Telephone-delivered Behavioral Interventions to Reduce Risky Sexual Behavior in HIV-positive Late Middle-age and Older Adults

NCT ID: NCT01499706

Last Updated: 2011-12-26

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE1
• Total Enrollment: 100 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2009-11-30
• Study Completion Date: 2010-10-31

Brief Summary

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.

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.

Conditions

Unsafe Sex

Keywords

Motivational Interviewing; Telephone; HIV; AIDS; Older Adults

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Standard of Care Control

Participants will receive standard sexual risk reduction services available to them through medical and community-based organizations

Group Type: NO_INTERVENTION

No interventions assigned to this group

1-session motivational interviewing

Participants will receive a single session of motivational interviewing delivered over the telephone

Group Type: EXPERIMENTAL

1-session of telephone-administered motivational interviewing

Intervention Type: BEHAVIORAL

Participants will receive a single session of telephone-delivered motivational interviewing to reduce sexual risk behavior.

4-session motivational interviewing

Participants will receive four weekly sessions of motivational interviewing delivered over the telephone.

Group Type: EXPERIMENTAL

4-session telephone-administered motivational interviewing

Intervention Type: BEHAVIORAL

Participants will receive four weekly sessions of telephone-delivered motivational interviewing to reduce sexual risk behavior.

Interventions

1-session of telephone-administered motivational interviewing

Participants will receive a single session of telephone-delivered motivational interviewing to reduce sexual risk behavior.

Intervention Type: BEHAVIORAL

4-session telephone-administered motivational interviewing

Participants will receive four weekly sessions of telephone-delivered motivational interviewing to reduce sexual risk behavior.

Intervention Type: BEHAVIORAL

Eligibility Criteria

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

• Minimum Eligible Age: 45 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Ohio University College of Osteopathic Medicine

OTHER

Sponsor Role: lead

Responsible Party

Travis Lovejoy, Ph.D., M.P.H.

Health Psychology Fellow

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Travis I Lovejoy, Ph.D., M.P.H.

Role: PRINCIPAL_INVESTIGATOR

Ohio University College of Osteopathic Medicine

Locations

Ohio University College of Osteopathic Medicine

Athens, Ohio, United States

Countries

United States

References

Lovejoy TI, Heckman TG, Suhr JA, Anderson T, Heckman BD, France CR. Telephone-administered motivational interviewing reduces risky sexual behavior in HIV-positive late middle-age and older adults: a pilot randomized controlled trial. AIDS Behav. 2011 Nov;15(8):1623-34. doi: 10.1007/s10461-011-0016-x.

Reference Type: RESULT

PMID: 21809048 (View on PubMed)

Other Identifiers

OUCOM-MI-1

Identifier Type: -

Identifier Source: org_study_id