title: Brief report: maintenance of effects of motivational enhancement therapy to improve risk behaviors and HIV-related Health in a randomized controlled trial of youth living with HIV.
abstract: OBJECTIVE
  To examine the maintenance of effects of Motivational Enhancement Therapy (MET) shown to improve risk behaviors and viral load in youth living with HIV (YLH) immediately posttreatment.
  
  
  METHODS
  Sixty-five youth (ages 16-25 years) were randomized to Healthy Choices or a waitlist control. Frequency of substance use, frequency of unprotected intercourse, and viral load were obtained at baseline, 3, and 6 months after study entry. The waitlist control then received intervention. An additional data collection was obtained at 9 months for follow-up of the original treatment group.
  
  
  RESULTS
  One-tailed ANOVA showed that the treatment group had greater reductions in viral load and alcohol use from baseline to 6 months. These reductions appeared to be maintained at 9-month follow-up. Improvements in sexual risk were not evident.
  
  
  CONCLUSIONS
  MET showed significant promise in reducing substance use and in improving HIV-related health in YLH immediately posttreatment. These effects were maintained after treatment termination.
authors: Wayne State University Pediatric Prevention Research Center, University Health Center 6-D, 4201 St. Antoine, Detroit, Michigan 48201, USA. snaarkin@med.wayne.edu
authors: Sylvie
authors: S
authors: Naar-King
authors: Phebe
authors: P
authors: Lam
authors: Bo
authors: B
authors: Wang
authors: Kathryn
authors: K
authors: Wright
authors: Jeffrey T
authors: JT
authors: Parsons
authors: Maureen A
authors: MA
authors: Frey
mesh_terms: D000293:Adolescent; D000328:Adult; D002755:Choice Behavior; D005260:Female; D005500:Follow-Up Studies; D015658:HIV Infections / Q000453:epidemiology* / Q000523:psychology*; D015438:Health Behavior; D006801:Humans; D008297:Male; D009042:Motivation; D010348:Patient Care Team; D012309:Risk-Taking; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000517:prevention & control; D011795:Surveys and Questionnaires; D047568:Unsafe Sex / Q000706:statistics & numerical data