Group Motivational Interviewing to Promote Adherence to Antiretroviral Medications and Risk Reduction Behaviors in HIV Infected Women
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Marcia McDonnell Holstad Colleen DiIorio Mary E. Kelley Kenneth Resnicow Sanjay Sharma
- چاپ و سال / کشور: 2010
Description
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 (C7/8 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.
AIDS Behav (2011) 15:885–896 DOI 10.1007/s10461-010-9865-y Published online: 17 December 2010
