This research tested the prediction that reading a preventive brochure leads people to watch a preventive video, and that
watching this video in turn leads to an increase in the likelihood of participating in a preventive counseling session. A
sample of men and women from a southeastern community in the United States was recruited for a general health survey with
the objective of examining participation in HIV-prevention interventions. Unobtrusive measures of exposure to HIV-prevention
brochures, an HIV-prevention video, and an HIV-prevention counseling session were obtained. Findings indicated that reading
the brochures increased watching the video and that watching the video increased participation in the counseling session.
The association between exposure to the video and exposure to the counseling was mediated by expectations that the counseling
would be useful. Findings are discussed in terms of the need to ensure exposure to interventions to achieve intervention effectiveness.
Keywords HIV prevention - Selective exposure - Participation in health promotion programs