Do Couple-Based Interventions Show Larger Effects in Promoting HIV Preventive Behaviors than Individualized Interventions in Couples? A Systematic Review and Meta-analysis of 11 Randomized Controlled Trials

Research output: Journal Publications and ReviewsRGC 21 - Publication in refereed journalpeer-review

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Detail(s)

Original languageEnglish
Pages (from-to)314–334
Number of pages21
Journal / PublicationAIDS and Behavior
Volume27
Issue number1
Online published15 Jul 2022
Publication statusPublished - Jan 2023

Link(s)

Abstract

This systematic review and meta-analysis aims to compare the effects of couple-based prevention interventions against individual-level interventions on HIV prevention in randomized controlled trials (RCTs), identify potential moderators, and assess study quality. Eleven RCTs were included, comprising 3933 couples in the intervention group and 7125 individuals in the individual control group, predominantly in heterosexual couples from the USA and Africa. Couple-based interventions had a more significant effect in promoting condom use and HIV testing. Education levels of high school or above, residence in low- and middle-income countries, and intervention design incorporating HIV counseling and testing were associated with higher odds of condom use. The quality assessment analysis identified methodological and theoretical heterogeneity factors. Evidence of couple-based HIV prevention RCTs among men who have sex with men, injecting drug users, sex workers, and transgender women warrant further investigation. Recommendations are made to improve the quality and replicability of future intervention studies.

Research Area(s)

  • Couple-based intervention, HIV, Meta-analysis, Prevention, Randomized controlled trials (RCTs)

Citation Format(s)

Do Couple-Based Interventions Show Larger Effects in Promoting HIV Preventive Behaviors than Individualized Interventions in Couples? A Systematic Review and Meta-analysis of 11 Randomized Controlled Trials. / Fu, Rong; Hou, Jianhua; Gu, Yuzhou et al.
In: AIDS and Behavior, Vol. 27, No. 1, 01.2023, p. 314–334.

Research output: Journal Publications and ReviewsRGC 21 - Publication in refereed journalpeer-review

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