AIDS and Behavior

, Volume 16, Issue 5, pp 1182–1191 | Cite as

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

  • Carol E. GolinEmail author
  • Jo Anne Earp
  • Catherine A. Grodensky
  • Shilpa N. Patel
  • Chirayath Suchindran
  • Megha Parikh
  • Seth Kalichman
  • Kristine Patterson
  • Heidi Swygard
  • E. Byrd Quinlivan
  • Kemi Amola
  • Zulfiya Chariyeva
  • Jennifer Groves
Original Paper


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.


AIDS HIV Motivational interviewing Safer sex SafeTalk 


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.



We would like to thank Sarah Przybyla, LaToya White, Meheret Mamo, Megan Kays, Robert Michael, Jessica Kadis, and Kathy Ramsey for their assistance in data collection, cleaning, and management. We would also like to thank Dr. Ronald Strauss, DDM, PhD for providing consultation in survey development as well as Carol Carr, Beth Fowler, and Regina McCoy for assistance with materials development. We would like to acknowledge Roger Akers for his technical assistance designing our data management system. We thank Niasha Brown, Rebecca Davis, Tyndall Harris, and Katherine Tiller for their delivery of counseling to study participants, Andrea Wong for statistical support, and Ross Oglesbee for her outstanding administrative assistance and support. This work would not have been possible without the enthusiastic support from the clinic staff in which the study was conducted. This work was supported by National Institute of Health (NIH) grants R01-MH069989, DK56350 and AI50410.


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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Carol E. Golin
    • 1
    • 2
    • 3
    • 4
    • 8
    Email author
  • Jo Anne Earp
    • 2
  • Catherine A. Grodensky
    • 3
  • Shilpa N. Patel
    • 3
  • Chirayath Suchindran
    • 5
  • Megha Parikh
    • 5
  • Seth Kalichman
    • 6
  • Kristine Patterson
    • 7
  • Heidi Swygard
    • 7
  • E. Byrd Quinlivan
    • 4
    • 7
  • Kemi Amola
    • 3
  • Zulfiya Chariyeva
    • 2
  • Jennifer Groves
    • 3
  1. 1.Division of General Medicine and Clinical EpidemiologySchool of Medicine, University of North Carolina at Chapel HillChapel HillUSA
  2. 2.Department of Health Behavior and Health EducationGillings School of Global Public Health, University of North Carolina at Chapel HillChapel HillUSA
  3. 3.Cecil G. Sheps Center for Health Services ResearchUniversity of North Carolina at Chapel HillChapel HillUSA
  4. 4.University of North Carolina Center for AIDS ResearchChapel HillUSA
  5. 5.Department of BiostatisticsGillings School of Global Public Health, University of North Carolina at Chapel HillChapel HillUSA
  6. 6.Department of PsychologyUniversity of ConnecticutStorrsUSA
  7. 7.Division of Infectious DiseasesSchool of Medicine, University of North Carolina at Chapel HillChapel HillUSA
  8. 8.UNC Sheps Center for Health Services ResearchChapel HillUSA

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