title: SafeTalk, a multicomponent, motivational interviewing-based, safer sex counseling program for people living with HIV/AIDS: a qualitative assessment of patients' views.
abstract: With the continued transmission of HIV each year, novel approaches to HIV prevention are needed. Since 2003, the U.S. HIV prevention focus has shifted from primarily targeting HIV-negative at-risk persons to including safer sex programs for people already infected with HIV. At least 20-30% of people infected with HIV engage in risky sexual practices. Based on these data, policymakers have recommended that interventionists develop strategies to help HIV-infected people reduce their risky sexual behaviors. In the past, the few safer sex interventions that targeted HIV-infected people met with limited success because they basically adapted strategies previously used with HIV-uninfected individuals. In addition, often these adaptations did not address issues of serostatus disclosure, HIV stigma, or motivation to protect others from HIV. We had previously tested, in a demonstration project named the Start Talking About Risks (STAR) Program, a monthly three-session motivational interviewing (MI)-based intervention to help people living with HIV practice safer sex. In this study, we refined that program by enhancing its frequency and intensity and adding written and audio components to support the counseling. We theorized that an intervention such as MI, which is tailored to each individual's circumstances more than standardized prevention messages, would be more successful when supplemented with other components. We qualitatively assessed participants' perceptions, reactions, and preferences to the refined prevention with positives counseling program we called SafeTalk and learned that participants found the SafeTalk MI counseling and educational materials appealing, understandable, and relevant to their lives.
authors.affiliation: Department of Medicine, UNC School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. Carol_Golin@unc.edu
authors.forename: Carol E
authors.initials: CE
authors.lastname: Golin
authors.forename: Rebecca A
authors.initials: RA
authors.lastname: Davis
authors.forename: Sarahmona M
authors.initials: SM
authors.lastname: Przybyla
authors.forename: Beth
authors.initials: B
authors.lastname: Fowler
authors.forename: Sharon
authors.initials: S
authors.lastname: Parker
authors.forename: Jo Anne
authors.initials: JA
authors.lastname: Earp
authors.forename: E Byrd
authors.initials: EB
authors.lastname: Quinlivan
authors.forename: Seth C
authors.initials: SC
authors.lastname: Kalichman
authors.forename: Shilpa N
authors.initials: SN
authors.lastname: Patel
authors.forename: Catherine A
authors.initials: CA
authors.lastname: Grodensky
mesh_terms: D000328:Adult; D037001:Directive Counseling; D005260:Female; D017144:Focus Groups; D015658:HIV Infections / Q000517:prevention & control* / Q000523:psychology*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D009042:Motivation; D016730:Program Development; D015397:Program Evaluation; D036301:Qualitative Research; D012307:Risk Factors; D021841:Safe Sex; D012731:Sex Counseling