The Effect of Motivational Interviewing-Based Counseling During Outpatient Provider Initiated HIV Testing on High-Risk Sexual Behavior in Rural Uganda

被引：0
作者：
Susan M. Kiene
Moses H. Bateganya
Haruna Lule
Rhoda K. Wanyenze
机构：
[1] University of Connecticut Health Center,Department of Community Medicine and Health Care
[2] Graduate School of Public Health,Division of Epidemiology and Biostatistics
[3] San Diego State University,Department of Global Health
[4] University of Washington,Department of Disease Control and Environmental Health
[5] Gombe General Hospital,undefined
[6] Makerere University School of Public Health,undefined
来源：
AIDS and Behavior | 2016年 / 20卷
关键词：
HIV testing; Sexual risk behavior; Motivational interviewing; Uganda;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
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.
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页码：1928 / 1936
页数：8
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  • [1] Becker J(2009)Provider initiated testing and counseling (PITC) for HIV in resource-limited clinical settings: important questions unanswered Pan Afr Med J 3 4-57
  • [2] Tsague L(2007)Costs and consequences of the US centers for disease control and prevention’s recommendations for opt-out HIV testing PLoS Med 4 e194-119
  • [3] Sahabo R(2006)Desperately seeking targets: the ethics of routine HIV testing in low-income countries Bull World Health Organ 84 52-17
  • [4] Twyman P(2009)Provider-initiated HIV testing in health care settings: should it include client-centered counselling? SAHARA J 6 115-1167
  • [5] Holtgrave DR(2006)Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings MMWR Recomm Rep 55 1-160
  • [6] Rennie S(2012)Implementing rapid HIV testing with or without risk-reduction counseling in drug treatment centers: results of a randomized trial Am J Public Health 102 1160-312
  • [7] Behets F(2010)A meta-analysis of motivational interviewing: twenty-five years of empirical studies Res Soc Work Prac 20 137-343
  • [8] Kiene SM(2005)Motivational interviewing: a systematic review and meta-analysis Br J Gen Pract 55 305-52
  • [9] Bateganya M(2012)Motivational interviewing targeting risk reduction for people with HIV: a systematic review Curr HIV/AIDS Rep 9 335-1641
  • [10] Wanyenze R(2006)Clinician-delivered intervention ruring routine clinical care reduces unprotected sexual behavior among HIV-infected patients J Acquir Immune Defic Syndr 41 44-507
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