Top

Published in:

01-04-2009 | Original Paper

The Relationship-Oriented Information-Motivation-Behavioral Skills Model: A Multilevel Structural Equation Model among Dyads

Authors: Jennifer Jill Harman, K. Rivet Amico

Published in: AIDS and Behavior | Issue 2/2009

Abstract

Transmission rates of HIV infection have increased steadily among heterosexual adults, however current theoretical models have not been tested statistically at the dyadic level in which risk behaviors occur. The purpose of the current study was to test an Information-Motivation-Behavioral skills (IMB) model of HIV risk behavior (IMB) specifically articulated for heterosexual couples in established relationships using data from both members of 75 dyads. The multilevel relationship-oriented information-motivation-behavioral skills (RELO-IMB) model was evaluated at the individual and dyadic level of analysis to examine partner differences on core variables. Results indicated that not only did the RELO-IMB model provide a good fit to the data when analyzed at the dyadic level, but that the structural relations among the core variables were quite different between the individual- and dyadic-level models. This is the first theoretical model of HIV risk behavior to be analyzed at the dyadic level, and the results suggest ways to effectively design intervention strategies for individuals in intimate relationships.

Albarracín, D., Johnson, B. T., Fishbein, M., & Muellerleile, P. A. (2001). Theories of reasoned action and planned behavior as models of condom use: A meta-analysis. Psychological Bulletin, 127, 142–161.PubMedCrossRef

Appleby, P. R., Miller, L. C., & Rothspan, S. (1999). The paradox of trust for male couples: When risking is part of loving. Personal Relationships, 6, 81–93.CrossRef

Asparouhov, T., & Muthén, B. (2006). Constructing covariates in multilevel regression. White paper by Mplus programmers, request by e-mailing Mplus tech support:support@statmodel.com.

Becker, S. (1996). Couples and reproductive health: A review of couple studies. Studies in Family Planning, 27, 291–306.PubMedCrossRef

Best, S. J., Krueger, B., Hubbard, C., & Smith, A. (2001). An assessment of the generalizability of internet surveys. Social Science Computer Review, 19, 131–145.CrossRef

Bowen, A. M., Williams, M., McCoy, H. V., & McCoy, C. B. (2001). Crack smokers’ intention to use condoms with loved partners: Intervention development using the theory of reasoned action, condom beliefs, and processes of change. AIDS Care, 13, 579–594.PubMedCrossRef

Bryan, A. D., Fisher, J. D., Fisher, W. A., & Murray, D. M. (2000). Understanding condom use among heroin addicts in methadone maintenance using the information-motivation-behavioral skills model. Substance Use and Misuse, 35, 451–471.PubMedCrossRef

Buchanan, T., & Smith, J. L. (1999). Using the Internet for psychological research: Personality testing on the World Wide Web. British Journal of Psychology, 90, 125–144.PubMedCrossRef

CDC (2003). AIDS Surveillance—Trends—L207 slide series (through 2003). Retrieved March 29, 2007 from http://www.cdc.gov/hiv/graphics/trends.htm.

CDC (2007). CDC HIV/AIDS fact sheet: A glance at the HIV/AIDS epidemic. Retrieved January 10, 2007 from http://www.cdc.gov/hiv/resources/factsheets/At-A-Glance.htm.

CNN Interactive (1998). Teens prefer “telling all” to computers. Retrieved March 15, 2007 from http://www.cnn.com/TECH/science/9805/14/t_t/teen.survey.technique/index.html.

Crowell, T. L. (2004). Seropositive individuals willingness to communicate, self-efficacy, and assertiveness prior to HIV infection. Journal of Health Communication, 9, 395–424.PubMedCrossRef

Dagne, G. A., Howe, G. W., Brown, C. H., & Muthén, B. O. (2002). Hierarchical modeling of sequential behavioral data: An empirical Bayesian approach. Psychological Methods, 7, 262–280.PubMedCrossRef

Exner, T. M., Seal, D. W., & Ehrhardt, A. A. (1997). A review of HIV interventions for at-risk women. AIDS and Behavior, 1, 93–124.CrossRef

Fishbein, M., & Ajzen, I. (1975). Beliefs, attitudes, intentions, and behavior: An introduction to theory and research. Reading, MA: Addison-Wesley.

Fisher, J. D., & Fisher, W. A. (1992). Changing AIDS-risk behavior. Psychological Bulletin, 111, 455–474.PubMedCrossRef

Fisher, W. A., Fisher, J. D., & Harman, J. (2003). The information-motivation-behavioral skills model as a general model of health behavior change. In J. Suls, & K. Wallston (Eds.), Social psychological foundations of health (pp. 82–106). London: Blackwell Publishing.

Hammer, J. C., Fisher, J. D., Fitzgerald, P., & Fisher, W. A. (1996). When two heads aren’t better than one: AIDS risk behavior in college-age couples. Journal of Applied Social Psychology, 26, 375–397.CrossRef

Härnqvist, K., Gustafsson, J., Muthén, B. O., & Nelson, G. (1994). Hierarchical models of ability at individual and class levels. Intelligence, 18, 165–187.CrossRef

Hox, J. J. (2002). Multilevel analysis: Techniques and applications. Mahwah, NJ: Lawrence Erlbaum Associates.

Hox, J. J., & Kreft, I. G. G. (1994). Multilevel analysis methods. Sociological Methods and Research, 22, 283–299.CrossRef

Jeffery, R. W. (1989). Risk behaviors and health: Contrasting individual and population perspectives. American Psychologist, 44, 1194–1202.PubMedCrossRef

Kenny, D. A. (1995). Dyadic design and analysis issues in dyadic research. Review of Personality and Social Psychology, 11, 1164–1184.

Kenny, D. A., Kashy, D. A., & Cook, W. L. (2006). Dyadic data analysis. New York: The Guilford Press.

Laursen, B. (2005). Dyadic and group perspectives on close relationships. International Journal of Behavioral Development, 29, 97–100.CrossRef

Mays, V. M., & Cochran, S. D. (1993). Ethnic and gender differences in beliefs about sex partner questioning to reduce HIV risk. Journal of Adolescent Research, 8, 77–88.CrossRef

Misovich, S. J., Fisher, J. D., & Fisher, W. A. (1997). Close relationships and elevated HIV risk behavior: Evidence and possible underlying psychological processes. Review of General Psychology, 1, 72–107.CrossRef

Misovich, S. J., Fisher, W. A., & Fisher, J. D. (1998). A measure of AIDS prevention information, motivation, and behavioral skills and behavior. In C. M. Davis, W. L. Yarber, R. Bauserman, G. Schreer, S. L. Davis (Eds.), Handbook of sexuality-related measures (pp. 328–337). Thousand Oaks, CA: Sage Publications.

Misovich, S. J., Martinez, T., Fisher, J. D., Bryan, A., & Capatano, N. (2003). Predicting breast self-examination: A test of the information-motivation-behavioral skills model. Journal of Applied Social Psychology, 33, 775–790.CrossRef

Morrison-Beedy, D., Carey, M. P., & Lewis, P. (2002). Modeling condom-se stage of change in low-income, single urban women. Research in Nursing and Health, 25, 122–134.PubMedCrossRef

Muthén, B. O. (1989). Latent variable modeling in heterogeneous populations. Psychometrika, 54, 557–585.CrossRef

Muthén, B. O. (1994). Multilevel covariance structure analysis. Sociological Methods and Research, 22, 376–398.CrossRef

Muthén, B. O., & Muthén, L. K. (2004). MPlus (Version 3.12) [Computer software]. Los Angeles, CA: Muthén & Muthén.

Newsom, J. T. (2002). A multilevel structural equation model for dyadic data. Structural Equation Modeling, 9, 431–447.CrossRef

Noar, S. M., Zimmerman, R. S., & Atwood, K. A. (2004). Safer sex and sexually transmitted infections from a relationship perspective. In J. Harvey, A. Wenzel, & S. Sprecher (Eds.), Handbook of sexuality in close relationships. Mahwah, NJ: Lawrence Erlbaum.

Reips, U. D. (2000). The web experiment method: Advantages, disadvantages, and solutions. In: M. Birnbaum (Ed.), Psychological experiments on the Internet (pp. 89–117). London: Academic Press.CrossRef

Skurnick, J. H., Abrams, J., Kennedy, C. A., Valentine, S. N., & Cordell, J. R. (1998). Maintenance of safe sex behavior by HIV-serodiscordant heterosexual couples. AIDS Education and Prevention, 10, 493–505.PubMed

Stein, J. A., Nyamathi, A., Ullman, J. B., & Bentler, P. M. (2007). Impact of marriage on HIV risk behaviors among impoverished, at-risk couples: A multilevel latent variable approach. AIDS & Behavior, 11, 87–98.CrossRef

UNAIDS (2004). AIDS epidemic update: December, 2004. (NLM Classification: WC 503.41). Geneva, Switzerland: Joint United Nations Program on HIV/AIDS (2004) at World Health Organization.

Williams, M., Bowen, A., Elwood, W., McCoy, H. V., Freeman, R., Weatherby, N., & Pierce, T. (2000). Determinants of condom use among African Americans who smoke crack cocaine. Culture, Health and Sexuality, 2, 15–32.CrossRef

Wyatt, G. E., Tucker, H. A., Loeb, T. B., Solis, B. M., & Mitchell-Kernan, C. (1997). Adapting a comprehensive approach to African American women’s sexual risk taking. Journal of Health Education, 28, 52–60.

Title: The Relationship-Oriented Information-Motivation-Behavioral Skills Model: A Multilevel Structural Equation Model among Dyads
Authors: Jennifer Jill Harman
K. Rivet Amico
Publication date: 01-04-2009
Publisher: Springer US
Published in: AIDS and Behavior / Issue 2/2009
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-007-9350-4

ACC 2024 Congress Coverage

Heart Failure Video

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

The Relationship-Oriented Information-Motivation-Behavioral Skills Model: A Multilevel Structural Equation Model among Dyads

Abstract

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 2/2009

Vulnerabilities and Caregiving in an Ethnically Diverse HIV-Infected Population

Implementation Challenges to Using Respondent-Driven Sampling Methodology for HIV Biological and Behavioral Surveillance: Field Experiences in International Settings

Perceived Risks of HIV/AIDS and First Sexual Intercourse among Youth in Cape Town, South Africa

Alcohol Use, Intimate Partner Violence, Sexual Coercion and HIV among Women Aged 15–24 in Rakai, Uganda

Correlates of Any Condom Use Among Russian Narcology Patients Reporting Recent Unprotected Sex

HIV Illness Representation as a Predictor of Self-care Management and Health Outcomes: A Multi-site, Cross-cultural Study

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page