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A Telephone-Delivered, Motivational Interviewing Intervention to Reduce Risky Sexual Behavior in HIV-Infected Rural Persons: A Pilot Randomized Clinical Trial

Abstract Details

2008, Doctor of Philosophy (PhD), Ohio University, Psychology (Arts and Sciences).
While several studies have characterized patterns and predictors of continued risky sexual behavior in HIV-infected rural persons, far less research has conceptualized and evaluated interventions to reduce risky sexual behavior in this group. This pilot randomized clinical trial tested if two telephone-delivered, HIV risk-reduction interventions could reduce high HIV-transmission risk behavior in HIV-infected rural persons. Participants (N=79) were recruited through AIDS service organizations in rural areas of 27 states and assigned to either a two-session, motivational interviewing and skills-building intervention (N=48) or a two-session, skills-building-only intervention (N=31). Participants completed self-report measures at pre- and post-intervention. A 2 x 2 repeated measures multivariate analysis of variance (RM MANOVA) found no significant "Time x Condition" interaction but did find a main effect for "Time" which showed that participants'condom use, motivation to reduce risky sexual behavior, and risk reduction behavioral skills improved in both intervention conditions. Results from this pilot RCT suggest that telephone-based interventions may increase motivation, behavioral skills, and condom use in rural PLWH over time and that motivational interviewing need not be integrated into standard skills-building interventions.
Timothy G. Heckman, PhD (Advisor)
Bernadette Heckman, PhD (Committee Member)
John Garske, PhD (Committee Member)
Tim Anderson, PhD (Committee Member)
John McCarthy, PhD (Committee Member)
113 p.

Recommended Citations

Citations

  • Cosio, D. (2008). A Telephone-Delivered, Motivational Interviewing Intervention to Reduce Risky Sexual Behavior in HIV-Infected Rural Persons: A Pilot Randomized Clinical Trial [Doctoral dissertation, Ohio University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1218748266

    APA Style (7th edition)

  • Cosio, David. A Telephone-Delivered, Motivational Interviewing Intervention to Reduce Risky Sexual Behavior in HIV-Infected Rural Persons: A Pilot Randomized Clinical Trial. 2008. Ohio University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1218748266.

    MLA Style (8th edition)

  • Cosio, David. "A Telephone-Delivered, Motivational Interviewing Intervention to Reduce Risky Sexual Behavior in HIV-Infected Rural Persons: A Pilot Randomized Clinical Trial." Doctoral dissertation, Ohio University, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1218748266

    Chicago Manual of Style (17th edition)