title: Telephone-delivered motivational interviewing targeting sexual risk behavior reduces depression, anxiety, and stress in HIV-positive older adults.
abstract: BACKGROUND
  Few studies have examined the secondary benefits of HIV risk reduction interventions to improve mental health functioning.
  
  
  OBJECTIVE
  This study aimed to examine the effectiveness of telephone-delivered motivational interviewing (MI) targeting sexual risk behavior to reduce depression, anxiety, and stress in HIV-positive older adults.
  
  
  METHODS
  Participants were 100 HIV-positive adults 45+ years old enrolled in a sexual risk reduction pilot clinical trial of telephone-delivered MI. Participants were randomly assigned to a one-session MI, four-session MI, or standard of care control condition. Telephone interviews at baseline and 3- and 6-month follow-up assessed sexual behavior, depression, anxiety, and stress.
  
  
  RESULTS
  Relative to controls, participants in the one- and four-session MI conditions reported lower levels of depression, anxiety, and stress at 6-month follow-up. No between group differences were observed at 3-month follow-up or between one- and four-session MI participants at 6-month follow-up.
  
  
  CONCLUSIONS
  Preliminary data suggest that telephone-delivered MI to reduce sexual risk behavior may confer secondary benefits of improving mental health functioning in HIV-positive persons.
authors.affiliation: Mental Health and Clinical Neurosciences Division, Portland Veterans Affairs Medical Center, Portland, OR 97239, USA. travis.lovejoy@va.gov
authors.forename: Travis I
authors.initials: TI
authors.lastname: Lovejoy
mesh_terms: D001007:Anxiety / Q000523:psychology / Q000628:therapy*; D003863:Depression / Q000523:psychology / Q000628:therapy*; D005260:Female; D006679:HIV Seropositivity / Q000523:psychology*; D006801:Humans; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D062405:Motivational Interviewing / Q000379:methods*; D010865:Pilot Projects; D019114:Remote Consultation / Q000379:methods; D040242:Risk Reduction Behavior; D012309:Risk-Taking; D012725:Sexual Behavior / Q000523:psychology*; D013315:Stress, Psychological / Q000523:psychology / Q000628:therapy*; D013689:Telephone; D016896:Treatment Outcome