher

Cornman

Shuper

et al. 2014

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Context Sustainable interventions are needed to minimize HIV risk behavior among people living with HIV (PLWH) in South Africa on antiretroviral therapy (ART), a significant proportion of whom do not achieve viral suppression. Objective To determine whether a brief lay counselor delivered intervention implemented during routine care can reduce risky sex among PLWH on ART. Design Cluster randomized 16 HIV clinical care sites in KwaZulu Natal, South Africa, to intervention or standard-of-care. Setting Publicly funded HIV clinical care sites. Patients 1891 PLWH on ART received the HIV prevention counseling intervention (n = 967) or standard-of-care counseling (n = 924). Intervention Lay counselors delivered a brief intervention using motivational interviewing strategies based on the Information—Motivation—Behavioral Skills (IMB) model during routine clinical care. Main Outcome Measures Number of sexual events without a condom in the past four weeks with partners of any HIV status, and with partners perceived to be HIV-negative or HIV-status unknown, assessed at baseline, 6, 12, and 18 months. Results Intervention participants reported significantly greater reductions in HIV risk behavior on both primary outcomes, compared to standard-of-care participants. Differences in STI incidence between arms were not observed. Conclusion Effective behavioral interventions, delivered by lay counselors within the clinical care setting, are consistent with the strategy of linking HIV care and HIV prevention and integrating biomedical and behavioral approaches to stemming the HIV epidemic.

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Efficacy of a Booster Counseling Session 6 Months After HIV Testing and Counseling: A Randomized, Controlled Trial (RESPECT-2)

Abstract: Booster counseling 6 months after HIV testing and counseling reduced reported sexual risk behavior but did not prevent STDs.

Cited by 45 publications

References 22 publications

A randomized controlled trial of a resilience-based intervention on psychosocial well-being of children affected by HIV/AIDS: Effects at 6- and 12-month follow-up

A randomized controlled trial of a resilience-based intervention on psychosocial well-being of children affected by HIV/AIDS: Effects at 6- and 12-month follow-up

A Randomized Trial to Evaluate the Efficacy of a Web-Based HIV Behavioral Intervention for High-Risk African American Women

HIV Prevention Counseling Intervention Delivered During Routine Clinical Care Reduces HIV Risk Behavior in HIV-Infected South Africans Receiving Antiretroviral Therapy

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