Abstract
Given the enormous successes in treating HIV disease with antiretroviral therapies, there is a burgeoning population of healthy, sexually active HIV+ men and women. Because HIV prevention counseling has focused traditionally on persons at risk of becoming infected, there is an urgent mandate to explore ways to engage HIV+ persons in transmission risk reduction counseling. Using two case examples, this article presents an overview of motivational interviewing in a single counseling session as a promising treatment for addressing ambivalence about safer sex with HIV+ persons.
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Baker, A., Kochan, N., Dixon, J., Heather, N., & Wodak, A. (1994). Controlled evaluation of a brief intervention for HIV prevention among injecting drug users not in treatment. AIDS Care, 6, 559–570.
Bayer, R., & Oppenheimer, G. M. (2000). AIDS doctors: Voices from the epidemic. New York: Oxford.
Beadnell, B., Rosengren, D., Downey, L., Fisher, D., Best, H., & Wickizer, L. (1999, August 31). Motivational interviewing to facilitate reduced HIV risk among MSM alcohol users. Paper presented at the National HIV Prevention Conference, Atlanta, GA.
Centers for Disease Control and Prevention. (2003). Advancing HIV prevention: New strategies for a changing epidemic–2003. Morbidity and Mortality Weekly Report, 52, 329–332.
Dunn, C., Deroo, L., & Rivera, F. P. (2001). The use of brief interventions adapted from motivational interviewing across behavioral domains: A systematic review. Addiction, 96, 1725–1742.
Gasiorowicz, M., Llanasm, M. R., DiFranceisco, W., Benotsch, E. G., Brondino, M. J., Catz, S. L., et al. (2005). Reductions in transmission risk behaviors in HIV-positive clients receiving prevention case management services: Findings from a community demonstration project. AIDS Education and Prevention, 17(1 Suppl. A), 40–52.
Herek, G. M., Mitnick, L., Burris, S., Chesney, M., Devine, P., Fullilove, M. T., et al. (1998). Workshop report: AIDS and stigma: A conceptual framework and research agenda. AIDS Public Policy Journal, 13, 36–47.
Kaiser Family Foundation. (2003, June 16). CDC asks AIDS project to discontinue ‘controversial’ HIV prevention programs. Kaiser Daily HIV/AIDS Report. Retrieved November 10, 2005, from Http://www.kaisernetwork.org/daily_reports/print_ report.cfm?DR_ID= 18279&dr_cat=1.
Kalichman, S. C., Rompa, D., Cage, M., DiFonzo, K., Simpson, D., Austin, J., et al. (2001). Effectiveness of an intervention to reduce HIV transmission risks in HIV-positive people. American Journal of Preventive Medicine, 21, 84–92.
Koblin, B., Chesney, M., Coates, T., & EXPLORE Study Team (2004). Effects of a behavioural intervention to reduce acquisition of HIV infection among men who have sex with men: The EXPLORE randomised controlled study. Lancet, 364, 41–50.
Kok, G. (1999). Targeted prevention for people with HIV/AIDS: feasible and desirable? Patient Education and Counseling, 36, 239–246.
Margolin, A., Avants, S. K., Warburton, L. A., Hawkins, K. A., & Shi, J. (2003). A randomized clinical trial of a manual-guided risk reduction intervention for HIV-positive injection drug users. Health Psychology, 22, 223–228.
Miller, W. R., & Rollnick, S. (2002). Motivational interviewing: Preparing people for change (2nd ed.). New York: Guilford.
Mitchell, C. G., & Linsk, N. L. (2001). Prevention for positives: Challenges and opportunities for integrating prevention into HIV case management. AIDS Education and Prevention, 13, 393–402.
Nahom, D. (2005). Motivational interviewing and behavior change: How can we know it works? Journal of Evidence-Based Social Work, 2, 55–78.
Palmer, N. B. (2004). “Let's talk about sex, baby”: Community-based HIV prevention work and the problem of sex. Archives of Sexual Behavior, 33, 271–275.
Picciano, J. F., Roffman, R. A., Kalichman, S. C., Rutledge, S. E., & Berghuis, J. P. (2001). A telephone-based brief intervention to reduce sexual risk taking among MSM: A pilot study. AIDS and Behavior, 5, 251–262.
Pinkerton, J. (2005, March 3). Darwin's war on political correct-ness. Retrieved November 10, 2005, from http://www.techcentralstation.com/030305B.html.
Prochaska, J. O., Redding, C. A., Harlow, L. L., Rossi, J. S., & Velicer, W. F. (1994). The transtheoretical model of change and HIV prevention: A review. Health Education Quarterly, 21, 471–486.
Purcell, D. W., DeGroff, A. S., & Wolitski, R. J. (1998). HIV prevention case management: Current practice and future directions. Health and Social Work, 23, 282–289.
Rollnick, S., Mason, P., & Butler, C. (2000). Health behavior change: A guide for practitioners. London: Churchill Livingstone.
Rotheram-Borus, M. J., Lee, M. B., Murphy, D. A., Futterman, D., Duan, N., Birnbaum, J. M., et al. (2001). Efficacy of a preventive intervention for youths living with HIV. American Journal of Public Health, 91, 400–405.
Rutledge, S. E., Roffman, R. A., Mahoney, C., Picciano, J. F., Berghuis, J. P., & Kalichman, S. C. (2001). Motivational enhancement counseling strategies in delivering a telephone-based brief HIV prevention intervention. Clinical Social Work Journal, 29, 291–306.
Ryan, R., Fisher, D., Peppert, J., & Lampinen, T. (1999, August 31). Pilot results of a brief intervention to reduce high-risk sex among HIV seropositive gay and bisexual men. Paper presented at the National HIV Prevention Conference, Atlanta, GA.
Shriver, M. D., Everett, C., & Morin, S. F. (2000). Structural interventions to encourage primary HIV prevention among people living with HIV. AIDS, 14(Suppl. 1), S57–S62.
Valdiserri, R. O. (2002). HIV/AIDS stigma: An impediment to public health. American Journal of Public Health, 92, 341–342.
Valdiserri, R. O. (2004). Mapping the roots of HIV/AIDS complacency: Implications for program and policy development. AIDS Education and Prevention, 16, 426–439.
Wolitiski, R. J., Janssen, R. S., Onorato, I. M., Purcell, D. W., & Crepaz, N. (2005). An overview of prevention with people living with HIV. In S. C. Kalichman (Ed.), Positive prevention: Reducing HIV transmission among people living with HIV/AIDS (pp. 1–28). New York: Kluwer.
Worth, H., Patton, C., & McGehee, M. T. (2005). Legislating the pandemic: A global survey of HIV/AIDS in criminal law. Sexuality Research and Social Policy, 2(2), 15–22.
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Rutledge, S.E. Single-Session Motivational Enhancement Counseling to Support Change Toward Reduction of HIV Transmission by HIV Positive Persons. Arch Sex Behav 36, 313–319 (2007). https://doi.org/10.1007/s10508-006-9077-8
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DOI: https://doi.org/10.1007/s10508-006-9077-8