Motivational interviewing by HIV care providers is associated with patient intentions to reduce unsafe sexual behavior

作者: Tabor E. Flickinger , Gary Rose , Ira B. Wilson , Hannah Wolfe , Somnath Saha

DOI: 10.1016/J.PEC.2013.04.001

关键词:

摘要: Abstract Objective Motivational interviewing (MI) can promote behavior change, but HIV care providers rarely have training in MI. Little is known about the use of MI-consistent among untrained providers. This study examines prevalence such behaviors and their association with patient intentions to reduce high-risk sexual behavior. Methods Audio-recorded visits between HIV-infected patients healthcare were searched for counseling dialog regarding The providers’ MI-consistence patients’ statements change was assessed. Results Of 417 total encounters, 27 met inclusion criteria. odds commitment higher when used more reflections (p = 0.017), MI consistent utterances (p = 0.044), demonstrated empathy (p = 0.049), spent time discussing (p = 0.023). Patients gave favor (change talk) (p  Conclusion Untrained do not consistently techniques risk reduction. However, they do, are likely express Practice implications holds promise as one strategy transmission other sexually transmitted infections.

参考文章(50)
Kathryn I Pollak, Stewart C Alexander, Cynthia J Coffman, James A Tulsky, Pauline Lyna, Rowena J Dolor, Iguehi E James, Rebecca J Namenek Brouwer, Justin RE Manusov, Truls Østbye, None, Physician Communication Techniques and Weight Loss in Adults: Project CHAT American Journal of Preventive Medicine. ,vol. 39, pp. 321- 328 ,(2010) , 10.1016/J.AMEPRE.2010.06.005
William R. Miller, Stephen Rollnick, Motivational interviewing: preparing people for change. Guilford Press. ,(2002)
Jean-Bernard Daeppen, Nicolas Bertholet, Gerhard Gmel, Jacques Gaume, Communication during brief intervention, intention to change, and outcome. Substance Abuse. ,vol. 28, pp. 43- 51 ,(2007) , 10.1300/J465V28N03_05
Zulfiya Chariyeva, Carol E. Golin, Jo Anne Earp, Suzanne Maman, Chirayath Suchindran, Catherine Zimmer, The Role of Self-Efficacy and Motivation to Explain the Effect of Motivational Interviewing Time on Changes in Risky Sexual Behavior among People Living with HIV: A Mediation Analysis AIDS and Behavior. ,vol. 17, pp. 813- 823 ,(2013) , 10.1007/S10461-011-0115-8
Kathryn I. Pollak, Incorporating MI techniques into physician counseling. Patient Education and Counseling. ,vol. 84, pp. 1- 2 ,(2011) , 10.1016/J.PEC.2011.04.026
William R. Miller, Gary S. Rose, Toward a Theory of Motivational Interviewing American Psychologist. ,vol. 64, pp. 527- 537 ,(2009) , 10.1037/A0016830
Mary Catherine Beach, Somnath Saha, P. Todd Korthuis, Victoria Sharp, Jonathon Cohn, Ira Wilson, Susan Eggly, Lisa A. Cooper, Debra Roter, Andrea Sankar, Richard Moore, Differences in patient-provider communication for Hispanic compared to non-Hispanic white patients in HIV care. Journal of General Internal Medicine. ,vol. 25, pp. 682- 687 ,(2010) , 10.1007/S11606-010-1310-4
Theresa B. Moyers, Tim Martin, Paulette J. Christopher, Jon M. Houck, J. Scott Tonigan, Paul C. Amrhein, Client language as a mediator of motivational interviewing efficacy: where is the evidence? Alcoholism: Clinical and Experimental Research. ,vol. 31, ,(2007) , 10.1111/J.1530-0277.2007.00492.X
Kathryn I. Pollak, Julie W. Childers, Robert M. Arnold, Applying motivational interviewing techniques to palliative care communication. Journal of Palliative Medicine. ,vol. 14, pp. 587- 592 ,(2011) , 10.1089/JPM.2010.0495