Cited by 88Substance Abuse Treatment and OutcomesHIV, Drug Use, Sexual RiskHIV/AIDS Research and Interventions

Motivational interviewing with personalized feedback to reduce alcohol use in HIV-infected men who have sex with men: A randomized controlled trial.

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Kahler, Christopher W., Pantalone, David W., Mastroleo, Nadine R., Liu, Tao, Bove, Gerald, Ramratnam, Bharat, Monti, Peter M., Mayer, Kenneth H.·2018·Journal of Consulting and Clinical Psychology

Abstract

OBJECTIVE: This randomized controlled trial tested the efficacy of motivational interviewing (MI) to reduce alcohol use among heavy drinking men who have sex with men (MSM) who are engaged in HIV care but not currently receiving addictions treatment. METHOD: One hundred eighty MSM living with HIV-recruited regardless of interest in changing drinking-were randomly assigned to MI or an assessment-only treatment as usual (TAU) control. MI comprised one in-person session followed by two brief phone calls and in-person booster sessions at 3 and 6 months. The Timeline Follow-Back Interview assessed past 30-day alcohol use and sexual behavior at 3, 6, and 12 months postbaseline, and serum samples and medical records assessed viral load, CD4 cell count, and liver function. RESULTS: At 6 and 12 months, MI compared to TAU resulted in significantly fewer drinks per week (6 months: b = -8.72, 95% confidence interval (CI) [-12.69, -4.76]; 12 months: b = -5.98, 95% CI [-9.77, -2.19]) and lower number of heavy drinking days (6 months: incidence rate ratio = 0.55, 95% CI [0.38, 0.79]; 12 months: incidence rate ratio = 0.50, 95% CI [0.33, 0.78]). Effects on viral load, CD4 cell count, and liver function were nonsignificant. Among those reporting condomless sex with nonsteady partners at baseline, MI resulted in significantly lower rates of this behavior at 3 and 12 months compared to TAU. CONCLUSIONS: In MSM living with HIV, MI shows substantial promise for reducing heavy drinking and for reducing condomless sex among those at risk. (PsycINFO Database Record

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  1. Miller WR Rollnick S 2002 Motivational interviewing: Preparing people for change 2 New York The Guilford Press

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Authors
Kahler, C. W., Pantalone, D. W., Mastroleo, N. R., Liu, T., Bove, G., Ramratnam, B., Monti, P. M., & Mayer, K. H.
Affiliations
  • Fenway Health (US)
  • Binghamton University (US)
  • Brown University (US)
  • Miriam Hospital (US)
  • Beth Israel Deaconess Medical Center (US)
Venue
Journal of Consulting and Clinical Psychology
Published
2018-08
Volume
86
Issue
8
Pages
645-656
ISSN
  • 0022-006X (ISSN-L)
  • 1939-2117
OpenAlex
W2883632635
Cited by
88
References
51
Citations by year
2026: 9 · 2025: 7 · 2024: 11 · 2023: 10 · 2022: 20 · 2021: 10 · 2020: 11 · 2019: 10
FWCI
6.03
Type
journal article
Language
en
Open access
Locations
  • Journal of Consulting and Clinical Psychology (publishedVersion, other-oa)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute on Alcohol Abuse and Alcoholism (P01AA19072; U24AA022003)
  • National Institute of Allergy and Infectious Diseases (P30AI042853)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Keywords
motivational interviewing, alcohol consumption reduction, HIV, men who have sex with men, heavy drinking, personalized feedback, unprotected sex, sexual behavior, viral load, CD4 count, liver function, brief intervention
MeSH terms
Adult, Alcohol Drinking, Female, Humans, Male, Middle Aged, Sexual Partners, HIV Infections, Treatment Outcome, Homosexuality, Male, Feedback, Psychological, Motivational Interviewing

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