自我效能感和动机在解释动机性访谈时间对 HIV 感染者性行为风险变化的影响中的作用：中介分析。
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.
机构信息
Futures Group, Chapel Hill, NC 27516, USA.
出版信息
AIDS Behav. 2013 Feb;17(2):813-23. doi: 10.1007/s10461-011-0115-8.
Abstract
Little is known about the amount of Motivational Interviewing (MI) needed to reduce risky sexual behavior among People Living with HIV/AIDS (PLWHA) or the roles self-efficacy and motivation to practice safer sex play. Among 183 PLWHA who received safer sex MI and were surveyed every 4 months over a 12 month period, we used hierarchical negative binomial regression models to examine the association between amount of counseling time and sexual risk behavior. We performed mediation analysis to evaluate whether changes in self-efficacy and motivation explained this association. This study found that as MI time and number of provided sessions increased, participants' sexual risk behavior decreased. The effect of MI time and number of sessions on sexual behavior was mediated by self-efficacy but not by motivation to practice safer sex.
摘要
人们对 Motivational Interviewing（MI）在减少 HIV/AIDS 感染者（PLWHA）中的危险性行为方面的作用以及自我效能感和实施安全性行为的动机所起的作用知之甚少。在 183 名接受安全性行为 MI 并在 12 个月的时间内每 4 个月接受调查的 PLWHA 中，我们使用分层负二项式回归模型来检验咨询时间与性风险行为之间的关联。我们进行了中介分析，以评估自我效能感和动机的变化是否解释了这种关联。本研究发现，随着 MI 时间和提供的咨询次数的增加，参与者的性风险行为减少。MI 时间和咨询次数对性行为的影响是通过自我效能感来介导的，而不是通过实施安全性行为的动机来介导的。
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本文引用的文献
1
Interview Mode and Measurement of Sexual Behaviors: Methodological Issues.性行为的访谈模式与测量：方法学问题
J Sex Res. 1999 Feb;36(1):16-24. doi: 10.1080/00224499909551963.
2
SafeTalk, a multicomponent, motivational interviewing-based, safer sex counseling program for people living with HIV/AIDS: a qualitative assessment of patients' views.SafeTalk，一种基于多重成分、动机性访谈的、针对 HIV/AIDS 感染者的安全性行为咨询项目：对患者观点的定性评估。
AIDS Patient Care STDS. 2010 Apr;24(4):237-45. doi: 10.1089/apc.2009.0252.
3
Motivational Strategies Can Augment HIV-Risk Reduction Programs.激励策略可增强降低艾滋病毒风险项目的效果。
AIDS Behav. 1999 Dec;3(4):269-276. doi: 10.1023/a:1025429216459.
4
Mediation analysis of an effective sexual risk-reduction intervention for women: the importance of self-efficacy.一项针对女性的有效降低性风险干预措施的中介分析：自我效能的重要性。
Health Psychol. 2008 Mar;27(2S):S180-4. doi: 10.1037/0278-6133.27.2(Suppl.).S180.
5
Motivational interviewing and cognitive-behavioral intervention to improve HIV medication adherence among hazardous drinkers: a randomized controlled trial.动机性访谈和认知行为干预对改善危险饮酒者的艾滋病毒药物依从性：一项随机对照试验。
J Acquir Immune Defic Syndr. 2007 Dec 1;46(4):443-50. doi: 10.1097/qai.0b013e318158a461.
6
Literacy, self-efficacy, and HIV medication adherence.读写能力、自我效能感与艾滋病毒药物依从性。
Patient Educ Couns. 2007 Feb;65(2):253-60. doi: 10.1016/j.pec.2006.08.006. Epub 2006 Nov 21.
7
Mediation analysis.中介分析
Annu Rev Psychol. 2007;58:593-614. doi: 10.1146/annurev.psych.58.110405.085542.
8
Estimating sexual transmission of HIV from persons aware and unaware that they are infected with the virus in the USA.估算美国已知和未知自身感染艾滋病毒者的艾滋病毒性传播情况。
AIDS. 2006 Jun 26;20(10):1447-50. doi: 10.1097/01.aids.0000233579.79714.8d.
9
Healthy choices: motivational enhancement therapy for health risk behaviors in HIV-positive youth.健康选择：针对艾滋病毒阳性青少年健康风险行为的动机增强疗法。
AIDS Educ Prev. 2006 Feb;18(1):1-11. doi: 10.1521/aeap.2006.18.1.1.
10
Do prevention interventions reduce HIV risk behaviours among people living with HIV? A meta-analytic review of controlled trials.预防干预措施能否降低艾滋病毒感染者的艾滋病毒风险行为？一项对照试验的荟萃分析综述。
AIDS. 2006 Jan 9;20(2):143-57. doi: 10.1097/01.aids.0000196166.48518.a0.
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