Does Motivational Interviewing Counseling Time Influence HIV-Positive Persons' Self-Efficacy to Practice Safer Sex?
Journal Article
Chariyeva, Zulfiya
Golin, Carol E.
Earp, Jo Anne L.
Suchindran, Chirayath M.
2012
Patient Education and Counseling
87
1
101-7
10.1016/j.pec.2011.07.021
NIHMS322728
5095
OBJECTIVE: This study examined the impact of motivational interviewing (MI) counseling time on self-efficacy to practice safer sex for people living with HIV/AIDS (PLWHA).
METHODS: In 4 month intervals we followed a cohort of 490 PLWHA for 12 months. We conducted hierarchical linear regression models to examine changes in safer sex self-efficacy when participants received zero, low to moderate (5-131min) and high (132-320min) doses of MI time. We conducted a similar analysis using number of counseling sessions as the predictor variable.
RESULTS: Participants with low to moderate doses of MI counseling had 0.26 higher self-efficacy scores than participants with zero MI time (p=0.01). Also, they had 0.26 lower self-efficacy scores than participants with high amounts of MI time (p=0.04). Participants with high doses of MI had a 0.5 higher self-efficacy score than participants with zero amount of MI time (p<0.0001). Participants who received 3-4 counseling sessions had 0.41 greater self-efficacy scores than participants who did not receive any sessions (p<0.0001) but did not differ from participants receiving 1-2 sessions.
CONCLUSION: MI time is a key to enhancing safer sex self-efficacy among PLWHA.
PRACTICE IMPLICATIONS: Safer sex self-efficacy improves the more MI counseling time and sessions PLWHA receive.
Sexual Behavior, Contraceptive Use, and Reproductive Health
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