The role of self-efficacy and motivation to explain the effect of motivational interviewing time on changes in risky sexual behavior among people living with HIV: a mediation analysis.
Little is known about the amount of Motivational Interviewing (MI) needed to reduce risky sexual behavior among People Living with HIV/AIDS (PLWHA) or the roles self-efficacy and motivation to practice safer sex play. Among 183 PLWHA who received safer sex MI and were surveyed every 4 months over a 12 month period, we used hierarchical negative binomial regression models to examine the association between amount of counseling time and sexual risk behavior. We performed mediation analysis to evaluate whether changes in self-efficacy and motivation explained this association. This study found that as MI time and number of provided sessions increased, participants' sexual risk behavior decreased. The effect of MI time and number of sessions on sexual behavior was mediated by self-efficacy but not by motivation to practice safer sex.
Futures Group, Chapel Hill, NC 27516, USA. zchariyeva@futuresgroup.com
Zulfiya
Z
Chariyeva
Carol E
CE
Golin
Jo Anne
JA
Earp
Suzanne
S
Maman
Chirayath
C
Suchindran
Catherine
C
Zimmer
D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology* / Q000517:prevention & control / Q000523:psychology; D000328:Adult; D005260:Female; D006679:HIV Seropositivity / Q000453:epidemiology* / Q000523:psychology; D006293:Health Promotion; D006801:Humans; D008297:Male; D015201:Meta-Analysis as Topic; D062405:Motivational Interviewing / Q000379:methods; D009657:North Carolina / Q000453:epidemiology; D015397:Program Evaluation; D016032:Randomized Controlled Trials as Topic; D012309:Risk-Taking; D020377:Self Efficacy; D012725:Sexual Behavior / Q000523:psychology / Q000706:statistics & numerical data*; D012944:Social Support; D019966:Substance-Related Disorders / Q000453:epidemiology*