I got this to work by saving, overriding resetting the document title as part of a page view function.
function pageView(elm) {
// get the original title
var orginalTitle = document.title;
// override the title with the link title attribute
document.title = elm.title;
var _hsq = window._hsq = window._hsq || [];
_hsq.push(['setPath', elm.href.replace(/^.*\/\/[^\/]+/, '')]);
_hsq.push(['trackPageView']);
// reset to the original title
document.title = orginalTitle;
}