A Telephone-Delivered, Motivational Interviewing Intervention to Reduce Risky Sexual Behavior in HIV-Infected Rural Persons: A Pilot Randomized Clinical Trial
While several studies have characterized patterns and predictors of continued risky sexual behavior in HIV-infected rural persons, far less research has conceptualized and evaluated interventions to reduce risky sexual behavior in this group. This pilot randomized clinical trial tested if two telephone-delivered, HIV risk-reduction interventions could reduce high HIV-transmission risk behavior in HIV-infected rural persons. Participants (N=79) were recruited through AIDS service organizations in rural areas of 27 states and assigned to either a two-session, motivational interviewing and skills-building intervention (N=48) or a two-session, skills-building-only intervention (N=31). Participants completed self-report measures at pre- and post-intervention. A 2 x 2 repeated measures multivariate analysis of variance (RM MANOVA) found no significant "Time x Condition" interaction but did find a main effect for "Time" which showed that participants'condom use, motivation to reduce risky sexual behavior, and risk reduction behavioral skills improved in both intervention conditions. Results from this pilot RCT suggest that telephone-based interventions may increase motivation, behavioral skills, and condom use in rural PLWH over time and that motivational interviewing need not be integrated into standard skills-building interventions.
School Location:USA - Ohio
Source Type:Master's Thesis
Keywords:hiv risk reduction motivational interviewing skills building information motivation behavioral model
Date of Publication:01/01/2008