Group motivational interviewing to promote adherence to antiretroviral medications and risk reduction behaviors in HIV infected women.
Group motivational interviewing to promote adherence to antiretroviral medications and risk reduction behaviors in HIV infected women.
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DOI：
10.1007/s10461-010-9865-y
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发表时间：
2011-07
影响因子：
4.4
通讯作者：
Sharma, Sanjay
中科院分区：
文献类型：
--
作者：
Holstad, Marcia McDonnell;DiIorio, Colleen;Kelley, Mary E.;Resnicow, Kenneth;Sharma, Sanjay
We present the results of a clinical trial that tested the efficacy of using motivational interviewing (MI) in a group format to promote adherence to antiretroviral medications and risk reduction behaviors (RRB) in 203 predominately African American HIV infected women. It was compared to a group health promotion program. Participants were followed for 9 months. Adherence was measured by MEMS®; and RRB by self-report. Controlling for recruitment site and years on ART, no significant group by time effects were observed. Attendance (≥7/8 sessions) modified the effects. Higher MI attendees had better adherence at all follow-ups, a borderline significant group by time effect (p = 0.1) for % Doses Taken on Schedule, a significantly larger proportion who reported abstinence at 2 weeks, 6, and 9 months, and always used protection during sex at 6 and 9 months. Though not conclusive, the findings offer some support for using MI in a group format to promote adherence and some risk reduction behaviors when adequate attendance is maintained.
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