Testing the effectiveness of two psychosocial interventions – ACCENT and Didactic – to prevent HIV/AIDS behavioral risk factors in Mozambican women: a randomized controlled study

Ana Luísa Patrão*, Teresa M. McIntyre, Eleonora C. V. Costa, Eduardo Matediane, Vanessa Azevedo

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

In Mozambique, women are the most affected by HIV/AIDS and heterosexual encounters remain the main route for HIV/AIDS. Condom use is the most effective method of HIV/AIDS prevention, and the intention to use and buy/get condoms has a significant role in safe sex behavior. This study aimed to evaluate the efficacy of two psychosocial interventions–the Didactic and ACCENT Interventions–to prevent HIV/AIDS among Mozambican Women. Participants were Mozambican women (n = 150), users of the gynecology clinic of the Central Hospital of Beira. The study design was a randomized controlled trial (RCT) with assignment to three groups: Didactic intervention, ACCENT intervention, and Control group. Measures were from an adaption of the Women's Health Questionnaire, which includes questions about sociodemographic, clinical, and behavioral variables related to HIV prevention/risk. There was a significant group effect on condom use and safer sex preparatory behaviors, F(2, 146) = 6.45, p =.002, with Bonferroni post-hoc tests showing differences between the ACCENT vs. Control groups and ACCENT vs. Didactic groups (all p =.022). There were no statistically significant time effects on both condom use and safer sex preparatory behaviors. Results are promising for HIV/AIDS prevention in Mozambican women at sexual risk, but replication is needed for generalizability of findings.

Original languageEnglish
Pages (from-to)122-129
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volume36
Issue number1
DOIs
Publication statusPublished - 2024

Keywords

  • Condom use
  • Current safer sex practices
  • HIV/AIDS prevention
  • Mozambican women
  • Psychosocial intervention

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