Does the quality of safetalk motivational interviewing counseling predict sexual behavior outcomes among people living with HIV?

PATIENT EDUCATION AND COUNSELING

卷:100

Article

Grodensky, Catherine¹  Golin, Carol^1,2,3  Parikh, Megha A.⁶  Ochtera, Rebecca⁷  Kincaid, Carlye⁸  Groves, Jennifer²  Widman, Laura^4,9  Suchindran, Chirayath⁵  McGirt, Camille³  Amola, Kemi^1,10  Bradley-Bull, Steven¹ 

[1] Univ N Carolina, UNC Sch Med, Dept Med, CB 7030 130 Mason Farm Rd, Chapel Hill, NC 27599 USA

[2] Univ N Carolina, UNC Cecil G Sheps Ctr Hlth Serv Res, CB 7590 725 Martin Luther King Jr Blvd, Chapel Hill, NC 27599 USA

[3] Univ N Carolina, UNC Sch Publ Hlth, Dept Hlth Behav, 135 Dauer Dr, Chapel Hill, NC 27516 USA

[4] Univ N Carolina, Dept Psychol, 235 E Cameron Ave, Chapel Hill, NC 27514 USA

[5] Univ North Carolina Chapel Hill, Gillings Sch Global Publ Hlth, Dept Biostat, UNC 135 Dauer Dr, Chapel Hill, NC 27516 USA

[6] Johns Hopkins Univ, Bloomberg Sch Global Publ Hlth, 615 N Wolfe St, Baltimore, MD 21205 USA

[7] Spark Policy Inst, 2717 Welton St, Denver, CO 80205 USA

[8] Silber Psychol Serv, 1340 SE Maynard Rd,Suite 201, Cary, NC 27511 USA

[9] NC State Dept Psychol, 640 Poe Hall,Campus Box 7650, Raleigh, NC 27695 USA

[10] Voice Therapeut Solut, 3712 Benson Dr, Raleigh, NC 27609 USA

关键词: AIDS;    HIV;    Motivational interviewing;    Safer sex;    SafeTalk;    Counseling;    Fidelity;    Quality;    Coding;   

DOI  :  10.1016/j.pec.2016.08.014

来源: Elsevier

【 摘 要 】

Objective: Although past research has demonstrated a link between the quality of motivational interviewing (MI) counseling and client behavior change, this relationship has not been examined in the context of sexual risk behavior among people living with HIV/AIDS. We studied MI quality and unprotected anal/vaginal intercourse (UAVI) in the context of SafeTalk, an evidence-based secondary HIV prevention intervention. Methods: We used a structured instrument (the MISC 2.0 coding system) as well as a client-reported instrument to rate intervention sessions on aspects of MI quality. Then we correlated client-reported UAVI with specific counseling behaviors and the proportion of interactions that achieved MI quality benchmarks. Results/Conclusion: Higher MISC-2.0 global ratings and a higher ratio of reflections to questions both significantly predicted fewer UAVI acts at 8-month follow-up. Analysis of client ratings, which was more exploratory, showed that clients who rated their sessions higher in counselor acceptance, client disclosure, and relevance reported higher numbers of UAVIs, whereas clients who selected higher ratings for perceived benefit were more likely to have fewer UAVI episodes. Practice implications: Further research is needed to determine the best methods of translating information about MI quality into dissemination of effective MI interventions with people living with HIV. (C) 2016 Elsevier Ireland Ltd. All rights reserved.

【 授权许可】

Free