SafeTalk, a Multicomponent, Motivational Interviewing-Based, Safer Sex Counseling Program for People Living with HIV/AIDS: A Qualitative Assessment of Patients' Views
SafeTalk, a Multicomponent, Motivational Interviewing-Based, Safer Sex Counseling Program for People Living with HIV/AIDS: A Qualitative Assessment of Patients' Views
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DOI：
10.1089/apc.2009.0252
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发表时间：
2010-04-01
影响因子：
4.9
通讯作者：
Grodensky, Catherine A.
中科院分区：
文献类型：
--
作者：
Golin, Carol E.;Davis, Rebecca A.;Grodensky, Catherine A.
随着每年艾滋病毒的持续传播，需要新的方法来预防艾滋病毒。自2003年以来，美国艾滋病毒预防的重点已经从主要针对艾滋病毒阴性的高危人群转向包括为已经感染艾滋病毒的人提供更安全的性行为计划。至少20%-30%的艾滋病毒感染者从事危险的性行为。根据这些数据，政策制定者建议干预者制定策略，帮助艾滋病毒感染者减少危险的性行为。过去，针对艾滋病毒感染者的为数不多的更安全的性行为干预措施收效甚微，因为它们基本上采用了以前对未感染艾滋病毒的人使用的策略。此外，这些适应往往没有解决血清状况披露、艾滋病毒污名或保护他人免受艾滋病毒感染的动机等问题。我们之前曾在一个名为Start Talking About Risks(STAR)计划的示范项目中测试过，这是一项每月三次的基于动机访谈(MI)的干预措施，旨在帮助艾滋病毒携带者进行安全的性行为。在这项研究中，我们通过提高其频率和强度，并增加了书面和音频部分来支持咨询，对该计划进行了改进。我们的理论是，像MI这样的干预措施更适合每个人的情况，而不是标准化的预防信息，当补充其他组成部分时，会更成功。我们定性地评估了参与者对我们称为SafeTalk的精细化的积极预防咨询计划的看法、反应和偏好，并了解到参与者认为SafeTalk MI咨询和教育材料具有吸引力、可理解和与他们的生活相关。
With the continued transmission of HIV each year, novel approaches to HIV prevention are needed. Since 2003, the U. S. HIV prevention focus has shifted from primarily targeting HIV-negative at-risk persons to including safer sex programs for people already infected with HIV. At least 20-30% of people infected with HIV engage in risky sexual practices. Based on these data, policymakers have recommended that interventionists develop strategies to help HIV-infected people reduce their risky sexual behaviors. In the past, the few safer sex interventions that targeted HIV-infected people met with limited success because they basically adapted strategies previously used with HIV-uninfected individuals. In addition, often these adaptations did not address issues of serostatus disclosure, HIV stigma, or motivation to protect others from HIV. We had previously tested, in a demonstration project named the Start Talking About Risks (STAR) Program, a monthly three-session motivational interviewing (MI)-based intervention to help people living with HIV practice safer sex. In this study, we refined that program by enhancing its frequency and intensity and adding written and audio components to support the counseling. We theorized that an intervention such as MI, which is tailored to each individual's circumstances more than standardized prevention messages, would be more successful when supplemented with other components. We qualitatively assessed participants' perceptions, reactions, and preferences to the refined prevention with positives counseling program we called SafeTalk and learned that participants found the SafeTalk MI counseling and educational materials appealing, understandable, and relevant to their lives.