Depression moderates treatment efficacy of an HIV secondary-prevention intervention for HIV-positive late middle-age and older adults

Travis I. Lovejoy, Timothy G. Heckman

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

An estimated one-third of HIV-positive older adults continues to engage in sexual behaviors that risk HIV transmission or the acquisition of other sexually transmitted infections. A recently completed pilot randomized controlled trial of telephone-administered motivational interviewing (Tele-MI) targeting sexual risk behavior in 100 HIV-positive late middle-age and older adults found that a four-session Tele-MI intervention reduced episodes of non-condom-protected anal and vaginal intercourse. This secondary analysis examined the moderating effect of baseline depressive symptoms on intervention efficacy. When compared to one session of Tele-MI or standard of care, four sessions of Tele-MI produced greater reductions in sexual risk behavior in participants with subsyndromal depression at baseline but was no more efficacious than the other two conditions for participants with no or elevated baseline depressive symptoms. Large-scale studies that further elucidate the role of depression in sexual risk reduction interventions for HIV-positive persons are needed. © 2014

Original languageEnglish (US)
Pages (from-to)124-133
Number of pages10
JournalBehavioral Medicine
Volume40
Issue number3
DOIs
StatePublished - Jul 3 2014

Keywords

  • HIV/AIDS
  • depression
  • moderator
  • motivational interviewing
  • sexual risk behavior

ASJC Scopus subject areas

  • Applied Psychology
  • Psychiatry and Mental health

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