title: Group motivational interviewing to promote adherence to antiretroviral medications and risk reduction behaviors in HIV infected women.
abstract: We present the results of a clinical trial that tested the efficacy of using motivational interviewing (MI) in a group format to promote adherence to antiretroviral medications and risk reduction behaviors (RRB) in 203 predominately African American HIV infected women. It was compared to a group health promotion program. Participants were followed for 9 months. Adherence was measured by MEMS(®); and RRB by self-report. Controlling for recruitment site and years on ART, no significant group by time effects were observed. Attendance (≥7/8 sessions) modified the effects. Higher MI attendees had better adherence at all follow-ups, a borderline significant group by time effect (p = 0.1) for % Doses Taken on Schedule, a significantly larger proportion who reported abstinence at 2 weeks, 6, and 9 months, and always used protection during sex at 6 and 9 months. Though not conclusive, the findings offer some support for using MI in a group format to promote adherence and some risk reduction behaviors when adequate attendance is maintained.
authors.affiliation: Nell Hodgson School of Nursing, Emory University, 1520 Clifton Road, Atlanta, GA 30322, USA. nurmmcd@emory.edu
authors.forename: Marcia McDonnell
authors.initials: MM
authors.lastname: Holstad
authors.forename: Colleen
authors.initials: C
authors.lastname: DiIorio
authors.forename: Mary E
authors.initials: ME
authors.lastname: Kelley
authors.forename: Kenneth
authors.initials: K
authors.lastname: Resnicow
authors.forename: Sanjay
authors.initials: S
authors.lastname: Sharma
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology; D044966:Anti-Retroviral Agents / Q000627:therapeutic use*; D001521:Behavior Therapy; D037001:Directive Counseling / Q000379:methods; D005260:Female; D006126:Group Processes; D015658:HIV Infections / Q000188:drug therapy* / Q000517:prevention & control / Q000523:psychology*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010349:Patient Compliance / Q000523:psychology*; D040242:Risk Reduction Behavior; D012959:Socioeconomic Factors
chemical_list: D044966:Anti-Retroviral Agents