title: Motivational interviewing targeting risk behaviors for youth living with HIV in Thailand.
abstract: Healthy Choices, a four-session motivational interviewing-based intervention, reduces risk behaviors among US youth living with HIV (YLWH). We randomized 110 Thai YLWH (16-25 years) to receive either Healthy Choices or time-matched health education (Control) over 12 weeks. Risk behaviors were assessed at baseline, 1, and 6 months post-session. The pilot study was not powered for between-group differences; there were no statistical differences in sexual risks, alcohol use, and antiretroviral adherence between the two groups at any visit. In within-group analyses, Healthy Choices group demonstrated decreases in the proportion of HIV-negative partners (20 vs 8.2%, P = 0.03) and HIV sexual risk scores (4.3 vs 3.3, P = 0.04), and increased trends in the proportion of protected sex (57 vs 76.3%, P = 0.07) from baseline to 1 month post-session. These changes were not sustained 6 months later. No changes were observed in Control group. Healthy Choices has potential to improve sexual risks among Thai YLWH.
authors: The Carman and Ann Adams Department of Pediatrics, Wayne State University School of Medicine, 3901 Beaubien Blvd, Detroit, MI, USA. crongkav@dmc.org
authors: Chokechai
authors: C
authors: Rongkavilit
authors: Sylvie
authors: S
authors: Naar-King
authors: Bo
authors: B
authors: Wang
authors: Apirudee
authors: A
authors: Panthong
authors: Torsak
authors: T
authors: Bunupuradah
authors: Jeffrey T
authors: JT
authors: Parsons
authors: Supalak
authors: S
authors: Phonphithak
authors: Juline A
authors: JA
authors: Koken
authors: Pichai
authors: P
authors: Saengcharnchai
authors: Praphan
authors: P
authors: Phanuphak
mesh_terms: D000293:Adolescent; D000328:Adult; D019380:Anti-HIV Agents / Q000627:therapeutic use; D015658:HIV Infections / Q000188:drug therapy / Q000517:prevention & control / Q000523:psychology*; D006801:Humans; D055118:Medication Adherence / Q000523:psychology; D062405:Motivational Interviewing / Q000379:methods; D020377:Self Efficacy; D013785:Thailand; D047568:Unsafe Sex / Q000517:prevention & control* / Q000523:psychology; D055815:Young Adult
chemical_list: D019380:Anti-HIV Agents