ASSESSMENT OF MOTIVATIONAL LEVELS OF ACCEPTABILITY OF HIV TESTING

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ASSESSMENT OF MOTIVATIONAL LEVELS OF
ACCEPTABILITYOF HIV TESTING

• Giovanni Guaraldi Krzysztof Szadejko
• on behalf of ask the expert counselling team of
  www.HelpAIDS.it

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Self-determination theory

• Human motivation concern with the development and
  functioning of personality within social
  contexts.
• SDT differentiates types of behavioral regulation
  in terms of the degree to which they represent
  autonomous or self-determined (versus controlled)
  functioning.
• Intrinsic motivation is the prototype of
  autonomous activity when people are
  intrinsically motivated, they are by definition
  self-determined.
• Extrinsically motivated activity, in contrast, is
  often more controlled (i.e., less autonomous).
• No motivation, which means to be neither
  intrinsically nor extrinsically motivated--in
  other words, to be without intention or
  motivation for a particular behavior

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Objective

• To assess acceptability of HIV testing
• To identify predictors of low-motivationvs
  high-motivation to HIV testing
• To assess the impact of exterinsic vs intrinsic
  motivations on test acceptability

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Self Regulation test HIV web questionnire T-SRQ

• Social-demographic characteristics
• Risk behaviour asessment (6 items)
• Test Accectability (1 item)
• Motivational levels (20 items)
• No motivation
• Extrinsic motivation
• Intrinsic motivation

Cronbach Alfa No motivation a.81, Extrinsic
motivation a.78, Intrinsic motivation a.77
T-SRQ has been posted in the following web
siites www.unibo.it, www.unimore.it,
www.subsonica.it, www.ceisformazione.it,
www.turistipercasoit
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Self Regulation web questionniretest HIV T-SRQ

• Social-demographic characteristics
• Risk behaviour asessment (6 items)
• Test Accectability (1 item)
• Motivational levels (20 items)
• No motivation
• Extrinsic motivation
• Intrinsic motivation

• Non farei il test HIV
• perché ho paura di scoprire di essere ammalato
• perché non mi importa della mia salute quel che
  deve succedere, succeda

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Self Regulation web questionniretest HIV T-SRQ

• Social-demographic characteristics
• Risk behaviour asessment (6 items)
• Test Accectability (1 item)
• Motivational levels (20 items)
• No motivation
• Extrinsic motivation
• Intrinsic motivation

• Farei il test HIV
• Se non lo facessi mi sentirei in colpa con il
  dottore che me lo offre
• Vorrei che gli altri mi vedessero come una
  persona attenta alla salute

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Self Regulation web questionniretest HIV T-SRQ

• Social-demographic characteristics
• Risk behaviour asessment (6 items)
• Test Accectability (1 item)
• Motivational levels (20 items)
• No motivation
• Extrinsic motivation
• Intrinsic motivation

• Farei il test HIV perché
• Lo ritengo uno dei normali controlli per la mia
  salute
• Sono convinto che facendo il test potrei
  migliorare la mia salute, se necessario

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Demographics 2768 questionnaires
T-SRQ has been posted in the following web
siites www.unibo.it, www.unimore.it,
www.subsonica.it, www.ceisformazione.it,
www.turistipercasoit
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Risk behaviours
n. 2768
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Test Accectability
Se le venisse proposto un test HIV durante
unanalisi del sangue, lo accetterebbe?
n. 86
n. 2682
n. 2768
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Univariate analysis high-motivated vs.
low-motivated
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Predictors of low motivationMultivariable
analysis
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Impact of extrinsic vs intrinsic motivations in
the high vs low-motivated subgroups
Low motivated subgroup
High motivated subgroup
Intrinsic 6 Extrinsic
p-value lt 0.001
Nor Intrinsic nor Extrinsic
Extrinsic
Intrinsic
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Impact of exterinsic vs intrinsic motivations on
test acceptability in the low-motivated subgroup
SE LE VENISSE PROPOSTO UN TEST HIV DURANTE
UNANALISI DEL SANGUE, LO ACCETTEREBBE?
n 853
n 39
Extrinsic
Extrinsic
n. 892
Intrinsic
Intrinsic
Intrinsic 6 Extrinsic
Intrinsic 6 Extrinsic
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Motivational factors to HIV testing
High motivation Worried well people (proper
perception of risk)
Internal motivations
External motivations
People unaware of HIV status
HIV Test
Internal motivations
External motivations
Low motivation Unworried people (limited
perception of risk)
44.3