Telephone-delivered Behavioral Interventions to Reduce Risky Sexual Behavior in HIV-positive Late Middle-age and Older Adults (MI)
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The number of late middle-age and older adults living with HIV/AIDS in the U.S. continues to rise due largely to
- better clinical care and the improved efficacy of highly active antiretroviral therapy that has extended the lives of many HIV-positive persons
- an increase in the number of new HIV infections in older persons. This study tested the efficacy of 1- and 4-session telephone-administered behavioral sexual risk reduction interventions for HIV-positive adults 45-plus years of age who engage in risky sexual behaviors.
Condition | Intervention | Phase |
---|---|---|
Unsafe Sex |
Behavioral: 1-session of telephone-administered motivational interviewing Behavioral: 4-session telephone-administered motivational interviewing |
Phase 1 |
Study Type: | Interventional |
Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
Official Title: | Phase I Clinical Trial of Telephone-delivered Motivational Interviewing to Reduce Sexual Risk Behavior in HIV-positive Persons 45-plus Years of Age |
- Change in self-reported number of non-condom-protected anal and vaginal sex acts in the past 3 months from baseline to 3-month follow-up [ Time Frame: baseline, 3-month follow-up ] [ Designated as safety issue: No ]
- Change in self-reported number of non-condom-protected anal and vaginal sex acts in the past 3 months from baseline to 6-month follow-up [ Time Frame: baseline, 6-month follow-up ] [ Designated as safety issue: No ]
- Proportion of participants reporting 100% condom use for anal and vaginal sex in the past 3 months [ Time Frame: 3-month follow-up, 6-month follow-up ] [ Designated as safety issue: No ]
Enrollment: | 100 |
Study Start Date: | November 2009 |
Study Completion Date: | October 2010 |
Primary Completion Date: | October 2010 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
---|---|
No Intervention: Standard of Care Control
Participants will receive standard sexual risk reduction services available to them through medical and community-based organizations
|
|
Experimental: 1-session motivational interviewing
Participants will receive a single session of motivational interviewing delivered over the telephone
|
Behavioral: 1-session of telephone-administered motivational interviewing
Participants will receive a single session of telephone-delivered motivational interviewing to reduce sexual risk behavior.
|
Experimental: 4-session motivational interviewing
Participants will receive four weekly sessions of motivational interviewing delivered over the telephone.
|
Behavioral: 4-session telephone-administered motivational interviewing
Participants will receive four weekly sessions of telephone-delivered motivational interviewing to reduce sexual risk behavior.
|
Detailed Description:
The number of late middle-age and older adults living with HIV/AIDS in the U.S. continues to rise. In fact, it is estimated that by 2014, 50% of all HIV-positive persons will be 50 years of age or older, due largely to a) better clinical care and the improved efficacy of highly active antiretroviral therapy that has extended the lives of many HIV-positive persons and b) an increase in the number of new HIV infections in older persons. Despite escalating HIV incidence and prevalence rates in older adults, and the fact that an estimated 13% to 30% of older persons living with HIV/AIDS continue to engage in risky sexual practices, few secondary risk reduction interventions have been contextualized to meet the unique needs of sexually active HIV-infected older adults. These unique needs include biological and libidinal changes associated with aging such as erectile dysfunction and the increased use of erectile dysfunction medications in older men, sexual partnerships with younger persons, survivor guilt over outliving romantic partners, and the impact of co-morbid chronic illnesses (e.g., diabetes, osteoporosis, cancer, hepatitis C) and associated medication and/or treatment side effects on perceptions of physical attractiveness.
Many HIV-positive older adults who would benefit from face-to-face sexual risk reduction interventions live with serious comorbid health conditions that complicate travel to medical and social service appointments, have significant confidentiality concerns, and are geographically isolated from traditional risk reduction resources. As such, face-to-face interventions are an unrealistic intervention modality for many members of this group. However, risk reduction interventions delivered using distance technologies, such as regular and cellular telephones, can reach many older adults living with HIV/AIDS.
In response to the lack of age-appropriate risk reduction interventions for HIV-infected older adults who engage in high-risk sex, and the potential of telephone technology to deliver cost-effective risk reduction interventions to this group, this study tested the efficacy of 1- and 4-session telephone-administered behavioral sexual risk reduction interventions for HIV-positive adults 45-plus years of age who engage in risky sexual behaviors.
Ages Eligible for Study: | 45 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- HIV-positive
- English-speaking
- Access to a land line or cellular telephone
- Unprotected anal or vaginal intercourse in the past 3 months
Exclusion Criteria:
- Sexual partner of study participant
United States, Ohio | |
Ohio University College of Osteopathic Medicine | |
Athens, Ohio, United States, 45701 |
Principal Investigator: | Travis I Lovejoy, Ph.D., M.P.H. | Ohio University College of Osteopathic Medicine |
Publications:
Responsible Party: | Travis Lovejoy, Ph.D., M.P.H., Health Psychology Fellow, Ohio University College of Osteopathic Medicine |
ClinicalTrials.gov Identifier: | NCT01499706 History of Changes |
Other Study ID Numbers: | OUCOM-MI-1 |
Study First Received: | December 21, 2011 |
Last Updated: | December 22, 2011 |
Health Authority: | United States: Institutional Review Board |
Keywords provided by Ohio University College of Osteopathic Medicine:
Motivational Interviewing Telephone HIV AIDS Older Adults |
Additional relevant MeSH terms:
HIV Seropositivity HIV Infections Lentivirus Infections Retroviridae Infections RNA Virus Infections |
Virus Diseases Sexually Transmitted Diseases, Viral Sexually Transmitted Diseases Immunologic Deficiency Syndromes Immune System Diseases |
ClinicalTrials.gov processed this record on March 03, 2013