Social-cognitive theory mediators of behavior change in the National Institute of Mental Health Multisite HIV Prevention Trial

被引：43

作者：

Celentano, DD

DiIorio, C

Hartwell, T

Kelly, J

Magana, R

Maibach, E

O'Leary, A

Pequegnat, W

Rotheram-Borus, MJ

Schilling, R

Amsel, J

El-Bassel, N

Ferreira-Pinto, JB

Gleghom, A

Ivanoff, A

Jemmott, JB

Jemmott, LS

Martin, R

Miller, S

Murphy, D

Raffaelli, M

Rompalo, AM

Schlenger, W

Sikkema, K

Somlai, A

Alford, K

Allende-Ramos, C

Hackl, K

Kuklinski, M

Langabeer, KA

Lee, MB

Lopez, E

Nava, P

Parra, M

Pranke, J

Reid, H

Sharpe-Potter, J

Witte, S

Villasenor, Y

Wight, RG

Hansen, N

LaVange, L

McFadden, D

Perritt, R

Poole, WK

Gaydos, C

Quinn, TC

Mitnick, L

Roberts, S

Stover, E

机构：

[1] NIMH, Multisite HIV Prevent Trial Grp, NIH, Rockville, MD 20857 USA

[2] Univ Penn, Philadelphia, PA 19104 USA

[3] NCI, Bethesda, MD 20892 USA

[4] Univ Houston, Houston, TX 77004 USA

[5] Univ Calif San Francisco, San Francisco, CA 94143 USA

[6] Univ Maryland, Data Safety & Monitoring Board, College Pk, MD 20742 USA

[7] Johns Hopkins Univ, Sch Med, Core Lab, Baltimore, MD 21218 USA

[8] Univ Arizona, Tucson, AZ 85721 USA

[9] NIMH, Res Suppport Off, Bethesda, MD 20892 USA

[10] Res Triangle Inst, Data Coordinating Ctr, Res Triangle Pk, NC 27709 USA

[11] Univ Calif Los Angeles, Los Angeles, CA 90024 USA

[12] Univ Calif Irvine, Irvine, CA 92717 USA

[13] Columbia Univ, New York, NY 10027 USA

[14] Emory Univ, Atlanta, GA 30322 USA

[15] Rutgers State Univ, New Brunswick, NJ 08903 USA

[16] Med Coll Wisconsin, Milwaukee, WI 53226 USA

[17] Johns Hopkins Univ, Baltimore, MD 21218 USA

[18] Princeton Univ, Princeton, NJ 08544 USA

[19] Emory Univ, Atlanta, GA 30322 USA

来源：

HEALTH PSYCHOLOGY | 2001年 / 20卷 / 05期

关键词：

HIV prevention intervention; social-cognitive theory; mediation analysis;

D O I：

10.1037//0278-6133.20.5.369

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

The National Institute of Mental Health Multisite HIV Prevention Trial was a trial of an intervention to reduce sexual HIV risk behaviors among 3,706 low-income at-risk men and women at 7 U.S. research sites. The intervention, based on social-cognitive theory and designed to influence behavior change by improving expected outcomes of condom use and increasing knowledge, skills, and self-efficacy to execute safer sex behaviors, was effective relative to a control condition in reducing sexual risk behavior. At 3 months after completion of the intervention, measures of these potential mediators were higher in the intervention than in the control condition. Although the effect of the intervention on sexual risk behavior was significantly reduced when the variables were controlled statistically, supporting the hypothesis of their mediation of the intervention effect, most of the effect remained unexplained, indicating the influence of unmeasured factors on outcome.

引用

页码：369 / 376

页数：8

共 33 条

[1]

Ajzen I., 1988, Attitudes, personality, and behavior

[2]

[Anonymous], 1996, SUDAAN SOFTWARE STAT

[3]

[Anonymous], AIDS S2

[4]

[Anonymous], PREVENTING AIDS THEO

[5]

Bandura A., 1994, PREVENTING AIDS, P25, DOI [DOI 10.1007/978-1-4899-1193-3_3, 10.1007/978-1-4899-1193-3_3]

[6]

Bandura A., 1986, SOCIAL FDN THOUGHT A

[7]

Bandura A., 1977, SOCIAL LEARNING THEO, VVol. 1

[8] THE MODERATOR MEDIATOR VARIABLE DISTINCTION IN SOCIAL PSYCHOLOGICAL-RESEARCH - CONCEPTUAL, STRATEGIC, AND STATISTICAL CONSIDERATIONS [J].

BARON, RM ;

KENNY, DA .

JOURNAL OF PERSONALITY AND SOCIAL PSYCHOLOGY, 1986, 51 (06) :1173-1182

[9] The NIMH multisite HIV prevention trial: Reducing HIV sexual risk behavior [J].

Celentano, DD ;

Dilorio, C ;

Hartwell, T ;

Kelly, J ;

Magana, R ;

Maibach, E ;

O'Leary, A ;

Pequegnat, W ;

Rotheram-Borus, MJ ;

Schilling, R .

SCIENCE, 1998, 280 (5371) :1889-1894

[10]

Diggle P. J., 2002, ANAL LONGITUDINAL DA

← 1 2 3 4 →