Telephone-Administered Motivational Interviewing to Reduce Risky Sexual Behavior in HIV-Infected Rural Persons: A Pilot Randomized Clinical Trial
Telephone-Administered Motivational Interviewing to Reduce Risky Sexual Behavior in HIV-Infected Rural Persons: A Pilot Randomized Clinical Trial
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DOI：
10.1097/olq.0b013e3181c18975
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发表时间：
2010-03-01
影响因子：
3.1
通讯作者：
McCarthy, John
中科院分区：
文献类型：
--
作者：
Cosio, David;Heckman, Timothy G.;McCarthy, John
工作背景：虽然有几项研究已经确定了农村艾滋病毒感染者持续危险性行为的模式和预测因素，但评估减少这一群体危险性行为的干预措施的研究要少得多。这个试点随机临床试验比较了2个简短的电话管理的干预措施，旨在减少持续危险的性行为在HIV感染的rural persons.Methods：参与者是79名HIV感染的农村人谁报告1个或多个场合的无保护的肛门，阴道，或口交在过去的2个月。参与者是通过27个州的农村地区的艾滋病服务组织招募的，并随机分配到两个阶段，动机访谈加技能建设干预（即：例如，综合干预; n = 48）或2个阶段，仅技能建设比较干预（n = 31）。参与者在干预前和2个月的随访中完成了性行为和危险性行为相关因素的自我报告测量。在参加干预之前，37%的参与者在过去2个月内有2个或更多的性伴侣，29%的参与者在不知道其伴侣的艾滋病毒血清状况的情况下与1个或更多的性伴侣发生性关系，近三分之一的参与者在高风险环境中找到性伴侣（例如，例如，在一个实施例中，公园、路边休息区）。一项2 × 2重复测量的多变量方差分析发现，与仅培养技能的参与者相比，综合干预参与者在随访时报告了降低风险的动机和安全套保护的阴道和口腔性交次数的更大增加。简短的电话管理干预措施，将动机访谈与技能建设相结合，显示出减少艾滋病毒感染者危险性行为的潜力。农村感染者。看来有必要对这种干预办法进行更多的大规模评价。
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.