Using Motivational Interviewing to Promote HIV Testing at an American Indian Substance Abuse Treatment Facility

Abstract

Alcohol and drug use are associated with increased risk of HIV/AIDS. American Indians and Alaska Natives (AI/AN) have high rates of alcohol and other drug use, as well as a high incidence of unsafe sex behaviors and injection drug use practices. Indicators of AI/AN HIV risks involving sexual activity include high rates of STDs, such as gonorrhea, chlamydia, and syphilis. Despite these facts, the prevalence of HIV infection among AI/AN is not well known. The present study is part of a HRSA-funded SPNS HIV/AIDS health initiative, one goal of which is to increase the number of HIV-positive individuals who know their HIV status. To meet the goal of the SPNS project, patients in an inpatient alcohol and drug treatment center were provided with an HIV prevention educational presentation followed by one-on-one HIV counseling. Motivational interviewing was used in the counseling sessions to aid participants in recognizing their risk status and making a decision to be HIV tested. Results show that of the 134 who agreed to one-on-one HIV counseling and 105 (78%) returned for their results.

The Effectiveness of MI4MSM: How Useful is Motivational Interviewing as an HIV Risk Prevention Program for Men who have Sex with Men? A Systematic Review

“…In fact, almost a third more MSM received HIV counseling and testing following field outreach with MI. The result is similar to a one group, pretest/posttest design study among Native Americans, which found that after MI counseling sessions, 78% of the participants agreed to HIV testing and most (88%) returned for their result (Foley et al, 2005). The addition of MI to voluntary provider-or client-initiated counseling and test-ing, in field outreach and other settings, can strengthen a comprehensive prevention strategy by increasing the number of engaged MSM to both learn their HIV status and as an entry point of care and treatment.…”

Risk Factors for HIV Disease Progression in a Rural Southwest American Indian Population

“…16 The 4CC also provided prevention education and increased HIV testing to high-risk groups. This article describes the results of a study that was conducted through the 4CC, whose partners include the Navajo AIDS Network, Inc.; the Navajo Area Indian Health Service; the Navajo Nation's Division of Health; the University of New Mexico; the University of Washington's Indigenous Wellness Research Institute; and the Na'nizhoozhi Center, Inc., an alcohol rehabilitation center for AIs and other clients.…”

La entrevista motivacional en el tratamiento del tabaquismo: una revisión

“…Más allá del uso en las conductas adictivas ha demostrado su capacidad para aumentar la adherencia al tratamiento y a la realización de pruebas de las personas con VIH (Foley et al, 2005), para el descenso de comportamientos sexuales agresivos (Belcher, Kalichman, Topping, Smith, Emshoff, Norris, et al, 1998), para la adherencia al tratamiento médico (Hayward, Chan y Kemp, 1995), para aumentar la disponibilidad al cambio en los trastornos alimentarios (Dunn, Neighbors y Larimer, 2006) y para facilitar hábitos alimentarios saludables mediante el incremento de frutas y verduras en la dieta (Resnicow, Jackson, Wang, De, McCarty, Dudley, et al, 2001). …”