Original Paper

AIDS and Behavior

, Volume 16, Issue 5, pp 1182-1191

First online:

Longitudinal Effects of SafeTalk, a Motivational Interviewing-Based Program to Improve Safer Sex Practices Among People Living with HIV/AIDS

  • Carol E. GolinAffiliated withDivision of General Medicine and Clinical Epidemiology, School of Medicine, University of North Carolina at Chapel HillDepartment of Health Behavior and Health Education, Gillings School of Global Public Health, University of North Carolina at Chapel HillCecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel HillUniversity of North Carolina Center for AIDS ResearchUNC Sheps Center for Health Services Research Email author 
  • , Jo Anne EarpAffiliated withDepartment of Health Behavior and Health Education, Gillings School of Global Public Health, University of North Carolina at Chapel Hill
  • , Catherine A. GrodenskyAffiliated withCecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill
  • , Shilpa N. PatelAffiliated withCecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill
  • , Chirayath SuchindranAffiliated withDepartment of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill
  • , Megha ParikhAffiliated withDepartment of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill
  • , Seth KalichmanAffiliated withDepartment of Psychology, University of Connecticut
  • , Kristine PattersonAffiliated withDivision of Infectious Diseases, School of Medicine, University of North Carolina at Chapel Hill
  • , Heidi SwygardAffiliated withDivision of Infectious Diseases, School of Medicine, University of North Carolina at Chapel Hill
    • , E. Byrd QuinlivanAffiliated withUniversity of North Carolina Center for AIDS ResearchDivision of Infectious Diseases, School of Medicine, University of North Carolina at Chapel Hill
    • , Kemi AmolaAffiliated withCecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill
    • , Zulfiya ChariyevaAffiliated withDepartment of Health Behavior and Health Education, Gillings School of Global Public Health, University of North Carolina at Chapel Hill
    • , Jennifer GrovesAffiliated withCecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill

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Abstract

Programs to help people living with HIV/AIDS practice safer sex are needed to prevent transmission of HIV and other sexually transmitted infections. We sought to assess the impact of SafeTalk, a multicomponent motivational interviewing-based safer sex program, on HIV-infected patients’ risky sexual behavior. We enrolled sexually active adult HIV-infected patients from one of three clinical sites in North Carolina and randomized them to receive the 4-session SafeTalk intervention versus a hearthealthy attention-control. There was no significant difference in the proportion of people having unprotected sex between the two arms at enrollment. SafeTalk significantly reduced the number of unprotected sex acts with at-risk partners from baseline, while in controls the number of unprotected sex acts increased. Motivational interviewing can provide an effective, flexible prevention intervention for a heterogeneous group of people living with HIV.

Keywords

AIDS HIV Motivational interviewing Safer sex SafeTalk

Resumen

Programas para ayudar a las personas que viven con VIH/SIDA practicar el sexo seguro es necesario para prevenir la transmisión del VIH y otras infecciones de transmisión sexual. Hemos tratado de evaluar el impacto de SafeTalk, un multe-componente motivacional programa basado en el sexo más seguro, sobre el comportamiento de pacientes infectados por VIH-sexuales de riesgo. Se incluyó a adultos sexualmente activos pacientes infectados por VIH de uno de los tres centros clínicos en Carolina del Norte y al azar a recibir la intervención SafeTalk de 4 sesiones en comparación con un corazón sano control de atención. No hubo diferencias significativas en la proporción de personas que tienen relaciones sexuales sin protección entre los dos grupos en la inscripción. SafeTalk redujo significativamente el número de relaciones sexuales sin protección con parejas en situación de riesgo desde el inicio, mientras que en los controles del número de actos sexuales sin protección mayor. La entrevista motivacional puede proporcionar una intervención eficaz, flexible para la prevención de un grupo heterogéneo de personas que viven con el VIH.