AIDS and Behavior

, Volume 15, Issue 5, pp 885–896

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

  • Marcia McDonnell Holstad
  • Colleen DiIorio
  • Mary E. Kelley
  • Kenneth Resnicow
  • Sanjay Sharma
Original Paper

DOI: 10.1007/s10461-010-9865-y

Cite this article as:
Holstad, M.M., DiIorio, C., Kelley, M.E. et al. AIDS Behav (2011) 15: 885. doi:10.1007/s10461-010-9865-y

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.

Keywords

HIV/AIDSMotivational interviewingAntiretroviral adherenceRisk reduction behaviors

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Marcia McDonnell Holstad
    • 1
  • Colleen DiIorio
    • 2
  • Mary E. Kelley
    • 2
  • Kenneth Resnicow
    • 3
  • Sanjay Sharma
    • 4
  1. 1.Nell Hodgson School of NursingEmory UniversityAtlantaUSA
  2. 2.Rollins School of Public HealthEmory UniversityAtlantaUSA
  3. 3.School of Public HealthUniversity of MichiganMIUSA
  4. 4.School of MedicineEmory UniversityAtlantaUSA