BACKGROUND: Although several studies have characterized patterns and predictors of continued risky sexual behavior in HIV-infected rural persons, far less research has evaluated interventions to reduce risky sex in this group. This pilot randomized clinical trial compared 2 brief telephone-administered interventions designed to reduce continued risky sexual behaviors in HIV-infected rural persons. METHODS:Participants were 79 HIV-infected rural persons who reported 1 or more occasions of unprotected anal, vaginal, or oral sex in the past 2 months. Participants were recruited through AIDS service organizations in rural areas of 27 states and assigned randomly to either a 2-session, motivational interviewing plus skills-building intervention (i.e., integrated intervention; n = 48) or a 2-session, skills-building only comparison intervention (n = 31). Participants completed self-report measures of sexual behaviors and factors related to risky sex at preintervention and 2-month follow-up. RESULTS: Before enrolling into the intervention, 37% of participants had 2 or more sexual partners in the past 2 months, 29% had sex with 1 or more partners without knowing their partners' HIV serostatus, and almost one-third of participants located sex partners in high-risk environments (e.g., public parks, roadside rest areas). A 2 x 2 repeated measures multivariate analyses of variance found that integrated intervention participants reported greater increases in risk-reduction motivation and greater increases in condom-protected vaginal and oral intercourse occasions at follow-up compared to skills-building only participants. CONCLUSIONS: Brief telephone-administered interventions that integrate motivational interviewing with skills-building show potential to reduce risky sexual behaviors in HIV-infected rural persons. Additional and large-scale evaluations of this intervention approach appear warranted.
RCT Entities:
BACKGROUND: Although several studies have characterized patterns and predictors of continued risky sexual behavior in HIV-infected ruralpersons, far less research has evaluated interventions to reduce risky sex in this group. This pilot randomized clinical trial compared 2 brief telephone-administered interventions designed to reduce continued risky sexual behaviors in HIV-infected ruralpersons. METHODS:Participants were 79 HIV-infected ruralpersons who reported 1 or more occasions of unprotected anal, vaginal, or oral sex in the past 2 months. Participants were recruited through AIDS service organizations in rural areas of 27 states and assigned randomly to either a 2-session, motivational interviewing plus skills-building intervention (i.e., integrated intervention; n = 48) or a 2-session, skills-building only comparison intervention (n = 31). Participants completed self-report measures of sexual behaviors and factors related to risky sex at preintervention and 2-month follow-up. RESULTS: Before enrolling into the intervention, 37% of participants had 2 or more sexual partners in the past 2 months, 29% had sex with 1 or more partners without knowing their partners' HIV serostatus, and almost one-third of participants located sex partners in high-risk environments (e.g., public parks, roadside rest areas). A 2 x 2 repeated measures multivariate analyses of variance found that integrated intervention participants reported greater increases in risk-reduction motivation and greater increases in condom-protected vaginal and oral intercourse occasions at follow-up compared to skills-building only participants. CONCLUSIONS: Brief telephone-administered interventions that integrate motivational interviewing with skills-building show potential to reduce risky sexual behaviors in HIV-infected ruralpersons. Additional and large-scale evaluations of this intervention approach appear warranted.
Authors: Nicole Crepaz; Malu V Tungol-Ashmon; Darrel H Higa; Waverly Vosburgh; Mary M Mullins; Terrika Barham; Adebukola Adegbite; Julia B DeLuca; Theresa A Sipe; Christina M White; Brittney N Baack; Cynthia M Lyles Journal: AIDS Date: 2014-03-13 Impact factor: 4.177
Authors: Timothy G Heckman; Bernadette D Heckman; Timothy Anderson; Travis I Lovejoy; John C Markowitz; Ye Shen; Mark Sutton Journal: Behav Med Date: 2016-04-26 Impact factor: 3.104
Authors: Catherine Grodensky; Carol Golin; Megha A Parikh; Rebecca Ochtera; Carlye Kincaid; Jennifer Groves; Laura Widman; Chirayath Suchindran; Camille McGirt; Kemi Amola; Steven Bradley-Bull Journal: Patient Educ Couns Date: 2016-08-13
Authors: Timothy G Heckman; Bernadette D Heckman; Timothy Anderson; Travis I Lovejoy; David Mohr; Mark Sutton; Joseph A Bianco; Jen-Tzer Gau Journal: AIDS Behav Date: 2013-11