AJPH
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

American Journal of Public Health, Vol. 88, Issue 7 1068-1073, Copyright © 1998 by American Public Health Association

This Article
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Purchase Article
Right arrow View Shopping Cart
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by DiFranceisco, W
Right arrow Articles by Stevenson, L Y
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by DiFranceisco, W
Right arrow Articles by Stevenson, L Y
Differences between completers and early dropouts from 2 HIV intervention trials: a health belief approach to understanding prevention program attrition.

W DiFranceisco, J A Kelly, K J Sikkema, A M Somlai, D A Murphy and L Y Stevenson

Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee 53202, USA.

OBJECTIVES: The purpose of this study was to identify factors predicting program attrition among participants in human immunodeficiency virus (HIV) risk reduction trials. METHODS: Participants were gay/bisexual men and severely mentally ill adults recruited to take part in HIV risk reduction small-group interventions. Program completers were compared with participants who were assessed at baseline but then failed to attend any sessions. The health belief model provided a framework for selection of possible predictors of program attrition. RESULTS: Younger age was associated with early dropout in both samples. Other predictors among gay/bisexual men included involvement in an exclusive sexual relationship, minority ethnicity, injection drug use, and higher perceived severity of AIDS. Severely mentally ill dropouts were less knowledgeable about safer sex methods and more likely to hold positive outcome expectancies for condom use. CONCLUSIONS: Evaluation of intervention effectiveness among vulnerable population segments is threatened if there is selective attrition. Better methods are needed to attract and maintain participation in HIV prevention programs. Alternatively, wider application of "intention to treat" analysis of intervention outcomes is recommended to minimize selection bias due to program dropout.




This article has been cited by other articles:


Home page
 Health Educ ResHome page
L. M. Kuhns, R. Vazquez, and J. Ramirez-Valles
Researching special populations: retention of Latino gay and bisexual men and transgender persons in longitudinal health research
Health Educ. Res., October 1, 2008; 23(5): 814 - 825.
[Abstract] [Full Text] [PDF]

Home page
 Clin TrialsHome page
F. Ramos-Gomez, L. H Chung, R. Gonzalez Beristain, W. Santo, B. Jue, J. Weintraub, and S. Gansky
Recruiting and retaining pregnant women from a community health center at the US--Mexico border for the Mothers and Youth Access clinical trial
Clinical Trials, August 1, 2008; 5(4): 336 - 346.
[Abstract] [PDF]

Home page
 Am J EpidemiolHome page
L. L. Gluud
Bias in Clinical Intervention Research
Am. J. Epidemiol., March 15, 2006; 163(6): 493 - 501.
[Abstract] [Full Text] [PDF]

Home page
 Health Educ ResHome page
S. D. Rhodes and R. Arceo
Developing and testing measures predictive of hepatitis A vaccination in a sample of men who have sex with men
Health Educ. Res., June 1, 2004; 19(3): 272 - 283.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1998 by the American Public Health Association