Does the Quality of SafeTalk Motivational Interviewing Counseling Predict Sexual Behavior Outcomes among People Living with HIV?

Citation

Grodensky, Catherine A.; Golin, Carol Elaine; Parikh, Megha A.; Ochtera, Rebecca D.; Kincaid, Carlye; Groves, Jennifer; Widman, Laura M.; Suchindran, Chirayath M.; McGirt, Camille; & Amola, Kemi S., et al. (2017). Does the Quality of SafeTalk Motivational Interviewing Counseling Predict Sexual Behavior Outcomes among People Living with HIV?. Patient Education and Counseling, 100(1), 147-153. PMCID: PMC5489346

Abstract

OBJECTIVE: Although past research has demonstrated a link between the quality of motivational interviewing (MI) counseling and client behavior change, this relationship has not been examined in the context of sexual risk behavior among people living with HIV/AIDS. We studied MI quality and unprotected anal/vaginal intercourse (UAVI) in the context of SafeTalk, an evidence-based secondary HIV prevention intervention.
METHODS: We used a structured instrument (the MISC 2.0 coding system) as well as a client-reported instrument to rate intervention sessions on aspects of MI quality. Then we correlated client-reported UAVI with specific counseling behaviors and the proportion of interactions that achieved MI quality benchmarks.
RESULTS/CONCLUSION: Higher MISC-2.0 global ratings and a higher ratio of reflections to questions both significantly predicted fewer UAVI acts at 8-month follow-up. Analysis of client ratings, which was more exploratory, showed that clients who rated their sessions higher in counselor acceptance, client disclosure, and relevance reported higher numbers of UAVIs, whereas clients who selected higher ratings for perceived benefit were more likely to have fewer UAVI episodes.
PRACTICE IMPLICATIONS: Further research is needed to determine the best methods of translating information about MI quality into dissemination of effective MI interventions with people living with HIV.

URL

http://dx.doi.org/10.1016/j.pec.2016.08.014

Reference Type

Journal Article

Year Published

2017

Journal Title

Patient Education and Counseling

Author(s)

Grodensky, Catherine A.
Golin, Carol Elaine
Parikh, Megha A.
Ochtera, Rebecca D.
Kincaid, Carlye
Groves, Jennifer
Widman, Laura M.
Suchindran, Chirayath M.
McGirt, Camille
Amola, Kemi S.
Bradley-Bull, Steven M.

PMCID

PMC5489346

ORCiD

Suchindran - 0000-0002-5087-7762