Predictors of intervention adherence among young people living with HIV

Objective: To examine adherence to a 23-session intervention for young people living with HIV. Methods: Two hundred eight HIV-positive youth were assigned by small cohort to a behavioral intervention. Results: Youth with more personal strengths were more likely to attend the intervention; those with more competing environmental demands (eg, employment, school) were less likely to attend the intervention. Using a social support, spiritual hope, or self-destructive and escape coping style was associated with attendance. Youth who reported many sexual partners attended fewer sessions. Adherence varied by cohort assignment. Conclusion: When designing future interventions, high attendance should be considered as a goal.