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Does Motivational Interviewing Counseling Time Influence HIV-Positive Persons’ Self-Efficacy to Practice Safer Sex?


Chariyeva, Zulfiya; Golin, Carol Elaine; Earp, Jo Anne L.; & Suchindran, Chirayath M. (2012). Does Motivational Interviewing Counseling Time Influence HIV-Positive Persons' Self-Efficacy to Practice Safer Sex?. Patient Education and Counseling, 87(1), 101-107. PMCID: PMC3782534


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.


Reference Type

Journal Article

Year Published


Journal Title

Patient Education and Counseling


Chariyeva, Zulfiya
Golin, Carol Elaine
Earp, Jo Anne L.
Suchindran, Chirayath M.