ArticlePatient education and counseling2013
Motivational interviewing by HIV care providers is associated with patient intentions to reduce unsafe sexual behavior.
Article in Patient education and counseling, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- A meta-analysis of motivational interviewing process: Technical, relational, and conditional process models of change.Journal of consulting and clinical psychology · 2018Pooled it
- Patterns of Sexual Risk Behaviors and Sexuality-Related Risk Factors among Young Adults in Germany: Implications for Prevention and Therapy.Archives of sexual behavior · 2024Article
- Implementing a male-specific ART counselling curriculum: a quality assessment with healthcare workers in Malawi.Journal of the International AIDS Society · 2024Article
- Does the Quality of Behavior Change Counseling in Routine HIV Care Vary According to Topic and Demand?AIDS and behavior · 2023Article
- A Qualitative Study of the Benefits and Utility of Brief Motivational Interviewing to Reduce Sexually Transmitted Infections among Men Who Have Sex with Men.Behavioral sciences (Basel, Switzerland) · 2023Article
- Advancing behavioral interventions for African American/Black and Latino persons living with HIV using a new conceptual model that integrates critical race theory, harm reduction, and self-determination theory: a qualitative exploratory study.International journal for equity in health · 2022Article
- Veterinary communication can influence farmer Change Talk and can be modified following brief Motivational Interviewing training.PloS one · 2022Article
- Forgetting to take HIV antiretroviral therapy: a qualitative exploration of medication adherence in the third decade of the HIV epidemic in the United States.SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance · 2021Article
- Emotional Communication in HIV Care: An Observational Study of Patients' Expressed Emotions and Clinician Response.AIDS and behavior · 2019Observational
- Article
- Using topic coding to understand the nature of change language in a motivational intervention to reduce alcohol and sex risk behaviors in emergency department patients.Patient education and counseling · 2016Article
- Respecting patients is associated with more patient-centered communication behaviors in clinical encounters.Patient education and counseling · 2016Article
- Patient-provider concordance with behavioral change goals drives measures of motivational interviewing consistency.Patient education and counseling · 2015Article
Corrections and comments
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Authors and funding
12 authors at 7 institutions in 1 country.
Funding
Abstract
objectiveMotivational interviewing (MI) can promote behavior change, but HIV care providers rarely have training in MI. Little is known about the use of MI-consistent behavior among untrained providers. This study examines the prevalence of such behaviors and their association with patient intentions to reduce high-risk sexual behavior.
methodsAudio-recorded visits between HIV-infected patients and their healthcare providers were searched for counseling dialog regarding sexual behavior. The association of providers' MI-consistence with patients' statements about behavior change was assessed.
resultsOf 417 total encounters, 27 met inclusion criteria. The odds of patient commitment to change were higher when providers used more reflections (p=0.017), used more MI consistent utterances (p=0.044), demonstrated more empathy (p=0.049), and spent more time discussing sexual behavior (p=0.023). Patients gave more statements in favor of change (change talk) when providers used more reflections (p<0.001) and more empathy (p<0.001), even after adjusting for length of relevant dialog.
conclusionUntrained HIV providers do not consistently use MI techniques when counseling patients about sexual risk reduction. However, when they do, their patients are more likely to express intentions to reduce sexual risk behavior. PRACTICE IMPLICATIONS: MI holds promise as one strategy to reduce transmission of HIV and other sexually transmitted infections.
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