Motivational Interviewing Targeting Risk Behaviors for Youth Living with HIV in Thailand

Authors

Chokechai Rongkavilit, Wayne State University School of MedicineFollow
Sylvie Naar-King, Wayne State University School of Medicine
Bo Wang, Wayne State University School of Medicine
Apirudee Panthong, Thai Red Cross AIDS Research Centre
Torsak Bunupuradah, Thai Red Cross AIDS Research Centre
Jeffrey T. Parsons, CUNY Hunter CollegeFollow
Supalak Phonphithak, Thai Red Cross AIDS Research Centre
Juline A. Koken, CUNY La Guardia Community CollegeFollow
Pichai Saengcharnchai, Phramongkutklao College of Medicine
Praphan Phanuphak, Thai Red Cross AIDS Research Centre

Document Type

Article

Publication Date

1-17-2013

Abstract

Healthy Choices, a four-session motivational interviewing-based intervention, reduces risk behaviors among US youth living with HIV (YLWH). We randomized 110 Thai YLWH (16–25 years) to receive either Healthy Choices or time-matched health education (Control) over 12 weeks. Risk behaviors were assessed at baseline, 1, and 6 months post-session. The pilot study was not powered for between-group differences; there were no statistical differences in sexual risks, alcohol use, and antiretroviral adherence between the two groups at any visit. In within-group analyses, Healthy Choices group demonstrated decreases in the proportion of HIV-negative partners (20 vs 8.2 %, P = 0.03) and HIV sexual risk scores (4.3 vs 3.3, P = 0.04), and increased trends in the proportion of protected sex (57 vs 76.3 %, P = 0.07) from baseline to 1 month post-session. These changes were not sustained 6 months later. No changes were observed in Control group. Healthy Choices has potential to improve sexual risks among Thai YLWH.

Comments

The final publication is available at Springer Nature via https://doi.org/10.1007/s10461-013-0407-2