title: An integrative review of the efficacy of motivational interviewing in HIV management.
abstract: The purpose of this integrative review is to examine the use of motivational interviewing (MI) to improve health outcomes in persons living with HIV (PLWH).
  
  
  
  We reviewed the existing literature, using the PRISMA model. The PubMed, Web of Science, Embase, and CINAHL databases were searched for all relevant studies, using the terms HIV, AIDS, and motivational interviewing.
  
  
  
  Of 239 articles identified initially, 19 met our criteria for synthesis. These studies were conducted throughout the world, including the U.S., Thailand, and South Africa. In general, studies that used MI, either alone or in conjunction with other interventions, reported improved adherence, decreased depression, and decreased risky sexual behaviors.
  
  
  
  This review demonstrates a positive relationship between MI-based interventions and behavioral change, which may lead to improved health outcomes in PLWH.
  
  
  
  Motivational interviewing can be an effective method of therapeutic communication for PLWH, who struggle with adherence, depression, and risky sexual behaviors.
authors.affiliation: Emory University, Nell Hodgson Woodruff School of Nursing, 1520 Clifton Rd, Atlanta, GA, 30322, USA. Electronic address: phil.dillard@emory.edu.
authors.forename: Phillip K
authors.initials: PK
authors.lastname: Dillard
authors.affiliation: The University of Texas at Austin, School of Nursing 1710 Red River, Austin, TX, 78701, USA. Electronic address: jzuniga@nursing.utexas.edu.
authors.forename: Julie Ann
authors.initials: JA
authors.lastname: Zuniga
authors.affiliation: Emory University, Nell Hodgson Woodruff School of Nursing, 1520 Clifton Rd, Atlanta, GA, 30322, USA. Electronic address: nurmmcd@emory.edu.
authors.forename: Marcia M
authors.initials: MM
authors.lastname: Holstad
mesh_terms: D001521:Behavior Therapy; D015658:HIV Infections / Q000523:psychology* / Q000628:therapy; D006801:Humans; D055118:Medication Adherence; D062405:Motivational Interviewing; D017063:Outcome Assessment, Health Care; D018802:Patient-Centered Care / Q000379:methods*; D040242:Risk Reduction Behavior
keywords: Behavior change; HIV; Motivational interviewing