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A synthesis of meta-analytic evidence of behavioral interventions to reduce HIV/STIs

Covey, J.; Rosenthal-Stott, H.E.S.; Howell, S.J.

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Authors

H.E.S. Rosenthal-Stott

S.J. Howell



Abstract

To identify the mode of delivery, communicator, and content dimensions that make STI/HIV prevention interventions most successful at increasing condom use/protected sex or reducing STI/HIV incidence. A literature search for published meta-analyses of STI/HIV prevention interventions yielded 37 meta-analyses that had statistically tested the moderating effects of the dimensions. Significant and non-significant moderators from the coded dimensions were extracted from each meta-analysis. The most consistently significant moderators included matching the gender or ethnicity of the communicator to the intervention recipients, group targeting or tailoring of the intervention, use of a theory to underpin intervention design, providing factual information, presenting arguments designed to change attitudes, and providing condom skills and intrapersonal skills training. The absence of significant effects for intervention duration and expert delivery are also notable. The success of HIV/STI prevention interventions may be enhanced not only by providing skills training and information designed to change attitudes, but also by ensuring that the content is tailored to the target group and delivered by individuals of the same gender and ethnicity as the recipients.

Journal Article Type Article
Acceptance Date Jan 7, 2016
Online Publication Date Jan 30, 2016
Publication Date Jun 1, 2016
Deposit Date Feb 2, 2016
Publicly Available Date Mar 7, 2016
Journal Journal of Behavioral Medicine
Print ISSN 0160-7715
Electronic ISSN 1573-3521
Publisher Springer
Peer Reviewed Peer Reviewed
Volume 39
Issue 3
Pages 371-385
DOI https://doi.org/10.1007/s10865-016-9714-1
Public URL https://durham-repository.worktribe.com/output/1393417

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Publisher Licence URL
http://creativecommons.org/licenses/by/4.0/

Copyright Statement
Advance online version © The Author(s) 2016 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://​creativecommons.​org/​licenses/​by/​4.​0/​), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.





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