动机式访谈对泰国感染艾滋病毒青年的风险行为的影响
Motivational interviewing targeting risk behaviors for youth living with HIV in Thailand.
机构信息
The Carman and Ann Adams Department of Pediatrics, Wayne State University School of Medicine, 3901 Beaubien Blvd, Detroit, MI, USA.
出版信息
AIDS Behav. 2013 Jul;17(6):2063-74. doi: 10.1007/s10461-013-0407-2.
Abstract
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.
摘要
健康选择，一个四阶段基于动机访谈的干预措施，降低了美国与 HIV 共同生活的青年（YLWH）的风险行为。我们随机将 110 名泰国 YLWH（16-25 岁）分为健康选择组或时间匹配的健康教育组（对照组），进行 12 周的干预。在基线、1 个月和 6 个月时评估风险行为。该试点研究没有为组间差异提供足够的统计效能；在任何访问中，两组间的性风险、饮酒和抗逆转录病毒药物依从性均无统计学差异。在组内分析中，健康选择组显示 HIV 阴性伴侣的比例（20 比 8.2%，P = 0.03）和 HIV 性风险评分（4.3 比 3.3，P = 0.04）下降，从基线到干预后 1 个月，保护性行为的比例呈上升趋势（57 比 76.3%，P = 0.07）。这些变化在 6 个月后没有持续。对照组没有观察到变化。健康选择有潜力改善泰国 YLWH 的性风险。
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