Start Talking About Risks: development of a Motivational Interviewing-based safer sex program for people living with HIV.
Journal Article (Journal Article)
The epidemiology of HIV infection in the US in general, and in the southeast, in particular, has shifted dramatically over the past two decades, increasingly affecting women and minorities. The site for our intervention was an infectious diseases clinic based at a university hospital serving over 1,300 HIV-infected patients in North Carolina. Our patient population is diverse and reflects the trends seen more broadly in the epidemic in the southeast and in North Carolina. Practicing safer sex is a complex behavior with multiple determinants that vary by individual and social context. A comprehensive intervention that is client-centered and can be tailored to each individual's circumstances is more likely to be effective at reducing risky behaviors among clients such as ours than are more confrontational or standardized prevention messages. One potential approach to improving safer sex practices among people living with HIV/AIDS (PLWHA) is Motivational Interviewing (MI), a non-judgmental, client-centered but directive counseling style. Below, we describe: (1) the development of the Start Talking About Risks (STAR) MI-based safer sex counseling program for PLWHA at our clinic site; (2) the intervention itself; and (3) lessons learned from implementing the intervention.
Full Text
Duke Authors
Cited Authors
- Golin, CE; Patel, S; Tiller, K; Quinlivan, EB; Grodensky, CA; Boland, M
Published Date
- September 2007
Published In
Volume / Issue
- 11 / 5 Suppl
Start / End Page
- S72 - S83
PubMed ID
- 17701337
Pubmed Central ID
- PMC3670096
Electronic International Standard Serial Number (EISSN)
- 1573-3254
International Standard Serial Number (ISSN)
- 1090-7165
Digital Object Identifier (DOI)
- 10.1007/s10461-007-9256-1
Language
- eng