AIDS and Behavior

, Volume 17, Issue 2, pp 813–823

The Role of Self-Efficacy and Motivation to Explain the Effect of Motivational Interviewing Time on Changes in Risky Sexual Behavior among People Living with HIV: A Mediation Analysis

  • Zulfiya Chariyeva
  • Carol E. Golin
  • Jo Anne Earp
  • Suzanne Maman
  • Chirayath Suchindran
  • Catherine Zimmer
Original Paper

DOI: 10.1007/s10461-011-0115-8

Cite this article as:
Chariyeva, Z., Golin, C.E., Earp, J.A. et al. AIDS Behav (2013) 17: 813. doi:10.1007/s10461-011-0115-8
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Abstract

Little is known about the amount of Motivational Interviewing (MI) needed to reduce risky sexual behavior among People Living with HIV/AIDS (PLWHA) or the roles self-efficacy and motivation to practice safer sex play. Among 183 PLWHA who received safer sex MI and were surveyed every 4 months over a 12 month period, we used hierarchical negative binomial regression models to examine the association between amount of counseling time and sexual risk behavior. We performed mediation analysis to evaluate whether changes in self-efficacy and motivation explained this association. This study found that as MI time and number of provided sessions increased, participants’ sexual risk behavior decreased. The effect of MI time and number of sessions on sexual behavior was mediated by self-efficacy but not by motivation to practice safer sex.

Keywords

HIV Motivational interviewing Self-efficacy Motivation Sexual behavior 

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Zulfiya Chariyeva
    • 1
  • Carol E. Golin
    • 2
  • Jo Anne Earp
    • 2
  • Suzanne Maman
    • 2
  • Chirayath Suchindran
    • 3
  • Catherine Zimmer
    • 4
  1. 1.Futures GroupChapel HillUSA
  2. 2.Department of Health Behavior and Health Education, Gillings School of Global Public HealthUniversity of North Carolina at Chapel HillChapel HillUSA
  3. 3.Department of Biostatistics, Gillings School of Global Public HealthUniversity of North Carolina at Chapel HillChapel HillUSA
  4. 4.Department of SociologyUniversity of North Carolina at Chapel HillChapel HillUSA