A clinic-based motivational intervention improves condom use among subgroups of youth living with HIV.

TitleA clinic-based motivational intervention improves condom use among subgroups of youth living with HIV.
Publication TypePublication
Year of Publication2011
AuthorsChen X, Murphy DA, Naar-King S, Parsons JT
Corporate AuthorsAdolescent Medicine Trials Network for HIV/AIDS Interventions
JournalJ Adolesc Health
Volume49
Issue2
Pagination193-8
Date Published2011 Aug
ISSN1879-1972
KeywordsAdolescent, Adolescent Behavior, Condoms, Depression, HIV Infections, Humans, Male, Motivation, Risk-Taking, Sex Education, Viral Load, Young Adult
Abstract

<p><b>PURPOSE: </b>More than 50% of youth living with HIV (YLH) have unprotected sex. In previous studies, we reported effects of a motivational interviewing-based multirisk reduction intervention, "Healthy Choices" in improving motivation, depression, and viral load in YLH. In this study, we report the effect of the intervention on increasing condom use.</p><p><b>METHODS: </b>Six waves of longitudinal data (n = 142) across a period from baseline through 15 months postintervention were analyzed. The developmental trajectory modeling method was used for program effect evaluation.</p><p><b>RESULTS: </b>The three groups detected with distinct sexual risks were: Persistent low sexual risk (PLSR), delayed high sexual risk, and high and growing sexual risk with regard to levels and time trajectories of condom use throughout the trial. Receiving Healthy Choices increased the likelihood to be in the PLSR group (63% vs. 32%, p < .01) and reduced the likelihood to be in the delayed high sexual risk group (16% vs. 50%, p < .05). Receiving the intervention was also associated with progressive reductions in no-condom sex for PLSR youth (adjusted β = -.325, p < .01) and high and growing sexual risk youth (adjusted β = -.364, p < .01).</p><p><b>CONCLUSION: </b>The motivational interviewing-based program Healthy Choices, when delivered in clinic settings, can prevent unprotected sex in subgroups of YLH, although more intensive interventions may be needed to change risk trajectories among those at highest risk of transmitting the AIDS virus. Developmental trajectory analysis provides an alternative approach to evaluate program effects for study samples that contain distinct subgroups.</p>

DOI10.1016/j.jadohealth.2010.11.252
Alternate JournalJ Adolesc Health
PubMed ID21783053
PubMed Central IDPMC3282587
Grant ListU01 HD040474 / HD / NICHD NIH HHS / United States
U01 HD040533 / HD / NICHD NIH HHS / United States
U01 HD040533-01 / HD / NICHD NIH HHS / United States
U01-HD040533 / HD / NICHD NIH HHS / United States