Acceptability of A-CASI by HIV-positive IDUs in a multisite, randomized, controlled trial of behavioral intervention (INSPIRE)

Yuko Mizuno, David W. Purcell, Sonja Mackenzie, Karin E. Tobin, Toni Wunch, Julia H. Arnsten, Lisa R. Metsch

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Audio computer-assisted self-interviewing (A-CASI) is now widely used to gather information from many types of research participants, including injection drug users (IDUs). The purpose of this study was to describe how HIV-positive IDUs participating in an intervention trial viewed A-CASI and to identify the characteristics of participants who held unfavorable attitudes toward A-CASI. Using a sample of participants who completed 12-month assessments (n = 821), we found that most (>80%) of the sample held favorable or neutral attitudes toward A-CASI. Approximately 18% said that they would prefer an interview with a person to a computer, 12% said that they did not understand the questions they heard on the computer, and 14% said that the computer made it hard to be open and honest about risk behavior. Multivariate analyses found that participants who were more socially marginalized (with unstable housing and lower sense of empowerment) and had greater physical limitations and lower CD4 cell counts were consistently more likely to report various negative A-CASI attitudes; however, some outcome-specific findings were also noted. Our research supports the feasibility and general acceptability of A-CASI with HIV-positive IDUs, and it suggests further research exploring the associations between A-CASI attitudes and characteristics of disadvantaged populations.

Original languageEnglish (US)
JournalJournal of Acquired Immune Deficiency Syndromes
Volume46
Issue numberSUPPL. 2
DOIs
StatePublished - Nov 2007

Fingerprint

Drug Users
Randomized Controlled Trials
HIV
Injections
Research
Vulnerable Populations
Population Characteristics
CD4 Lymphocyte Count
Risk-Taking
Multivariate Analysis
Interviews

Keywords

  • Attitudes
  • Audio computer-assisted self-interviewing
  • HIV
  • Injection drug use
  • Seropositive

ASJC Scopus subject areas

  • Virology
  • Immunology

Cite this

Acceptability of A-CASI by HIV-positive IDUs in a multisite, randomized, controlled trial of behavioral intervention (INSPIRE). / Mizuno, Yuko; Purcell, David W.; Mackenzie, Sonja; Tobin, Karin E.; Wunch, Toni; Arnsten, Julia H.; Metsch, Lisa R.

In: Journal of Acquired Immune Deficiency Syndromes, Vol. 46, No. SUPPL. 2, 11.2007.

Research output: Contribution to journalArticle

Mizuno, Yuko ; Purcell, David W. ; Mackenzie, Sonja ; Tobin, Karin E. ; Wunch, Toni ; Arnsten, Julia H. ; Metsch, Lisa R. / Acceptability of A-CASI by HIV-positive IDUs in a multisite, randomized, controlled trial of behavioral intervention (INSPIRE). In: Journal of Acquired Immune Deficiency Syndromes. 2007 ; Vol. 46, No. SUPPL. 2.
@article{0701499557a14c829c8a80a304e208d9,
title = "Acceptability of A-CASI by HIV-positive IDUs in a multisite, randomized, controlled trial of behavioral intervention (INSPIRE)",
abstract = "Audio computer-assisted self-interviewing (A-CASI) is now widely used to gather information from many types of research participants, including injection drug users (IDUs). The purpose of this study was to describe how HIV-positive IDUs participating in an intervention trial viewed A-CASI and to identify the characteristics of participants who held unfavorable attitudes toward A-CASI. Using a sample of participants who completed 12-month assessments (n = 821), we found that most (>80{\%}) of the sample held favorable or neutral attitudes toward A-CASI. Approximately 18{\%} said that they would prefer an interview with a person to a computer, 12{\%} said that they did not understand the questions they heard on the computer, and 14{\%} said that the computer made it hard to be open and honest about risk behavior. Multivariate analyses found that participants who were more socially marginalized (with unstable housing and lower sense of empowerment) and had greater physical limitations and lower CD4 cell counts were consistently more likely to report various negative A-CASI attitudes; however, some outcome-specific findings were also noted. Our research supports the feasibility and general acceptability of A-CASI with HIV-positive IDUs, and it suggests further research exploring the associations between A-CASI attitudes and characteristics of disadvantaged populations.",
keywords = "Attitudes, Audio computer-assisted self-interviewing, HIV, Injection drug use, Seropositive",
author = "Yuko Mizuno and Purcell, {David W.} and Sonja Mackenzie and Tobin, {Karin E.} and Toni Wunch and Arnsten, {Julia H.} and Metsch, {Lisa R.}",
year = "2007",
month = "11",
doi = "10.1097/QAI.0b013e3181576795",
language = "English (US)",
volume = "46",
journal = "Journal of Acquired Immune Deficiency Syndromes",
issn = "1525-4135",
publisher = "Lippincott Williams and Wilkins",
number = "SUPPL. 2",

}

TY - JOUR

T1 - Acceptability of A-CASI by HIV-positive IDUs in a multisite, randomized, controlled trial of behavioral intervention (INSPIRE)

AU - Mizuno, Yuko

AU - Purcell, David W.

AU - Mackenzie, Sonja

AU - Tobin, Karin E.

AU - Wunch, Toni

AU - Arnsten, Julia H.

AU - Metsch, Lisa R.

PY - 2007/11

Y1 - 2007/11

N2 - Audio computer-assisted self-interviewing (A-CASI) is now widely used to gather information from many types of research participants, including injection drug users (IDUs). The purpose of this study was to describe how HIV-positive IDUs participating in an intervention trial viewed A-CASI and to identify the characteristics of participants who held unfavorable attitudes toward A-CASI. Using a sample of participants who completed 12-month assessments (n = 821), we found that most (>80%) of the sample held favorable or neutral attitudes toward A-CASI. Approximately 18% said that they would prefer an interview with a person to a computer, 12% said that they did not understand the questions they heard on the computer, and 14% said that the computer made it hard to be open and honest about risk behavior. Multivariate analyses found that participants who were more socially marginalized (with unstable housing and lower sense of empowerment) and had greater physical limitations and lower CD4 cell counts were consistently more likely to report various negative A-CASI attitudes; however, some outcome-specific findings were also noted. Our research supports the feasibility and general acceptability of A-CASI with HIV-positive IDUs, and it suggests further research exploring the associations between A-CASI attitudes and characteristics of disadvantaged populations.

AB - Audio computer-assisted self-interviewing (A-CASI) is now widely used to gather information from many types of research participants, including injection drug users (IDUs). The purpose of this study was to describe how HIV-positive IDUs participating in an intervention trial viewed A-CASI and to identify the characteristics of participants who held unfavorable attitudes toward A-CASI. Using a sample of participants who completed 12-month assessments (n = 821), we found that most (>80%) of the sample held favorable or neutral attitudes toward A-CASI. Approximately 18% said that they would prefer an interview with a person to a computer, 12% said that they did not understand the questions they heard on the computer, and 14% said that the computer made it hard to be open and honest about risk behavior. Multivariate analyses found that participants who were more socially marginalized (with unstable housing and lower sense of empowerment) and had greater physical limitations and lower CD4 cell counts were consistently more likely to report various negative A-CASI attitudes; however, some outcome-specific findings were also noted. Our research supports the feasibility and general acceptability of A-CASI with HIV-positive IDUs, and it suggests further research exploring the associations between A-CASI attitudes and characteristics of disadvantaged populations.

KW - Attitudes

KW - Audio computer-assisted self-interviewing

KW - HIV

KW - Injection drug use

KW - Seropositive

UR - http://www.scopus.com/inward/record.url?scp=37349106031&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=37349106031&partnerID=8YFLogxK

U2 - 10.1097/QAI.0b013e3181576795

DO - 10.1097/QAI.0b013e3181576795

M3 - Article

C2 - 18089984

AN - SCOPUS:37349106031

VL - 46

JO - Journal of Acquired Immune Deficiency Syndromes

JF - Journal of Acquired Immune Deficiency Syndromes

SN - 1525-4135

IS - SUPPL. 2

ER -