The influence of motivational messages on future planning behaviors among HIV concordant positive and discordant couples in Lusaka, Zambia.
Identifieur interne : 001893 ( PubMed/Corpus ); précédent : 001892; suivant : 001894The influence of motivational messages on future planning behaviors among HIV concordant positive and discordant couples in Lusaka, Zambia.
Auteurs : R. Stephenson ; E. Mendenhall ; L. Muzizi ; B. Vwalika ; E. Chomba ; Y. Ahmed ; L. Clark ; D. Roth ; J. Telfair ; A. Haworth ; S. AllenSource :
- AIDS care [ 0954-0121 ] ; 2008.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Counseling (methods), Decision Making, Family Characteristics, Female, HIV Infections (economics), HIV Infections (epidemiology), HIV Infections (psychology), Humans, Legal Guardians (psychology), Male, Middle Aged, Motivation, Planning Techniques, Socioeconomic Factors, Videotape Recording, Widowhood (economics), Widowhood (psychology), Wills (economics), Wills (psychology), Zambia (epidemiology).
- MESH :
- geographic , epidemiology : Zambia.
- economics : HIV Infections, Widowhood, Wills.
- epidemiology : HIV Infections.
- methods : Counseling.
- psychology : HIV Infections, Legal Guardians, Widowhood, Wills.
- Adolescent, Adult, Aged, Decision Making, Family Characteristics, Female, Humans, Male, Middle Aged, Motivation, Planning Techniques, Socioeconomic Factors, Videotape Recording.
Abstract
In Zambia the HIV/AIDS epidemic has resulted in many single female-headed households. Strong patriarchal laws and customs prevent widows and children from maintaining economic assets. This study examines the impact of a video-based motivational intervention promoting future planning in 1,504 HIV-infected couples in Lusaka, Zambia. Following a group video session, couples randomized to the motivational arm could choose to write a will, identify a guardian for their children and make financial plans. Desirable behaviours modelled in the motivational video were measured at quarterly intervals for a year and compared in intervention and control arms. Demographic measures including age, income and educational status were not associated with planning behaviours. Participation in the intervention was associated with will writing (23% versus 5%) and naming a guardian (32% versus 17%) but not with other planning behaviours. The study demonstrates the ability of motivational messages integrated into HIV VCT to encourage future planning behaviour and points to the need to expand existing HIV and VCT services to meet other non-health needs of those living with HIV.
DOI: 10.1080/09540120701534681
PubMed: 18293123
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pubmed:18293123Le document en format XML
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Vwalika</name></author><author><name sortKey="Chomba, E" sort="Chomba, E" uniqKey="Chomba E" first="E" last="Chomba">E. Chomba</name></author><author><name sortKey="Ahmed, Y" sort="Ahmed, Y" uniqKey="Ahmed Y" first="Y" last="Ahmed">Y. Ahmed</name></author><author><name sortKey="Clark, L" sort="Clark, L" uniqKey="Clark L" first="L" last="Clark">L. Clark</name></author><author><name sortKey="Roth, D" sort="Roth, D" uniqKey="Roth D" first="D" last="Roth">D. Roth</name></author><author><name sortKey="Telfair, J" sort="Telfair, J" uniqKey="Telfair J" first="J" last="Telfair">J. Telfair</name></author><author><name sortKey="Haworth, A" sort="Haworth, A" uniqKey="Haworth A" first="A" last="Haworth">A. Haworth</name></author><author><name sortKey="Allen, S" sort="Allen, S" uniqKey="Allen S" first="S" last="Allen">S. Allen</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2008">2008</date><idno type="RBID">pubmed:18293123</idno><idno type="pmid">18293123</idno><idno type="doi">10.1080/09540120701534681</idno><idno type="wicri:Area/PubMed/Corpus">001893</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001893</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">The influence of motivational messages on future planning behaviors among HIV concordant positive and discordant couples in Lusaka, Zambia.</title><author><name sortKey="Stephenson, R" sort="Stephenson, R" uniqKey="Stephenson R" first="R" last="Stephenson">R. Stephenson</name><affiliation><nlm:affiliation>Hubert Department of Global Health, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, Atlanta, GA 30322, USA. rbsteph@sph.emory.edu</nlm:affiliation></affiliation></author><author><name sortKey="Mendenhall, E" sort="Mendenhall, E" uniqKey="Mendenhall E" first="E" last="Mendenhall">E. Mendenhall</name></author><author><name sortKey="Muzizi, L" sort="Muzizi, L" uniqKey="Muzizi L" first="L" last="Muzizi">L. Muzizi</name></author><author><name sortKey="Vwalika, B" sort="Vwalika, B" uniqKey="Vwalika B" first="B" last="Vwalika">B. Vwalika</name></author><author><name sortKey="Chomba, E" sort="Chomba, E" uniqKey="Chomba E" first="E" last="Chomba">E. Chomba</name></author><author><name sortKey="Ahmed, Y" sort="Ahmed, Y" uniqKey="Ahmed Y" first="Y" last="Ahmed">Y. Ahmed</name></author><author><name sortKey="Clark, L" sort="Clark, L" uniqKey="Clark L" first="L" last="Clark">L. Clark</name></author><author><name sortKey="Roth, D" sort="Roth, D" uniqKey="Roth D" first="D" last="Roth">D. Roth</name></author><author><name sortKey="Telfair, J" sort="Telfair, J" uniqKey="Telfair J" first="J" last="Telfair">J. Telfair</name></author><author><name sortKey="Haworth, A" sort="Haworth, A" uniqKey="Haworth A" first="A" last="Haworth">A. Haworth</name></author><author><name sortKey="Allen, S" sort="Allen, S" uniqKey="Allen S" first="S" last="Allen">S. Allen</name></author></analytic><series><title level="j">AIDS care</title><idno type="ISSN">0954-0121</idno><imprint><date when="2008" type="published">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Counseling (methods)</term><term>Decision Making</term><term>Family Characteristics</term><term>Female</term><term>HIV Infections (economics)</term><term>HIV Infections (epidemiology)</term><term>HIV Infections (psychology)</term><term>Humans</term><term>Legal Guardians (psychology)</term><term>Male</term><term>Middle Aged</term><term>Motivation</term><term>Planning Techniques</term><term>Socioeconomic Factors</term><term>Videotape Recording</term><term>Widowhood (economics)</term><term>Widowhood (psychology)</term><term>Wills (economics)</term><term>Wills (psychology)</term><term>Zambia (epidemiology)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Zambia</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>HIV Infections</term><term>Widowhood</term><term>Wills</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Counseling</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>HIV Infections</term><term>Legal Guardians</term><term>Widowhood</term><term>Wills</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Decision Making</term><term>Family Characteristics</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Motivation</term><term>Planning Techniques</term><term>Socioeconomic Factors</term><term>Videotape Recording</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In Zambia the HIV/AIDS epidemic has resulted in many single female-headed households. Strong patriarchal laws and customs prevent widows and children from maintaining economic assets. This study examines the impact of a video-based motivational intervention promoting future planning in 1,504 HIV-infected couples in Lusaka, Zambia. Following a group video session, couples randomized to the motivational arm could choose to write a will, identify a guardian for their children and make financial plans. Desirable behaviours modelled in the motivational video were measured at quarterly intervals for a year and compared in intervention and control arms. Demographic measures including age, income and educational status were not associated with planning behaviours. Participation in the intervention was associated with will writing (23% versus 5%) and naming a guardian (32% versus 17%) but not with other planning behaviours. The study demonstrates the ability of motivational messages integrated into HIV VCT to encourage future planning behaviour and points to the need to expand existing HIV and VCT services to meet other non-health needs of those living with HIV.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">18293123</PMID><DateCreated><Year>2008</Year><Month>02</Month><Day>22</Day></DateCreated><DateCompleted><Year>2008</Year><Month>08</Month><Day>04</Day></DateCompleted><DateRevised><Year>2008</Year><Month>02</Month><Day>22</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0954-0121</ISSN><JournalIssue CitedMedium="Print"><Volume>20</Volume><Issue>2</Issue><PubDate><Year>2008</Year><Month>Feb</Month></PubDate></JournalIssue><Title>AIDS care</Title><ISOAbbreviation>AIDS Care</ISOAbbreviation></Journal><ArticleTitle>The influence of motivational messages on future planning behaviors among HIV concordant positive and discordant couples in Lusaka, Zambia.</ArticleTitle><Pagination><MedlinePgn>150-60</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1080/09540120701534681</ELocationID><Abstract><AbstractText>In Zambia the HIV/AIDS epidemic has resulted in many single female-headed households. Strong patriarchal laws and customs prevent widows and children from maintaining economic assets. This study examines the impact of a video-based motivational intervention promoting future planning in 1,504 HIV-infected couples in Lusaka, Zambia. Following a group video session, couples randomized to the motivational arm could choose to write a will, identify a guardian for their children and make financial plans. Desirable behaviours modelled in the motivational video were measured at quarterly intervals for a year and compared in intervention and control arms. Demographic measures including age, income and educational status were not associated with planning behaviours. Participation in the intervention was associated with will writing (23% versus 5%) and naming a guardian (32% versus 17%) but not with other planning behaviours. The study demonstrates the ability of motivational messages integrated into HIV VCT to encourage future planning behaviour and points to the need to expand existing HIV and VCT services to meet other non-health needs of those living with HIV.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Stephenson</LastName><ForeName>R</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Hubert Department of Global Health, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, Atlanta, GA 30322, USA. rbsteph@sph.emory.edu</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mendenhall</LastName><ForeName>E</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Muzizi</LastName><ForeName>L</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Vwalika</LastName><ForeName>B</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Chomba</LastName><ForeName>E</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Ahmed</LastName><ForeName>Y</ForeName><Initials>Y</Initials></Author><Author ValidYN="Y"><LastName>Clark</LastName><ForeName>L</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Roth</LastName><ForeName>D</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Telfair</LastName><ForeName>J</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Haworth</LastName><ForeName>A</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Allen</LastName><ForeName>S</ForeName><Initials>S</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>2D43 TW 001042</GrantID><Acronym>TW</Acronym><Agency>FIC NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>P30 AI 050409</GrantID><Acronym>AI</Acronym><Agency>NIAID NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>R01 AI 40951</GrantID><Acronym>AI</Acronym><Agency>NIAID NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>R01 HD 40125</GrantID><Acronym>HD</Acronym><Agency>NICHD NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>R01 MH 66767</GrantID><Acronym>MH</Acronym><Agency>NIMH NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>U2 GPS 000758</GrantID><Agency>PHS HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType><PublicationType UI="D052061">Research Support, N.I.H., Extramural</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>AIDS Care</MedlineTA><NlmUniqueID>8915313</NlmUniqueID><ISSNLinking>0954-0121</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CitationSubset>X</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003376" MajorTopicYN="N">Counseling</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003657" MajorTopicYN="Y">Decision Making</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005191" MajorTopicYN="N">Family Characteristics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015658" MajorTopicYN="N">HIV Infections</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007872" MajorTopicYN="N">Legal Guardians</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009042" MajorTopicYN="Y">Motivation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010934" MajorTopicYN="N">Planning Techniques</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012959" MajorTopicYN="N">Socioeconomic Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014743" MajorTopicYN="N">Videotape Recording</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017805" MajorTopicYN="N">Widowhood</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014918" MajorTopicYN="N">Wills</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015024" MajorTopicYN="N" Type="Geographic">Zambia</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate 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