title: Longitudinal effects of SafeTalk, a motivational interviewing-based program to improve safer sex practices among people living with HIV/AIDS.
abstract: Programs to help people living with HIV/AIDS practice safer sex are needed to prevent transmission of HIV and other sexually transmitted infections. We sought to assess the impact of SafeTalk, a multicomponent motivational interviewing-based safer sex program, on HIV-infected patients' risky sexual behavior. We enrolled sexually active adult HIV-infected patients from one of three clinical sites in North Carolina and randomized them to receive the 4-session SafeTalk intervention versus a hearthealthy attention-control. There was no significant difference in the proportion of people having unprotected sex between the two arms at enrollment. SafeTalk significantly reduced the number of unprotected sex acts with at-risk partners from baseline, while in controls the number of unprotected sex acts increased. Motivational interviewing can provide an effective, flexible prevention intervention for a heterogeneous group of people living with HIV.
authors.affiliation: Division of General Medicine and Clinical Epidemiology, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. Carol_Golin@unc.edu
authors.forename: Carol E
authors.initials: CE
authors.lastname: Golin
authors.forename: Jo Anne
authors.initials: JA
authors.lastname: Earp
authors.forename: Catherine A
authors.initials: CA
authors.lastname: Grodensky
authors.forename: Shilpa N
authors.initials: SN
authors.lastname: Patel
authors.forename: Chirayath
authors.initials: C
authors.lastname: Suchindran
authors.forename: Megha
authors.initials: M
authors.lastname: Parikh
authors.forename: Seth
authors.initials: S
authors.lastname: Kalichman
authors.forename: Kristine
authors.initials: K
authors.lastname: Patterson
authors.forename: Heidi
authors.initials: H
authors.lastname: Swygard
authors.forename: E Byrd
authors.initials: EB
authors.lastname: Quinlivan
authors.forename: Kemi
authors.initials: K
authors.lastname: Amola
authors.forename: Zulfiya
authors.initials: Z
authors.lastname: Chariyeva
authors.forename: Jennifer
authors.initials: J
authors.lastname: Groves
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000517:prevention & control / Q000523:psychology* / Q000635:transmission; D000328:Adult; D037001:Directive Counseling / Q000379:methods*; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D009042:Motivation; D009657:North Carolina; D015397:Program Evaluation; D012725:Sexual Behavior / Q000523:psychology*; D012747:Sexual Partners; D011795:Surveys and Questionnaires; D016896:Treatment Outcome