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Group Motivational Interviewing to Promote Adherence to Antiretroviral Medications and Risk Reduction Behaviors in HIV Infected Women

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Abstract

We present the results of a clinical trial that tested the efficacy of using motivational interviewing (MI) in a group format to promote adherence to antiretroviral medications and risk reduction behaviors (RRB) in 203 predominately African American HIV infected women. It was compared to a group health promotion program. Participants were followed for 9 months. Adherence was measured by MEMS®; and RRB by self-report. Controlling for recruitment site and years on ART, no significant group by time effects were observed. Attendance (≥7/8 sessions) modified the effects. Higher MI attendees had better adherence at all follow-ups, a borderline significant group by time effect (p = 0.1) for % Doses Taken on Schedule, a significantly larger proportion who reported abstinence at 2 weeks, 6, and 9 months, and always used protection during sex at 6 and 9 months. Though not conclusive, the findings offer some support for using MI in a group format to promote adherence and some risk reduction behaviors when adequate attendance is maintained.

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Acknowledgments

This research was funded by a grant from the National Institutes of Nursing Research R01 NR008094. We wish to thank the women who participated in this project and the providers and staff of the clinics from which we recruited and conducted the study. We also acknowledge the work of the KHARMA Project staff, including Bridget Jones, Carol Corkran, Sally Carpentier, Versey McLendon, Lisa Weaver, Kate Yeager, Samaha Norris, Ilya Teplinskiy, and Frances McCarty.

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Authors and Affiliations

  1. Nell Hodgson School of Nursing, Emory University, 1520 Clifton Road, Atlanta, GA, 30322, USA

    Marcia McDonnell Holstad

  2. Rollins School of Public Health, Emory University, Atlanta, GA, 30322, USA

    Colleen DiIorio & Mary E. Kelley

  3. School of Public Health, University of Michigan, Ann Arbor, MI, 48109-2029 , USA

    Kenneth Resnicow

  4. School of Medicine, Emory University, Atlanta, GA, 30322, USA

    Sanjay Sharma

Authors
  1. Marcia McDonnell Holstad
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  2. Colleen DiIorio
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  3. Mary E. Kelley
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  4. Kenneth Resnicow
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  5. Sanjay Sharma
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Correspondence to Marcia McDonnell Holstad.

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Holstad, M.M., DiIorio, C., Kelley, M.E. et al. Group Motivational Interviewing to Promote Adherence to Antiretroviral Medications and Risk Reduction Behaviors in HIV Infected Women. AIDS Behav 15, 885–896 (2011). https://doi.org/10.1007/s10461-010-9865-y

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