Motivational interviewing targeting risk behaviors for youth living with HIV in Thailand
Rongkavilit, C.; Naar-King, S.; Wang, B.; Panthong, A.; Bunupuradah, T.; Parsons, J.T.; Phonphithak, S.; Koken, J.A.; Saengcharnchai, P.; Phanuphak, P.
Aids and Behavior 17(6): 2063-2074
2013
ISSN/ISBN: 1090-7165 PMID: 23325376 DOI: 10.1007/s10461-013-0407-2Document Number: 574803
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.
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