Relational factors and family treatment engagement among low-income, HIV-positive African American mothers

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Clinically derived hypotheses regarding treatment engagement of families of low-income, HIV-positive, African American mothers are tested using univariate and multivariate logistic regression models. Predictors are baseline family relational factors (family support, mother's desire for involvement with family, and family hassles) and mother's history of substance dependence. The study examines a subsample of 49 mothers enrolled in a clinical trial testing the efficacy of Structural Ecosystems Therapy (SET). SET is a family-based intervention intended to relieve and prevent psychosocial distress associated with HIV/AIDS. Participants in the subsample were randomly assigned to SET and attended at least two therapy sessions. Findings reveal that family relational factors predicted family treatment engagement (family support, p<.004; mother's desire for involvement with family, p<.008; family hassles, p<.027). Family support predicted family treatment engagement beyond the prediction provided by the other relational factors and the mother's own treatment engagement (p<.016). History of substance dependence was neither associated with family treatment engagement nor family support. Post hoc analyses revealed that family hassles (p<.003) and mother's desire for involvement with family (p<.018) were differentially related to family treatment engagement in low- versus high-support families. Implications for clinical practice and future research are discussed.

Original languageEnglish
Pages (from-to)31-46
Number of pages16
JournalFamily Process
Volume42
Issue number1
DOIs
StatePublished - Mar 1 2003

Fingerprint

African Americans
low income
Mothers
HIV
Therapeutics
American
Ecosystem
Substance-Related Disorders
Logistic Models

ASJC Scopus subject areas

  • Social Sciences (miscellaneous)
  • Psychology(all)
  • Clinical Psychology

Cite this

@article{5f444d29562a439cac8d4985c570a07d,
title = "Relational factors and family treatment engagement among low-income, HIV-positive African American mothers",
abstract = "Clinically derived hypotheses regarding treatment engagement of families of low-income, HIV-positive, African American mothers are tested using univariate and multivariate logistic regression models. Predictors are baseline family relational factors (family support, mother's desire for involvement with family, and family hassles) and mother's history of substance dependence. The study examines a subsample of 49 mothers enrolled in a clinical trial testing the efficacy of Structural Ecosystems Therapy (SET). SET is a family-based intervention intended to relieve and prevent psychosocial distress associated with HIV/AIDS. Participants in the subsample were randomly assigned to SET and attended at least two therapy sessions. Findings reveal that family relational factors predicted family treatment engagement (family support, p<.004; mother's desire for involvement with family, p<.008; family hassles, p<.027). Family support predicted family treatment engagement beyond the prediction provided by the other relational factors and the mother's own treatment engagement (p<.016). History of substance dependence was neither associated with family treatment engagement nor family support. Post hoc analyses revealed that family hassles (p<.003) and mother's desire for involvement with family (p<.018) were differentially related to family treatment engagement in low- versus high-support families. Implications for clinical practice and future research are discussed.",
author = "Victoria Mitrani and Prado, {Guillermo J} and Feaster, {Daniel J} and Carleen Robinson-Batista and Jose Szapocznik",
year = "2003",
month = "3",
day = "1",
doi = "10.1111/j.1545-5300.2003.00031.x",
language = "English",
volume = "42",
pages = "31--46",
journal = "Family Process",
issn = "0014-7370",
publisher = "Wiley-Blackwell",
number = "1",

}

TY - JOUR

T1 - Relational factors and family treatment engagement among low-income, HIV-positive African American mothers

AU - Mitrani, Victoria

AU - Prado, Guillermo J

AU - Feaster, Daniel J

AU - Robinson-Batista, Carleen

AU - Szapocznik, Jose

PY - 2003/3/1

Y1 - 2003/3/1

N2 - Clinically derived hypotheses regarding treatment engagement of families of low-income, HIV-positive, African American mothers are tested using univariate and multivariate logistic regression models. Predictors are baseline family relational factors (family support, mother's desire for involvement with family, and family hassles) and mother's history of substance dependence. The study examines a subsample of 49 mothers enrolled in a clinical trial testing the efficacy of Structural Ecosystems Therapy (SET). SET is a family-based intervention intended to relieve and prevent psychosocial distress associated with HIV/AIDS. Participants in the subsample were randomly assigned to SET and attended at least two therapy sessions. Findings reveal that family relational factors predicted family treatment engagement (family support, p<.004; mother's desire for involvement with family, p<.008; family hassles, p<.027). Family support predicted family treatment engagement beyond the prediction provided by the other relational factors and the mother's own treatment engagement (p<.016). History of substance dependence was neither associated with family treatment engagement nor family support. Post hoc analyses revealed that family hassles (p<.003) and mother's desire for involvement with family (p<.018) were differentially related to family treatment engagement in low- versus high-support families. Implications for clinical practice and future research are discussed.

AB - Clinically derived hypotheses regarding treatment engagement of families of low-income, HIV-positive, African American mothers are tested using univariate and multivariate logistic regression models. Predictors are baseline family relational factors (family support, mother's desire for involvement with family, and family hassles) and mother's history of substance dependence. The study examines a subsample of 49 mothers enrolled in a clinical trial testing the efficacy of Structural Ecosystems Therapy (SET). SET is a family-based intervention intended to relieve and prevent psychosocial distress associated with HIV/AIDS. Participants in the subsample were randomly assigned to SET and attended at least two therapy sessions. Findings reveal that family relational factors predicted family treatment engagement (family support, p<.004; mother's desire for involvement with family, p<.008; family hassles, p<.027). Family support predicted family treatment engagement beyond the prediction provided by the other relational factors and the mother's own treatment engagement (p<.016). History of substance dependence was neither associated with family treatment engagement nor family support. Post hoc analyses revealed that family hassles (p<.003) and mother's desire for involvement with family (p<.018) were differentially related to family treatment engagement in low- versus high-support families. Implications for clinical practice and future research are discussed.

UR - http://www.scopus.com/inward/record.url?scp=0242286015&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0242286015&partnerID=8YFLogxK

U2 - 10.1111/j.1545-5300.2003.00031.x

DO - 10.1111/j.1545-5300.2003.00031.x

M3 - Article

VL - 42

SP - 31

EP - 46

JO - Family Process

JF - Family Process

SN - 0014-7370

IS - 1

ER -