title: Telephone-administered motivational interviewing reduces risky sexual behavior in HIV-positive late middle-age and older adults: a pilot randomized controlled trial.
abstract: By 2014, 50% of all adults living with HIV/AIDS will be 50-plus years of age. This pilot randomized controlled trial assessed the efficacy of two telephone-delivered motivational interviewing (MI) interventions to reduce risky sexual behavior in HIV-infected adults 45-plus years old. Eligible participants reported engaging in at least one occasion of unprotected anal and/or vaginal intercourse in the 3 months prior to study enrollment. Participants were randomly assigned to receive four sessions of telephone-delivered MI, one session of telephone-delivered MI, or no MI. Relative to 4-session MI participants, Controls reported approximately three times as many episodes of unprotected sex at 3- and 6-month follow-up, while 1-session MI participants reported four times as many unprotected sex acts at 3- and 6-month follow-up. No differences in condom use were observed between 1-session MI and Control participants. Additional large-scale studies that evaluate this intervention approach are warranted.
authors.affiliation: Department of Psychology, Ohio University, Athens, USA. travis.i.lovejoy.1@ohio.edu
authors.forename: Travis I
authors.initials: TI
authors.lastname: Lovejoy
authors.forename: Timothy G
authors.initials: TG
authors.lastname: Heckman
authors.forename: Julie A
authors.initials: JA
authors.lastname: Suhr
authors.forename: Timothy
authors.initials: T
authors.lastname: Anderson
authors.forename: Bernadette Davantes
authors.initials: BD
authors.lastname: Heckman
authors.forename: Christopher R
authors.initials: CR
authors.lastname: France
mesh_terms: D000367:Age Factors; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D015658:HIV Infections / Q000517:prevention & control* / Q000635:transmission; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010865:Pilot Projects; D040242:Risk Reduction Behavior; D012309:Risk-Taking; D012424:Rural Population; D012725:Sexual Behavior; D013689:Telephone; D016896:Treatment Outcome; D014481:United States