The purpose of this study was to examine client satisfaction, perceived helping components, and perceived frequency of condom use among men and women who participated in an HIV/STD relationship-based preventive intervention. Method: 107 participants completed evaluation forms at the end of the last of five weekly intervention sessions. Levels of overall satisfaction, what participants liked and learned, what they felt helped them in the intervention, and their report on the frequency of male and female condom use pre- and postintervention were evaluated. Results: The intervention was highly regarded by participants. The helpful components of the intervention were the couples' ability to communicate better with their main partner and the special strategies the facilitators used. Gender differences in immediate HIV risk reduction behavior changes were found. Conclusions: It is important to evaluate client perceptions of the helping components in combination with structured assessment of targeted outcomes in treatment and preventive interventions.
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References
1.
Anderson, V., Reis, J., & Yvonne, S. (1997). Male and female adolescents' perceived interpersonal communication skills according to history of sexual coercion. Adolescence, 32, 419-427.
2.
Bloom, M., Fischer, J., & Orme, J. G. (1999). Evaluating practice: Guidelines for the accountable professional (3rd ed.). Boston: Allyn & Bacon.
3.
Bronfenbrenner, U. (1979). The ecology of human development. American Psychologist, 32, 513-531.
4.
Catania, J., Kegeles, S., & Coates, T. (1990). Towards an understanding of risk behavior: An AIDS Risk Reduction Model (ARRM). Health Education Quarterly, 17, 53-72.
5.
Centers for Disease Control and Prevention. (2000). HIV/AIDS surveillance report. Atlanta, GA: U.S. Department for Health and Human Services.
6.
Coursey, R. D., Keller, A. B., & Farrell, E. W. (1995). Individual psychotherapy and persons with serious mental illness: The clients' perspective. Schizophrenia Bulletin, 21, 283-301.
7.
Cox, B. J., Fergus, K. D., & Swinson, R. P. (1994). Patient satisfaction with behavioral treatments for panic disorder with agoraphobia. Journal of Anxiety Disorders, 8, 193-206.
8.
DiClemente, R., & Wingood, G. (1995). A randomized controlled trial of an HIV sexual risk-reduction intervention for young African-American women. JAMA, 274, 1271-1276.
9.
Duncan, B. L., Sparks, J. A., & Miller, S. D. (2000). Recasting the therapeutic drama: A client-directed, outcome-informed approach. In F. M. Dattilio & L. J. Bevilacqua (Eds.), Comparative treatments for relationship dysfunction (pp. 301-324). New York: Springer.
10.
El-Bassel, N., Ivanoff, A., Schilling, R., Gilbert, L., & Borne, D., & Chen, D. R. (1995). Preventing HIV/AIDS in drug-abusing incarcerated women through skills-building and social support enhancement: Preliminary outcomes. Social Work Research, 19, 131-141.
11.
El-Bassel, N., Witte, S. S., Gilbert, L., Sormanti, M., Moreno, C., Pereira, L., et al. (2001). HIV prevention for intimate couples: A relationship-based model. Families, Systems and Health, 19(4), 379-395.
12.
Fisher, J., & Fisher, W. (2000). Theoretical approaches to individual-level change in HIV risk behavior. In J. Peterson & R. DiClemente (Eds.), Handbook of HIV prevention (pp. 3-55). New York: Kluwer Academic/Plenum.
13.
Glass, C. R., & Arnkoff, D. B. (2000). Consumer' perspectives on helpful and hindering factors in mental health treatment. Journal of Clinical Psychology, 56, 1467-1480.
14.
Harvey, M. (2000). New Kinds of data, new options for HIV prevention among women: A public health challenge. Health Education & Behavior, 27(5), 566-571.
15.
Hoyt, M. F., & Miller, S. D. (2000). Stage-appropriate change-oriented brief therapy strategies. In J. Carlson & L. Sperry (Eds.), Brief therapy with individuals and couples (pp. 289-330). Phoenix, AZ: Tucker & Theisen.
16.
Ickovics, J., & Yoshikawa, H. (1998). Preventive interventions to reduce heterosexual HIV risk for women: Current perspectives, future directions. [Review]. AIDS, 12(Suppl. A), S197-S208.
17.
Jemmott, J. B., III, Jemmott, L. S., & Hacker, C. I. (1992). Predicting intentions to use condoms among African American adolescents: The theory of planned behavior as a model of HIV risk associated behavior. Journal of Ethnicity & Disease, 2, 371-380.
18.
Kelly, J. A. (1995). Advances in HIV/AIDS education and prevention. Family Relations, 44, 345-352.
19.
Lebow, J. L. (1982). Consumer satisfaction with mental health treatment. Psychological Bulletin, 91, 244-259.
20.
Luborsky, M. R. (1994). The identification and analysis of themes and patterns. In J. Gubrium, & A. Snakar (Eds.), Qualitative methods in aging research (pp. 189-210). New York: Sage.
21.
Macdonald, G., & Sheldon, B. (1997). Community care services for the mentally ill: Consumers' views. International Journal of Social Psychiatry, 43, 35-55.
22.
McMurty, S. L., & Hudson, W. W. (2000). The client satisfaction inventory: Results of an initial validation study. Research on Social Work Practice, 10, 644-663.
23.
Miller, S. D., Duncan, B. L., & Hubble, M. A. (1997a). Escape from Babel: Toward a unifying language for psychotherapy practice. New York: Norton.
24.
Miller, S. D., Duncan, B. L., & Hubble, M. A. (1997b). Should social work clients have the right to effective treatment? [Comment]. Social Work, 42, 619-620.
25.
Mushet, G. L., Whalan, G. S., & Power, R. (1989). In-patients' views of the helpful components of group psychotherapy: Impact of therapeutic style and treatment setting. British Journal of Medical Psychology, 62, 135-141.
26.
NIMH Multisite HIV preventive trial. (1997). Screening, recruiting, and predicting retention of participants in a Multisite HIV prevention trial. AIDS, 11, s13-s19.
27.
Oakley, A., Fullerton, D., & Holland, J. (1995). Behavioral interventions for HIV/AIDS prevention. AIDS, 9, 479-486.
28.
O'Leary, A., & Wingood, G. (2000). Interventions for sexually active heterosexual women. In J. Peterson & R. DiClemente (Eds.), Handbook of HIV prevention (pp. 179-200). New York: Kluwer Academic/Plenum.
29.
Paulson, B. L., Truscott, D., & Stuart, J. (1999). Clients' perceptions of helpful experiences in counseling. Journal of Counseling Psychology, 46, 317-324.
30.
Schilling, R. F., El-Bassel, N., Hadden, B., & Gilbert, L. (1995). Skills-training groups to reduce HIV transmission and drug use among methadone patients. Social Work, 40(1), 91-101.
31.
Sikkema, K. J., & Bissett, R. T. (1997). Concepts, goals, and techniques of counseling: Review and implications for HIV counseling and testing. AIDS Education and Prevention, 9 (Suppl. B), 14-26.
32.
Sormanti, M., Pereira, L., El-Bassel, N., Witte, S. S., Gilbert, L. (2001). The role of community consultants in designing an HIV prevention intervention. AIDS Education and Prevention, 13(4), 311-328.
33.
Stanley, S., Markman, H., & Blumberg, S. (1996). The speaker listener technique. New York: PREP Educational Products, Inc.
34.
Straus, M. A., Hamby, S. L., Boney-McCoy, S., & Sugarman, D. B. (1996) The revised Conflict Tactics Scale (CTS2): Development and preliminary psychometric data. Journal of Family Issues, 17(3), 283-316.
35.
van der Straten, A., King, R., Grinstead, O., Serufilira, A., & Allen, S. (1995). Couple communication, sexual coercion and HIV risk reduction in Kigali, Rwanda. AIDS, 9, 935-944.
36.
Wingood, G. M., & DiClemente, R. J. (1996). HIV sexual risk reduction intervention for women: A review. American Journal of Preventive Medicine, 12(3), 209-217.
37.
Wingood, G. M., & DiClemente, R. J. (2000). Application of the theory of gender and power to examine HIV-related exposures, risk factors, and effective interventions for women. Health Education and Behavior, 27, 539-565.
38.
Wingood, G. M., DiClemente, R. J., Hubbard-McCree, D., Harrington, K., & Davies, S. L. (2001). Dating violence and sexual health of Black adolescent females. Pediatrics, 107(5), e72.
39.
Witte, S. S., El-Bassel, N., Gilbert, L., & Steinglass, P. (2001). Recruitment and retention of African American and Latino couples for an HIV prevention intervention. Unpublished manuscript. (Available from first author, 475 Riverside Drive, Suite 1842, New York, NY 10115)
40.
Wong, S. E. (1999). Treatment of antisocial behavior in adolescent inpatients: Behavioral changes and client satisfaction. Research on Social Work Practice, 9, 25-44.
41.
Wu, E., El-Bassel, E., Witte, S. S., Gilbert, L., & Chang, M. (2001). Correlates to participation in relationship-based HIV/STD prevention trial. NIMH Annual Conference on the Role of Families in Preventing and Adapting HIV/AIDS, Los Angeles, CA.
