Skip to main content
Top
Published in: AIDS and Behavior 7/2015

01-07-2015 | Original Paper

What Works Well in HIV Prevention Among Spanish Young People? An Analysis of Differential Effectiveness Among Six Intervention Techniques

Authors: Rafael Ballester-Arnal, María Dolores Gil-Llario, Cristina Giménez-García, Setch C. Kalichman

Published in: AIDS and Behavior | Issue 7/2015

Login to get access

Abstract

The AIDS epidemic remains a concern of public health among young people and adolescents. Prevention programs have revealed diverse deficiencies to attain their main goal: preventing risky behaviors. This experimental study evaluates the differential effectiveness of six intervention techniques for preventing HIV/AIDS based on informational-motivational-behavioral Model (talk, website, attitudinal discussion, participation of a seropositive person, fear induction and role play). 239 Spanish young people took part in an experimental design to evaluate six intervention techniques and a non-intervention condition, through changes in their knowledge, attitudes and protective sex behavior. Our findings support a general effectiveness of preventive intervention techniques comparing non-intervention. In particular, the motivational techniques reveal more effectiveness for these Spanish young people. Therefore, it is required identifying a differential impact of the intervention techniques when implementing HIV behavioral interventions.
Literature
4.
go back to reference Ballester R, Gil MD, Giménez C, Ruiz E. Actitudes y conductas sexuales de riesgo para la infección por VIH/Sida en jóvenes españoles. Revista de Psicopatología y Psicolología Clínica. 2008;14(3):181–91. Ballester R, Gil MD, Giménez C, Ruiz E. Actitudes y conductas sexuales de riesgo para la infección por VIH/Sida en jóvenes españoles. Revista de Psicopatología y Psicolología Clínica. 2008;14(3):181–91.
5.
go back to reference Ballester R, Gil MD, Ruiz E, Giménez C. Autoeficacia en la prevención sexual del Sida: la influencia del género. An Psicol. 2013;29(1):76–82. Ballester R, Gil MD, Ruiz E, Giménez C. Autoeficacia en la prevención sexual del Sida: la influencia del género. An Psicol. 2013;29(1):76–82.
7.
go back to reference Padian NS, McCoy SI, Balkus JE, Wasserheit JN. Weighing the gold in the gold standard: challenges in HIV prevention research. AIDS. 2010;24(5):621–35.CrossRefPubMedCentralPubMed Padian NS, McCoy SI, Balkus JE, Wasserheit JN. Weighing the gold in the gold standard: challenges in HIV prevention research. AIDS. 2010;24(5):621–35.CrossRefPubMedCentralPubMed
8.
go back to reference Baeten JM, Donnell D, Kapiga SH, Ronald A, John-Stewart G, Inambao M, et al. Male circumcision and risk of male-to-female HIV-1 transmission: a multinational prospective study in African HIV-1-serodiscordant couples. AIDS. 2010;24(5):737–44.CrossRefPubMedCentralPubMed Baeten JM, Donnell D, Kapiga SH, Ronald A, John-Stewart G, Inambao M, et al. Male circumcision and risk of male-to-female HIV-1 transmission: a multinational prospective study in African HIV-1-serodiscordant couples. AIDS. 2010;24(5):737–44.CrossRefPubMedCentralPubMed
9.
go back to reference Cohen MS, Chen YQ, McCauley M, Gamble T, Hosseinipour MC, Kumarasamy N, et al. Prevention of HIV-1 infection with early antiretroviral therapy. N Engl J Med. 2011;365:493–505.CrossRefPubMedCentralPubMed Cohen MS, Chen YQ, McCauley M, Gamble T, Hosseinipour MC, Kumarasamy N, et al. Prevention of HIV-1 infection with early antiretroviral therapy. N Engl J Med. 2011;365:493–505.CrossRefPubMedCentralPubMed
12.
go back to reference Eaton L, Huedo-Medina TB, Kalichman SC, Pellowski JA, Popat AR, Sagherian MJ, et al. Meta-analysis of single-session behavioral interventions to prevent sexually transmitted infections: implications for bundling multiple prevention packages. Am J Public Health. 2012;102(11):34–44.CrossRef Eaton L, Huedo-Medina TB, Kalichman SC, Pellowski JA, Popat AR, Sagherian MJ, et al. Meta-analysis of single-session behavioral interventions to prevent sexually transmitted infections: implications for bundling multiple prevention packages. Am J Public Health. 2012;102(11):34–44.CrossRef
13.
go back to reference Scott-Sheldon LAJ, Huedo-Medina TB, Warren MR, Johnson BT, Carey MP. Efficacy of behavioral interventions to increase condom use and reduce incident sexually transmitted infections: a meta-analysis, 1991 to 2010. J Acquir Immune Defic Syndr. 2011;58(5):489–98.CrossRefPubMed Scott-Sheldon LAJ, Huedo-Medina TB, Warren MR, Johnson BT, Carey MP. Efficacy of behavioral interventions to increase condom use and reduce incident sexually transmitted infections: a meta-analysis, 1991 to 2010. J Acquir Immune Defic Syndr. 2011;58(5):489–98.CrossRefPubMed
14.
go back to reference Li X, Zhang L, Mao R, Zhao Q, Stanton B. Effect of social cognitive theory-based HIV education prevention program among high school students in Nanjing. China. Health Educ Res. 2011;26(3):419–31.CrossRefPubMed Li X, Zhang L, Mao R, Zhao Q, Stanton B. Effect of social cognitive theory-based HIV education prevention program among high school students in Nanjing. China. Health Educ Res. 2011;26(3):419–31.CrossRefPubMed
15.
go back to reference Johnson BT, Scott-Sheldon LA, Huedo-Medina TB, Carey MP. Interventions to reduce sexual risk for human immunodeficiency virus in adolescents. A meta-analysis of trials, 1985–2008. Arch Pediatr Adolesc Med. 2011;165(1):77–84.CrossRefPubMedCentralPubMed Johnson BT, Scott-Sheldon LA, Huedo-Medina TB, Carey MP. Interventions to reduce sexual risk for human immunodeficiency virus in adolescents. A meta-analysis of trials, 1985–2008. Arch Pediatr Adolesc Med. 2011;165(1):77–84.CrossRefPubMedCentralPubMed
16.
go back to reference Smoak ND, Scott-Sheldon LA, Johnson BT, Carey MP. Sexual risk reduction interventions do not inadvertently increase the overall frequency of sexual behavior: a meta-analysis of 174 studies with 116,735 participants. J Acquir Immune Defic Syndr. 2006;41(3):374–84.CrossRefPubMedCentralPubMed Smoak ND, Scott-Sheldon LA, Johnson BT, Carey MP. Sexual risk reduction interventions do not inadvertently increase the overall frequency of sexual behavior: a meta-analysis of 174 studies with 116,735 participants. J Acquir Immune Defic Syndr. 2006;41(3):374–84.CrossRefPubMedCentralPubMed
17.
go back to reference Fisher JD, Fisher WA. Theoretical approaches to individual- level change in HIV risk behavior. In: Peterson JL, DiClemente J, editors. Handbook of HIV prevention AIDS prevention and mental health. New York: Kluwer Academic/Plenum Publishers; 2000. p. 3–55.CrossRef Fisher JD, Fisher WA. Theoretical approaches to individual- level change in HIV risk behavior. In: Peterson JL, DiClemente J, editors. Handbook of HIV prevention AIDS prevention and mental health. New York: Kluwer Academic/Plenum Publishers; 2000. p. 3–55.CrossRef
18.
go back to reference Ndebele M, Kasese-Hara M, Greyling M. Application of the information, motivation and behavioral skills model for targeting HIV risk behaviour amongst adolescent learners in South Africa. Sahara J. 2012;9:37–47.CrossRef Ndebele M, Kasese-Hara M, Greyling M. Application of the information, motivation and behavioral skills model for targeting HIV risk behaviour amongst adolescent learners in South Africa. Sahara J. 2012;9:37–47.CrossRef
19.
go back to reference Cai Y, Ye X, Shi R, Xu G, Shen L, Ren J, et al. Predictors of consistent condom use based on the Information-Motivation-Behavior Skill (IMB) model among senior high school students in three coastal cities in China. BMC Infect Dis. 2013;13:262–70.CrossRefPubMedCentralPubMed Cai Y, Ye X, Shi R, Xu G, Shen L, Ren J, et al. Predictors of consistent condom use based on the Information-Motivation-Behavior Skill (IMB) model among senior high school students in three coastal cities in China. BMC Infect Dis. 2013;13:262–70.CrossRefPubMedCentralPubMed
20.
go back to reference Mitchell K, Nakamanya S, Kamali A, Whitworth JA. Community-based HIV/AIDS education in rural Uganda: which channel is most effective? Health Educ Res. 2001;16(4):411–23.CrossRefPubMed Mitchell K, Nakamanya S, Kamali A, Whitworth JA. Community-based HIV/AIDS education in rural Uganda: which channel is most effective? Health Educ Res. 2001;16(4):411–23.CrossRefPubMed
21.
go back to reference Fisher WA. Williams SS, Malloy TE. Understanding AIDS risk behavior among sexually active urban adolescents. An empirical test of the Information-Motivation-Behavioral Skills model. AIDS Behav. 1999;3(1):13–23.CrossRef Fisher WA. Williams SS, Malloy TE. Understanding AIDS risk behavior among sexually active urban adolescents. An empirical test of the Information-Motivation-Behavioral Skills model. AIDS Behav. 1999;3(1):13–23.CrossRef
22.
go back to reference Misovich SJ, Fisher JD, Fisher WA. Close relationships and elevated HIV risk behavior: evidence and possible underlying psychological processes. Rev Gen Psychol. 1997;1(2):72–107.CrossRef Misovich SJ, Fisher JD, Fisher WA. Close relationships and elevated HIV risk behavior: evidence and possible underlying psychological processes. Rev Gen Psychol. 1997;1(2):72–107.CrossRef
23.
go back to reference DiClemente RJ, Bradley E, Davis TL, Brown JL, Ukuku M, Sales JM, et al. Adoption and implementation of a computer-delivered HIV/STD risk-reduction intervention for African American adolescent females seeking services at county health departments: implementation optimization is urgently needed? J Acquir Immune Defic Syndr. 2013;63(Suppl 1):66–71.CrossRef DiClemente RJ, Bradley E, Davis TL, Brown JL, Ukuku M, Sales JM, et al. Adoption and implementation of a computer-delivered HIV/STD risk-reduction intervention for African American adolescent females seeking services at county health departments: implementation optimization is urgently needed? J Acquir Immune Defic Syndr. 2013;63(Suppl 1):66–71.CrossRef
24.
go back to reference Ingram BL, Flannery D, Elkavich A, Rotheram-Borus MJ. Common processes in evidence-based adolescent HIV prevention programs. AIDS Behav. 2008;12(3):374–83.CrossRefPubMedCentralPubMed Ingram BL, Flannery D, Elkavich A, Rotheram-Borus MJ. Common processes in evidence-based adolescent HIV prevention programs. AIDS Behav. 2008;12(3):374–83.CrossRefPubMedCentralPubMed
25.
go back to reference Smerecnik CM, Ruiter RA. Fear appeals in HIV prevention: the role of anticipated regret. Psychol Health Med. 2010;15(5):550–9.CrossRefPubMed Smerecnik CM, Ruiter RA. Fear appeals in HIV prevention: the role of anticipated regret. Psychol Health Med. 2010;15(5):550–9.CrossRefPubMed
26.
go back to reference Soscia I, Turrini A, Tanzi E. Non Castigat Ridendo Mores: evaluating the effectiveness of humor appeal in printed advertisements for HIV/AIDS prevention in Italy. J Health Commun. 2012;17(9):1011–27.CrossRefPubMed Soscia I, Turrini A, Tanzi E. Non Castigat Ridendo Mores: evaluating the effectiveness of humor appeal in printed advertisements for HIV/AIDS prevention in Italy. J Health Commun. 2012;17(9):1011–27.CrossRefPubMed
27.
go back to reference Albarracin J, Albarracin D, Durantini M. Effects of HIV-prevention interventions for samples with higher and lower percents of Latinos and Latin Americans: a meta-analysis of change in condom use and knowledge. AIDS Behav. 2008;12(4):521–43.CrossRefPubMedCentralPubMed Albarracin J, Albarracin D, Durantini M. Effects of HIV-prevention interventions for samples with higher and lower percents of Latinos and Latin Americans: a meta-analysis of change in condom use and knowledge. AIDS Behav. 2008;12(4):521–43.CrossRefPubMedCentralPubMed
28.
go back to reference Crepaz N, Marshall KJ, Aupont LW, Jacobs ED, Mizuno Y, Kay LS, et al. The efficacy of HIV/STI behavioral interventions for African American females in the United States: a meta-analysis. Am J Public Health. 2009;99(11):2069–78.CrossRefPubMedCentralPubMed Crepaz N, Marshall KJ, Aupont LW, Jacobs ED, Mizuno Y, Kay LS, et al. The efficacy of HIV/STI behavioral interventions for African American females in the United States: a meta-analysis. Am J Public Health. 2009;99(11):2069–78.CrossRefPubMedCentralPubMed
29.
go back to reference Lauby JL, LaPollo AB, Herbst JH, Painter TM, Batson H, Pierre A, et al. Preventing AIDS through live movement and sound: efficacy of a theater-based HIV prevention intervention delivered to high-risk male adolescents in juvenile justice settings. AIDS Educ Prev. 2010;22(5):402–16.CrossRefPubMed Lauby JL, LaPollo AB, Herbst JH, Painter TM, Batson H, Pierre A, et al. Preventing AIDS through live movement and sound: efficacy of a theater-based HIV prevention intervention delivered to high-risk male adolescents in juvenile justice settings. AIDS Educ Prev. 2010;22(5):402–16.CrossRefPubMed
30.
go back to reference Huedo-Medina TB, Boynton MH, Warren MR, Lacroix JM, Carey MP, Johnson BT. Efficacy of HIV prevention interventions in Latin American and Caribbean nations, 1995–2008: a meta-analysis. AIDS Behav. 2010;14(6):1237–51.CrossRefPubMedCentralPubMed Huedo-Medina TB, Boynton MH, Warren MR, Lacroix JM, Carey MP, Johnson BT. Efficacy of HIV prevention interventions in Latin American and Caribbean nations, 1995–2008: a meta-analysis. AIDS Behav. 2010;14(6):1237–51.CrossRefPubMedCentralPubMed
31.
go back to reference O’Leary A. Beyond condoms: alternative approaches to HIV prevention. New York: Plenum; 2002.CrossRef O’Leary A. Beyond condoms: alternative approaches to HIV prevention. New York: Plenum; 2002.CrossRef
32.
go back to reference Scott-Sheldon LA, Fielder RL, Carey MP. Sexual risk reduction interventions for patients attending sexually transmitted disease clinics in the United States: a meta-analytic review, 1986 to early 2009. Ann Behav Med. 2010;40(2):191–204.CrossRefPubMedCentralPubMed Scott-Sheldon LA, Fielder RL, Carey MP. Sexual risk reduction interventions for patients attending sexually transmitted disease clinics in the United States: a meta-analytic review, 1986 to early 2009. Ann Behav Med. 2010;40(2):191–204.CrossRefPubMedCentralPubMed
33.
go back to reference Galbraith JS, Herbst JH, Whittier DK, Jones PL, Smith BD, Uhl G, et al. Taxonomy for strengthening the identification of core elements for evidence-based behavioral interventions for HIV/AIDS prevention. Health Educ Res. 2011;26(5):872–85.CrossRefPubMed Galbraith JS, Herbst JH, Whittier DK, Jones PL, Smith BD, Uhl G, et al. Taxonomy for strengthening the identification of core elements for evidence-based behavioral interventions for HIV/AIDS prevention. Health Educ Res. 2011;26(5):872–85.CrossRefPubMed
34.
go back to reference Espada JP, Orgilés M, Morales A, Ballester R, Huedo-Medina TB. Effectiveness of a school HIV/AIDS prevention program for Spanish adolescents. AIDS Educ Prev. 2012;24(6):500–13.CrossRefPubMed Espada JP, Orgilés M, Morales A, Ballester R, Huedo-Medina TB. Effectiveness of a school HIV/AIDS prevention program for Spanish adolescents. AIDS Educ Prev. 2012;24(6):500–13.CrossRefPubMed
35.
go back to reference Giménez C, Ballester R, Gil MD, Ruiz E. Información para la prevención del VIH, sí, pero ¿de qué modo? Oral communication presented at XIV Jornadas de fomento de la investigación, Castellón; 2009. Giménez C, Ballester R, Gil MD, Ruiz E. Información para la prevención del VIH, sí, pero ¿de qué modo? Oral communication presented at XIV Jornadas de fomento de la investigación, Castellón; 2009.
36.
go back to reference Garcia-Retamero R, Cokely ET. Effective communication of risks to young adults: using message framing and visual aids to increase condom use and STD screening. J Exp Psychol Appl. 2011;17(3):270–87.CrossRefPubMed Garcia-Retamero R, Cokely ET. Effective communication of risks to young adults: using message framing and visual aids to increase condom use and STD screening. J Exp Psychol Appl. 2011;17(3):270–87.CrossRefPubMed
37.
go back to reference Buela G, Bretón-López J. Evaluación del efecto de las campañas publicitarias de prevención de VIH/SIDA en adolescentes. Psicothema. 2005;17(4):590–6. Buela G, Bretón-López J. Evaluación del efecto de las campañas publicitarias de prevención de VIH/SIDA en adolescentes. Psicothema. 2005;17(4):590–6.
38.
go back to reference Young SD, Cumberland WG, Lee SJ, Jaganath D, Szekeres G, Coates T. Social networking technologies as an emerging tool for HIV prevention: a cluster randomized trial. Ann Intern Med. 2013;159(5):318–24.CrossRefPubMed Young SD, Cumberland WG, Lee SJ, Jaganath D, Szekeres G, Coates T. Social networking technologies as an emerging tool for HIV prevention: a cluster randomized trial. Ann Intern Med. 2013;159(5):318–24.CrossRefPubMed
39.
go back to reference Ballester R, Gil MD, Giménez C. El “Cuestionario de Prevención del Sida (CPS): Análisis de la fiabilidad y validez. Paper presented at X Congreso Nacional sobre el Sida. San Sebastián; 2007. Ballester R, Gil MD, Giménez C. El “Cuestionario de Prevención del Sida (CPS): Análisis de la fiabilidad y validez. Paper presented at X Congreso Nacional sobre el Sida. San Sebastián; 2007.
40.
go back to reference Akers D. IMB: Information–Motivation–Behavioral Skills HIV Prevention Program. In: Card J, Benner T, editors. Model programs for adolescent sexual health: evidence-based HIV, STI, and pregnancy prevention interventions. New York: Springer; 2008. p. 207–14. Akers D. IMB: Information–Motivation–Behavioral Skills HIV Prevention Program. In: Card J, Benner T, editors. Model programs for adolescent sexual health: evidence-based HIV, STI, and pregnancy prevention interventions. New York: Springer; 2008. p. 207–14.
41.
go back to reference Kudo Y. Effectiveness of a condom use educational program developed on the basis of the information-motivation-behavioral skills model. Jpn J Nurs Sci. 2013;10(1):24–40.CrossRefPubMed Kudo Y. Effectiveness of a condom use educational program developed on the basis of the information-motivation-behavioral skills model. Jpn J Nurs Sci. 2013;10(1):24–40.CrossRefPubMed
42.
go back to reference Hong J, Fongkaew W, Senaratana W, Tonmukayakul O. Development of a theory-based sexual and reproductive health promotion and HIV prevention program for Chinese early adolescents. Nurs Health Sci. 2010;12(3):360–8.CrossRefPubMed Hong J, Fongkaew W, Senaratana W, Tonmukayakul O. Development of a theory-based sexual and reproductive health promotion and HIV prevention program for Chinese early adolescents. Nurs Health Sci. 2010;12(3):360–8.CrossRefPubMed
43.
go back to reference Bastien S. Fear appeals in HIV-prevention messages: young people’s perceptions in northern Tanzania. Afr J AIDS Res. 2011;10(4):435–49.CrossRefPubMed Bastien S. Fear appeals in HIV-prevention messages: young people’s perceptions in northern Tanzania. Afr J AIDS Res. 2011;10(4):435–49.CrossRefPubMed
45.
go back to reference O’Leary A, Kennedy M, Pappas-DeLuca KA, Nkete M, Beck V, Galavotti C. Association between exposure to an HIV story line in The Bold and the Beautiful and HIV-related stigma in Botswana. AIDS Educ Prev. 2007;19(3):209–17.CrossRefPubMed O’Leary A, Kennedy M, Pappas-DeLuca KA, Nkete M, Beck V, Galavotti C. Association between exposure to an HIV story line in The Bold and the Beautiful and HIV-related stigma in Botswana. AIDS Educ Prev. 2007;19(3):209–17.CrossRefPubMed
Metadata
Title
What Works Well in HIV Prevention Among Spanish Young People? An Analysis of Differential Effectiveness Among Six Intervention Techniques
Authors
Rafael Ballester-Arnal
María Dolores Gil-Llario
Cristina Giménez-García
Setch C. Kalichman
Publication date
01-07-2015
Publisher
Springer US
Published in
AIDS and Behavior / Issue 7/2015
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-014-0863-3

Other articles of this Issue 7/2015

AIDS and Behavior 7/2015 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.