The Role of Self-Efficacy and Motivation to Explain the Effect of Motivational Interviewing Time on Changes in Risky Sexual Behavior among People Living with HIV: A Mediation Analysis

Motivational interviewing (MI) in increasingly used to support people living with HIV around the world. When MI strategies represent a large departure from standard of care, learning and implementing MI can be challenging. Chapter 14 focused on experiences in Cape Town, South Africa, as counselors moved from more education/information-giving approaches to MI-informed approaches. In practice, the role of ongoing supervision and support is critically important. We emphasize the value of supervision in MI for the all MI-based interventions and particularly for these kinds of interventions in global health settings where they may be quite different from current norms.

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Does the quality of safetalk motivational interviewing counseling predict sexual behavior outcomes among people living with HIV?

Patient Education and Counseling ◽

10.1016/j.pec.2016.08.014 ◽

2017 ◽

Vol 100 (1) ◽

pp. 147-153 ◽

Cited By ~ 3

Author(s):

Catherine Grodensky ◽

Carol Golin ◽

Megha A. Parikh ◽

Rebecca Ochtera ◽

Carlye Kincaid ◽

...

Keyword(s):

Sexual Behavior ◽

Motivational Interviewing ◽

People Living With Hiv ◽

Behavior Outcomes ◽

Living With Hiv

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RISKY SEXUAL BEHAVIOR IN PEOPLE LIVING WITH HIV

Medico-Biological and Socio-Psychological Problems of Safety in Emergency Situations ◽

10.25016/2541-7487-2019-0-4-79-87 ◽

2019 ◽

pp. 79-87

Author(s):

D. V. Antonova ◽

V. V. Bocharov ◽

N. S. Chrustaleva

Keyword(s):

Sexual Behavior ◽

Hiv Infection ◽

Risky Sexual Behavior ◽

Drug Users ◽

Published Data ◽

People Living With Hiv ◽

Immunodeficiency Virus ◽

Living With Hiv ◽

First Time ◽

Effective Design

Relevance. There is a continuing growth of infection with the human immunodeficiency virus (HIV) and the need for effective design of preventive measures.Intention. To explore features of risky sexual behavior in people living with HIV with and without substance abuse and in healthy respondents.Methodology. The study involved 136 individuals in the groups as follows: 1st (n = 50) – drug users with blood-borne HIV infection, 2nd (n = 50) – heterosexual HIV infection, 3rd (n = 36) – without HIV infection. A specially developed clinical map was used, as well as an original questionnaire recording the characteristics of risky behavior and the main characteristics of the life situation of the disease (“Infection risk and the disease situation”). Statistical data processing included the Fisher criterion (ϕ-criterion).Results and Discussion. The characteristics of respondents’ sexual behavior related to gender, the presence/absence of HIV and the transmission route were revealed in the study. It has been established that HIV-infected and healthy respondents do not differ in the frequency of barrier protection methods (condoms) use. Various variants of risky sexual behavior were noted in all groups, in particular, unjustified rejection of condoms. The results are partially confirmed in the published data. In the Russian sample, non-use of condoms and the prevalence of “trust in a partner” were studied for the first time.Conclusion. Important components of prevention programs include increasing sexual literacy and working with people who use psychostimulants and other drugs.

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A pilot randomized controlled trial of a tailored smoking cessation program for people living with HIV in the Washington, D.C. metropolitan area

BMC Research Notes ◽

10.1186/s13104-020-05417-3 ◽

2021 ◽

Vol 14 (1) ◽

Author(s):

Elexis C. Kierstead ◽

Emily Harvey ◽

Denisse Sanchez ◽

Kimberly Horn ◽

Lorien C. Abroms ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Smoking Cessation ◽

Self Efficacy ◽

Text Messaging ◽

Controlled Trial ◽

P Value ◽

People Living With Hiv ◽

Randomized Controlled ◽

Living With Hiv ◽

Pilot Randomized Controlled Trial

Abstract Objective Morbidity and mortality from smoking-related diseases among people living with HIV (PLWH) in the U.S. surpasses that due to HIV itself. Conventional smoking cessation treatments have not demonstrated strong efficacy among PLWH. We conducted a pilot randomized controlled trial (RCT) to evaluate a tailored smoking cessation intervention based on the minority stress model. We compared standard of care counseling (SOC) to a tailored intervention (TI) including one face-to-face counseling session incorporating cognitive behavioral therapy to build resilience, and 30 days of 2-way text messaging. Results The primary outcome was smoking cessation. Secondary outcomes included cigarettes per day (CPD), exhaled carbon monoxide (CO), and cessation self-efficacy. A total of 25 participants were enrolled (TI:11, SOC:14), and 2 were lost to follow-up. There were no significant differences in quit rates between study groups. However, there was a significantly greater decrease in CPD in the TI versus SOC (13.5 vs. 0.0, p-value:0.036). Additionally, self-efficacy increased in both groups (TI p-value:0.012, SOC p-value:0.049) and CO decreased in both groups (TI p-value: < 0.001, SOC p-value:0.049). This intervention shows promise to support smoking cessation among PLWH. A larger study is needed to fully evaluate the efficacy of this approach. Clinical trial: Trial Registration: Retrospectively registered (10/20/2020) NCT04594109.

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