AIDS and Behavior

, Volume 17, Issue 6, pp 2063–2074

Motivational Interviewing Targeting Risk Behaviors for Youth Living with HIV in Thailand

  • Chokechai Rongkavilit
  • Sylvie Naar-King
  • Bo Wang
  • Apirudee Panthong
  • Torsak Bunupuradah
  • Jeffrey T. Parsons
  • Supalak Phonphithak
  • Juline A. Koken
  • Pichai Saengcharnchai
  • Praphan Phanuphak
Original Paper


Healthy Choices, a four-session motivational interviewing-based intervention, reduces risk behaviors among US youth living with HIV (YLWH). We randomized 110 Thai YLWH (16–25 years) to receive either Healthy Choices or time-matched health education (Control) over 12 weeks. Risk behaviors were assessed at baseline, 1, and 6 months post-session. The pilot study was not powered for between-group differences; there were no statistical differences in sexual risks, alcohol use, and antiretroviral adherence between the two groups at any visit. In within-group analyses, Healthy Choices group demonstrated decreases in the proportion of HIV-negative partners (20 vs 8.2 %, P = 0.03) and HIV sexual risk scores (4.3 vs 3.3, P = 0.04), and increased trends in the proportion of protected sex (57 vs 76.3 %, P = 0.07) from baseline to 1 month post-session. These changes were not sustained 6 months later. No changes were observed in Control group. Healthy Choices has potential to improve sexual risks among Thai YLWH.


HIV infection Motivational interviewing Adolescent Sexual behavior Thailand 


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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Chokechai Rongkavilit
    • 1
  • Sylvie Naar-King
    • 1
  • Bo Wang
    • 1
  • Apirudee Panthong
    • 2
  • Torsak Bunupuradah
    • 2
  • Jeffrey T. Parsons
    • 3
  • Supalak Phonphithak
    • 2
  • Juline A. Koken
    • 4
  • Pichai Saengcharnchai
    • 5
  • Praphan Phanuphak
    • 2
  1. 1.The Carman and Ann Adams Department of PediatricsWayne State University School of MedicineDetroitUSA
  2. 2.HIV Netherlands-Australia-Thailand Research Collaboration (HIV-NAT)Thai Red Cross AIDS Research CentreBangkokThailand
  3. 3.Department of Psychology and Public HealthHunter College and the Graduate Center of the City University of New YorkNew YorkUSA
  4. 4.Center for HIV Education Studies and Training (CHEST)New YorkUSA
  5. 5.Department of PsychiatryPhramongkutklao College of MedicineBangkokThailand

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