Effects of Behavioral Intervention Content on HIV Prevention Outcomes: A Meta-Review of Meta-Analyses

Johnson, Blair T.; Michie, Susan; Snyder, Leslie B.

doi:10.1097/qai.0000000000000235

Cited by 40HIV/AIDS Research and InterventionsBehavioral Health and InterventionsHIV, Drug Use, Sexual Risk

Effects of Behavioral Intervention Content on HIV Prevention Outcomes: A Meta-Review of Meta-Analyses

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Johnson, Blair T., Michie, Susan, Snyder, Leslie B.·2014·JAIDS Journal of Acquired Immune Deficiency Syndromes

DOI 10.1097/qai.0000000000000235PMC PMC6530773

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Abstract

OBJECTIVE: Numerous meta-analyses have examined the success of trials of interventions to reduce the behavioral risk of acquiring or transmitting HIV. Yet, to date, meta-reviews have not systematically examined which type of intervention content is more likely to lead to successful HIV outcomes. The current study addresses this gap. METHODS: Published meta-analyses on HIV prevention (k = 56) were retrieved, then coded, and analyzed in terms of the intervention content. RESULTS: Past meta-analyses have examined relatively few dimensions of intervention content. Larger meta-analyses were more likely to find that information content dimensions, especially skill provision and motivational enhancement, relate to risk reduction. CONCLUSIONS: Fully incorporating behavior change technique (BCT) taxonomies into both intervention research and systematic reviews of this research offers considerable potential. It can improve the precision of conclusions about which specific types of content best promote HIV prevention behaviors and help to lower the cost of interventions. International efforts to improve reporting standards and generate the scholarly expertise necessary to discern BCTs reliably and validly help to address some of the challenges to including BCTs in study reports. Contextualizing research on effective strategies for HIV prevention by reporting and including in analyses community, social, and sample factors is also recommended. Together, such efforts can help refocus the field of HIV prevention on improved research strategies to further improve future interventions by discerning the content design factors related to success for particular populations, rather than merely to assess whether interventions have been successful.

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Specification of intervention content by BCTs has transformed methods for reporting the content of behaviour change interventions, facilitating greater precision and consistency in research.
“Specification of intervention content by BCTs has transformed methods for reporting the content of behaviour change interventions, which facilitates greater precision and consistency in research [51].”
From From Theory-Inspired to Theory-Based Interventions: A Protocol for Developing and Testing a Methodology for Linking Behaviour Change Techniques to Theoretical Mechanisms of Action (2018) · cites this paper as [51]

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[35]Johnson BT Michie S Toward healthy theorizing about health behaviours in the maze of messy reality: A reaction to Peters, de Bruin, and Crutzen (2013) Health Psychology Review in press PMC4372132 25793486
[50]Carvalho FT Concalves TR Faria ER Behavioral intervention to promote condom use among women living with HIV (Review) The Cochrane Library 2012 2 1 34
[62]Herbst JH Sherba RT Crepaz N A meta-analytic review of HIV behavioral interventions for reducing sexual risk behavior of men who have sex with men JAIDS Journal of Acquired Immune Deficiency Syndromes 2005 39 2 228 241 15905741

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SUPPLEMENT ARTICLE Effects of Behavioral Intervention Content on HIV Prevention Outcomes: A Meta-Review of Meta-Analyses
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Authors: Johnson, B. T., Michie, S., & Snyder, L. B.
Affiliations: University of Connecticut (US)
University College London (GB)
Corresponding author: Johnson, Blair T.
ORCID: Johnson, Blair T.
Michie, Susan
Venue: JAIDS Journal of Acquired Immune Deficiency Syndromes
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2014-08-15
Volume: 66
Issue: Supplement 3
Pages: S259-S270
ISSN: 1525-4135 (ISSN-L)
DOI: 10.1097/qai.0000000000000235
PMC: PMC6530773
OpenAlex: W2005870623
Cited by: 40
References: 89
Citations by year: 2025: 4 · 2024: 3 · 2023: 2 · 2022: 3 · 2021: 2 · 2019: 5 · 2018: 4 · 2017: 2 · 2016: 6 · 2015: 5 · 2014: 4
FWCI: 0.79
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by-nc-nd
Locations: JAIDS Journal of Acquired Immune Deficiency Syndromes (publishedVersion, cc-by-nc-nd)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Mental Health (R01MH058563, R01-MH58563)
Topics: Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
Keywords: HIV prevention, behaviour change techniques, BCT taxonomy, motivation enhancement, HIV risk reduction, intervention effectiveness, reporting guidelines
MeSH terms: Behavior Therapy, Humans, Meta-Analysis as Topic, Health Behavior, HIV Infections, Treatment Outcome

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Effects of Behavioral Intervention Content on HIV Prevention Outcomes: A Meta-Review of Meta-Analyses

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