Using Motivational Interviewing to Increase HIV PrEP Initiation and Adherence: a Scoping Review.
Using Motivational Interviewing to Increase HIV PrEP Initiation and Adherence: a Scoping Review.
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DOI：
10.1007/s11121-023-01554-w
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发表时间：
2023-10
影响因子：
3.5
通讯作者：
Anderson, Janeane N
中科院分区：
文献类型：
--
作者：
Dangerfield, Derek T 2nd;Davis, Gerrin;Pandian, Vinciya;Anderson, Janeane N
尽管有证据表明，暴露前预防（PrEP）降低了艾滋病毒的风险，但在脆弱社区中，启动和坚持率仍然很低。动机性访谈（MI）可以改善艾滋病预防行为。然而，有限的研究确定了MI如何影响PrEP的摄取和依从性。这一范围审查审查了旨在改善PrEP使用的基于MI的干预措施的基本组成部分，包括会议的数量和持续时间，辅导员特征和访谈内容。我们检索了四个数据库，PubMed，CINAHL Plus，Embase和Web of Science，并审查了379篇文章。如果研究（a）在2012年至2023年之间发表，（B）独立使用MI或作为多组分干预策略的一部分，以及（c）专注于改善PrEP启动或依从性，则考虑进行研究。7篇文章符合纳入标准。关于干预组成部分，MI会话的数量各不相同，持续时间范围为15 - 60分钟。MI咨询师在资格认证和人口统计学特征方面各不相同。MI内容包括PrEP教育，确定启动和遵守障碍，并制定克服障碍的策略。MI是旨在改善PrEP启动和依从性的干预措施的重要组成部分。然而，研究之间的变异性和有限的细节阻碍了我们评估MI对PrEP启动和依从性的有效性或在未来干预中复制这些方法的能力。
Despite evidence that pre-exposure prophylaxis (PrEP) reduces HIV risk, initiation and adherence remain low among vulnerable communities. Motivational interviewing (MI) can improve HIV prevention behaviors. However, limited research identifies how MI impacts PrEP uptake and adherence. This scoping review examines essential components of MI-based interventions that aimed to improve PrEP use, including the number and duration of sessions, counselor characteristics, and interview content. We searched four databases, PubMed, CINAHL Plus, Embase, and Web of Science, and reviewed 379 articles. Studies were considered if they (a) were published between 2012 and 2023, (b) used MI independently or part of a multi-component intervention strategy, and (c) focused on improving PrEP initiation or adherence. Seven articles met inclusion criteria. Regarding intervention components, the number of MI sessions varied and duration ranged between 15 and 60 min. MI counselors varied in credentialing and demographic characteristics. MI content included PrEP education, identifying initiation and adherence barriers, and strategizing ways to overcome barriers. MI is an important component of interventions that aim to improve PrEP initiation and adherence. However, the variability and limited details across studies hinder our ability to assess MI efficacy on PrEP initiation and adherence or replicate these approaches in future interventions.
DOI：
10.1037/pst0000309
发表时间：
2021-06
期刊：
Psychotherapy (Chicago, Ill.)
影响因子：
--
作者：
Hurlocker MC;Moyers TB;Houck J
通讯作者：
Houck J