title: Does motivational interviewing counseling time influence HIV-positive persons' self-efficacy to practice safer sex?
abstract: OBJECTIVE
  This study examined the impact of motivational interviewing (MI) counseling time on self-efficacy to practice safer sex for people living with HIV/AIDS (PLWHA).
  
  
  METHODS
  In 4 month intervals we followed a cohort of 490 PLWHA for 12 months. We conducted hierarchical linear regression models to examine changes in safer sex self-efficacy when participants received zero, low to moderate (5-131 min) and high (132-320 min) doses of MI time. We conducted a similar analysis using number of counseling sessions as the predictor variable.
  
  
  RESULTS
  Participants with low to moderate doses of MI counseling had 0.26 higher self-efficacy scores than participants with zero MI time (p=0.01). Also, they had 0.26 lower self-efficacy scores than participants with high amounts of MI time (p=0.04). Participants with high doses of MI had a 0.5 higher self-efficacy score than participants with zero amount of MI time (p<0.0001). Participants who received 3-4 counseling sessions had 0.41 greater self-efficacy scores than participants who did not receive any sessions (p<0.0001) but did not differ from participants receiving 1-2 sessions.
  
  
  CONCLUSIONS
  MI time is a key to enhancing safer sex self-efficacy among PLWHA.
  
  
  CONCLUSIONS
  Safer sex self-efficacy improves the more MI counseling time and sessions PLWHA receive.
authors: Department of Health Behavior and Health Education, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, USA.
authors: Zulfiya
authors: Z
authors: Chariyeva
authors: Carol E
authors: CE
authors: Golin
authors: Jo Anne
authors: JA
authors: Earp
authors: Chirayath
authors: C
authors: Suchindran
mesh_terms: D000328:Adult; D015331:Cohort Studies; D037001:Directive Counseling; D005260:Female; D005500:Follow-Up Studies; D015658:HIV Infections / Q000517:prevention & control* / Q000523:psychology*; D006801:Humans; D007407:Interviews as Topic; D016014:Linear Models; D008297:Male; D009042:Motivation; D012307:Risk Factors; D040242:Risk Reduction Behavior; D021841:Safe Sex / Q000523:psychology*; D020377:Self Efficacy; D012731:Sex Counseling; D013997:Time Factors; D055815:Young Adult