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Motivational barriers to retention of at-risk young adults in HIV-prevention interventions: Perceived pressure and efficacy

机译:在预防艾滋病毒的干预措施中留住处于危险中的年轻成年人的动机障碍:感知的压力和功效

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摘要

Multi-session HIV-prevention interventions are efficacious but depend on the retention of clients over time. In a sample of at-risk young adults (N = 386), we investigated three potential motivational barriers that might affect the likelihood of retention. Perceived pressure, perceived efficacy and fear and anxiety during the initial session were measured, along with demographic characteristics, partner characteristics, and HIV-related health knowledge. Logistic regressions demonstrated that (1) in general, perceived ineffectiveness was negatively associated with retention; (2) perceived pressure or coercion was negatively associated with retention but only for younger clients; (3) experienced fear and anxiety had no significant association with retention. Implications for theory and counseling practices to reduce motivational barriers and effectively tailor interventions are discussed.
机译:多阶段的艾滋病毒预防干预措施是有效的,但要取决于客户的长期保留。在一个有风险的年轻成年人(N = 386)样本中,我们调查了可能影响保留的可能性的三个潜在动机障碍。在初次会议期间,测量感知压力,感知功效,恐惧和焦虑,以及人口统计学特征,伴侣特征以及与HIV相关的健康知识。 Logistic回归表明,(1)总体而言,感知到的无效与留住率负相关; (2)压力或强迫感与留住率负相关,但仅适用于年轻客户; (3)经历过的恐惧和焦虑与留住率没有明显关系。讨论了理论和咨询实践对减少动机障碍和有效调整干预措施的意义。

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