The Effect of Motivational Interviewing-Based Counseling During Outpatient Provider Initiated HIV Testing on High-Risk Sexual Behavior in Rural Uganda.
The Effect of Motivational Interviewing-Based Counseling During Outpatient Provider Initiated HIV Testing on High-Risk Sexual Behavior in Rural Uganda.
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DOI：
10.1007/s10461-016-1377-y
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发表时间：
2016-09
影响因子：
4.4
通讯作者：
Wanyenze RK
中科院分区：
文献类型：
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作者：
Kiene SM;Bateganya MH;Lule H;Wanyenze RK
提供者发起的艾滋病毒检测和咨询（PITC）在包括乌干达在内的许多国家迅速扩大。然而，由于它提供的艾滋病毒预防信息没有个性化的风险评估和降低风险的咨询，它可能会创造错过的机会，有效的艾滋病毒预防咨询。我们的目的是评估乌干达农村门诊PITC期间基于动机的简短干预措施与乌干达标准护理PITC相比在减少艾滋病毒传播相关性风险行为方面的效果。我们在一项历史对照试验中招募了333名（160名对照，173名干预）参与者，以测试干预与标准治疗。参与者接受PITC和标准护理或干预咨询，我们在基线和3个月和6个月随访时评估性风险行为。与标准治疗相比，干预条件显示随着时间的推移，高危性行为的下降幅度大1.5-2.4倍（p = 0.015和p = 0.004）。这些数据表明，在PITC期间基于动机访谈的咨询可能是一种有希望的干预措施，以减少高风险的性行为，并可能降低艾滋病毒感染的风险。
Provider-initiated HIV testing and counseling (PITC) has rapidly expanded in many countries including Uganda. However, because it provides HIV prevention information without individualized risk assessment and risk reduction counseling it may create missed opportunities for effective HIV prevention counseling. Our objective was to assess the effect of a brief motivational interviewing-based intervention during outpatient PITC in rural Uganda compared to Uganda’s standard-of-care PITC at reducing HIV transmission-relevant sexual risk behavior. We enrolled 333 (160 control, 173 intervention) participants in a historical control trial to test the intervention vs. standard-of-care. Participants received PITC and standard-of-care or the intervention counseling and we assessed sexual risk behavior at baseline and 3 and 6 months follow-up. The intervention condition showed 1.5–2.4 times greater decreases in high risk sexual behavior over time compared to standard-of-care (p = 0.015 and p = 0.004). These data suggest that motivational interviewing based counseling during PITC may be a promising intervention to reduce high-risk sexual behavior and potentially reduce risk of HIV infection.
DOI：
10.1080/17290376.2009.9724939
发表时间：
2009-11
期刊：
SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance
影响因子：
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作者：
Kiene SM;Bateganya M;Wanyenze R;Lule H;Mayer K;Stein M
通讯作者：
Stein M