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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

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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.

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Acknowledgments

This research was funded by National Institutes of Mental Health under grant R01 MH 69989 and was also supported in part by National Institutes of Health Grants (DK056350) and (P30-AI50410). We thank Catherine Grodensky and Jennifer Groves for their help with data management and data preparation. We thank the SafeTalk staff for their work on the project.

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Authors and Affiliations

  1. Futures Group, 308 West Rosemary Street, Suite 203A, Chapel Hill, NC, 27516, USA

    Zulfiya Chariyeva

  2. Department of Health Behavior and Health Education, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, USA

    Carol E. Golin, Jo Anne Earp & Suzanne Maman

  3. Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, USA

    Chirayath Suchindran

  4. Department of Sociology, University of North Carolina at Chapel Hill, Chapel Hill, USA

    Catherine Zimmer

Authors
  1. Zulfiya Chariyeva
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  2. Carol E. Golin
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  3. Jo Anne Earp
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  4. Suzanne Maman
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  5. Chirayath Suchindran
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  6. Catherine Zimmer
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Correspondence to Zulfiya Chariyeva.

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Chariyeva, Z., Golin, C.E., Earp, J.A. et al. 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 Behav 17, 813–823 (2013). https://doi.org/10.1007/s10461-011-0115-8

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