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Journal of Pediatric Psychology Advance Access published online on September 28, 2007
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsm087
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© The Author 2007. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Brief Report: Maintenance of Effects of Motivational Enhancement Therapy to Improve Risk Behaviors and HIV-related Health in a Randomized Controlled Trial of Youth Living with HIV

Sylvie Naar-King, PhD1, Phebe Lam, MA1, Bo Wang, PhD1, Kathryn Wright, DO1, Jeffrey T. Parsons, PhD2 and Maureen A. Frey, PhD1

1Wayne State University, Department of Pediatrics, and 2Hunter College and the Graduate Center of the City University of New York

All correspondence concerning this article should be addressed to Sylvie Naar-King, WSU Pediatric Prevention Research Center, University Health Center 6-D, 4201 St Antoine, Detroit, Michigan 48201, USA. snaarkin{at}med.wayne.edu


  Abstract

Objective To examine the maintenance of effects of Motivational Enhancement Therapy (MET) shown to improve risk behaviors and viral load in youth living with HIV (YLH) immediately posttreatment. Methods Sixty-five youth (ages 16–25 years) were randomized to Healthy Choices or a waitlist control. Frequency of substance use, frequency of unprotected intercourse, and viral load were obtained at baseline, 3, and 6 months after study entry. The waitlist control then received intervention. An additional data collection was obtained at 9 months for follow-up of the original treatment group. Results One-tailed ANOVA showed that the treatment group had greater reductions in viral load and alcohol use from baseline to 6 months. These reductions appeared to be maintained at 9-month follow-up. Improvements in sexual risk were not evident. Conclusions MET showed significant promise in reducing substance use and in improving HIV-related health in YLH immediately posttreatment. These effects were maintained after treatment termination.

Key words: adolescent; HIV; intervention; risk.

Received March 27, 2007; revision received August 23, 2007; accepted August 28, 2007


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