UBC Faculty Research and Publications

Cognitive factors and willingness to participate in an HIV vaccine trial among HIV-positive injection drug users Dhalla, Shayesta; Poole, Gary; Singer, Joel; Patrick, David, (Physician); Kerr, Thomas

Abstract

There are gaps in our knowledge of the role cognitive factors play in determining people’s willingness to participate (WTP) in therapeutic HIV vaccine trials. Using a cross-sectional design in HIV-positive injection drug users (IDU), we determined the role of three cognitive factors: HIV treatment optimism, self-efficacy beliefs, and knowledge of vaccine trial concepts in relation to WTP in a hypothetical phase 3 therapeutic HIV vaccine trial. Willingness to participate was 54%. Participants tended to be low in HIV treatment optimism (mean = 3.9/10), high in self-efficacy (mean = 79.8/100), and low in knowledge (mean = 4.1/10). Items pertaining to HIV treatment optimism and knowledge of HIV vaccine trial concepts were generally unrelated to WTP. An increase in self-efficacy had a statistically significant positive association with WTP (OR = 1.61, 95% CI = 1.04–2.46, p<0.05). Furthermore, most of these HIV-positive participants had high levels of self-efficacy, so we are most confident about this relationship at such levels.

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Attribution-NonCommercial-NoDerivatives 4.0 International