AIDS and Behavior

, Volume 16, Issue 2, pp 432–440

Interactive Voice Response Self-Monitoring to Assess Risk Behaviors in Rural Substance Users Living with HIV/AIDS

  • Jalie A. Tucker
  • Elizabeth R. Blum
  • Lili Xie
  • David L. Roth
  • Cathy A. Simpson
Original Paper

DOI: 10.1007/s10461-011-9889-y

Cite this article as:
Tucker, J.A., Blum, E.R., Xie, L. et al. AIDS Behav (2012) 16: 432. doi:10.1007/s10461-011-9889-y

Abstract

Community-dwelling HIV/AIDS patients in rural Alabama self-monitored (SM) daily HIV risk behaviors using an Interactive Voice Response (IVR) system, which may enhance reporting, reduce monitored behaviors, and extend the reach of care. Sexually active substance users (35 men, 19 women) engaged in IVR SM of sex, substance use, and surrounding contexts for 4–10 weeks. Baseline predictors of IVR utilization were assessed, and longitudinal IVR SM effects on risk behaviors were examined. Frequent (n = 22), infrequent (n = 22), and non-caller (n = 10) groups were analyzed. Non-callers had shorter durations of HIV medical care and lower safer sex self-efficacy and tended to be older heterosexuals. Among callers, frequent callers had lost less social support. Longitudinal logistic regression models indicated reductions in risky sex and drug use with IVR SM over time. IVR systems appear to have utility for risk assessment and reduction for rural populations living with HIV disease.

Keywords

HIV/AIDS IVR self-monitoring Alcohol and drug use Risky sex 

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Jalie A. Tucker
    • 1
  • Elizabeth R. Blum
    • 1
  • Lili Xie
    • 2
  • David L. Roth
    • 2
  • Cathy A. Simpson
    • 1
  1. 1.Department of Health Behavior, School of Public HealthUniversity of Alabama at BirminghamBirminghamUSA
  2. 2.Department of Biostatistics, School of Public HealthUniversity of Alabama at BirminghamBirminghamUSA

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