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Start Talking About Risks: Development of a Motivational Interviewing-Based Safer Sex Program for People Living with HIV

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Abstract

The epidemiology of HIV infection in the US in general, and in the southeast, in particular, has shifted dramatically over the past two decades, increasingly affecting women and minorities. The site for our intervention was an infectious diseases clinic based at a university hospital serving over 1,300 HIV-infected patients in North Carolina. Our patient population is diverse and reflects the trends seen more broadly in the epidemic in the southeast and in North Carolina. Practicing safer sex is a complex behavior with multiple determinants that vary by individual and social context. A comprehensive intervention that is client-centered and can be tailored to each individual’s circumstances is more likely to be effective at reducing risky behaviors among clients such as ours than are more confrontational or standardized prevention messages. One potential approach to improving safer sex practices among people living with HIV/AIDS (PLWHA) is Motivational Interviewing (MI), a non-judgmental, client-centered but directive counseling style. Below, we describe: (1) the development of the Start Talking About Risks (STAR) MI-based safer sex counseling program for PLWHA at our clinic site; (2) the intervention itself; and (3) lessons learned from implementing the intervention.

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Acknowledgments

We would like to thank Ross Oglesbee for her administrative and editorial assistance on this manuscript. This research was supported by a Special projects of National Significance (SPNS) grant from Health Resources Services Administration (No. HA01289-02) and by the University of North Carolina Center for AIDS Research (P30 AI50410).

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Authors and Affiliations

  1. Department of Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

    Carol E. Golin, Katherine Tiller, E. Byrd Quinlivan, Catherine A. Grodensky & Maureen Boland

  2. UNC Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

    Shilpa Patel

  3. Department of Health Behavior and Health Education, School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

    Carol E. Golin

  4. Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

    Carol E. Golin

  5. University of North Carolina Center for AIDS Research, Chapel Hill, NC, USA

    Carol E. Golin

  6. Center for Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

    E. Byrd Quinlivan

  7. UNC Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 725 Airport Road, Campus Box 7590, Chapel Hill, NC, 27599-7590, USA

    Carol E. Golin

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  1. Carol E. Golin
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  2. Shilpa Patel
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Correspondence to Carol E. Golin.

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Golin, C.E., Patel, S., Tiller, K. et al. Start Talking About Risks: Development of a Motivational Interviewing-Based Safer Sex Program for People Living with HIV. AIDS Behav 11 (Suppl 1), 72–83 (2007). https://doi.org/10.1007/s10461-007-9256-1

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  • DOI: https://doi.org/10.1007/s10461-007-9256-1

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