title: Interactive voice response self-monitoring to assess risk behaviors in rural substance users living with HIV/AIDS.
abstract: Community-dwelling HIV/AIDS patients in rural Alabama self-monitored (SM) daily HIV risk behaviors using an Interactive Voice Response (IVR) system, which may enhance reporting, reduce monitored behaviors, and extend the reach of care. Sexually active substance users (35 men, 19 women) engaged in IVR SM of sex, substance use, and surrounding contexts for 4-10 weeks. Baseline predictors of IVR utilization were assessed, and longitudinal IVR SM effects on risk behaviors were examined. Frequent (n = 22), infrequent (n = 22), and non-caller (n = 10) groups were analyzed. Non-callers had shorter durations of HIV medical care and lower safer sex self-efficacy and tended to be older heterosexuals. Among callers, frequent callers had lost less social support. Longitudinal logistic regression models indicated reductions in risky sex and drug use with IVR SM over time. IVR systems appear to have utility for risk assessment and reduction for rural populations living with HIV disease.
authors.affiliation: Department of Health Behavior, School of Public Health, University of Alabama at Birmingham, 35294, USA. jtucker@uab.edu
authors.forename: Jalie A
authors.initials: JA
authors.lastname: Tucker
authors.forename: Elizabeth R
authors.initials: ER
authors.lastname: Blum
authors.forename: Lili
authors.initials: L
authors.lastname: Xie
authors.forename: David L
authors.initials: DL
authors.lastname: Roth
authors.forename: Cathy A
authors.initials: CA
authors.lastname: Simpson
mesh_terms: D000328:Adult; D000407:Alabama / Q000453:epidemiology; D055030:Drug Users / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D006679:HIV Seropositivity / Q000453:epidemiology* / Q000523:psychology; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D010865:Pilot Projects; D012424:Rural Population / Q000706:statistics & numerical data*; D012650:Self Disclosure; D012725:Sexual Behavior / Q000523:psychology / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D013689:Telephone / Q000295:instrumentation / Q000706:statistics & numerical data*; D014584:User-Computer Interface