slide1 n.
Skip this Video
Download Presentation
23 July, 2014

Loading in 2 Seconds...

play fullscreen
1 / 17

23 July, 2014 - PowerPoint PPT Presentation

  • Uploaded on

Initial Outcomes of a Brief Motivational Interviewing-Based Intervention During Provider-Initiated HIV Testing and Counseling in Rural Uganda.

I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
Download Presentation

PowerPoint Slideshow about '23 July, 2014' - vega

Download Now An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.

- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript

Initial Outcomes of a Brief Motivational Interviewing-Based Intervention During Provider-Initiated HIV Testing and Counseling in Rural Uganda

Susan M. Kiene1,2 Haruna Lule3, Moses H. Bateganya4, Harriet Nantaba3, Rhoda K. Wanyenze2

1 University of Connecticut School of Medicine, USA, 2 Makerere University School of Public Health, Uganda, 3 Gombe Hospital, Uganda, 4 CDC, Atlanta, USA

Funded by NIMH, K01MH083536

23 July, 2014

  • Majority of those who are HIV positive are unaware of their status (WHO, 2013)
  • HIV testing and behavior change (e.g., Kamb et al., 1998; Marks et al., 2005)
  • Provider-initiated HIV testing
    • Counseling
  • Information-Motivation-Behavior Skills model (Fisher & Fisher, 1992, 2000)
  • Motivational Interviewing(Miller & Rollnick, 1991)
      • Client-centered
      • Identify patient’s risk behaviors
      • Choose a behavior to change
      • Discuss barriers to change
      • Develop a risk reduction plan
  • Brief (<10 min.)
  • MI-based client-centered counseling during provider-initiated HIV testing will be more effective than the standard-of-care counseling at reducing sexual risk behavior and related outcomes.

Control n = 160

Intervention n = 173


Baseline Interview


Baseline Interview

HIV test

Standard-of-care counseling

HIV test


motivational interviewing counseling

3 and 6-month follow-up

  • Number of sex events in prior 3-months with 3 most recent partners
    • Condom use
    • Partner type and knowledge of HIV status
      • Tested w/in prior 12 months
    • “Risky” sexual events

Groups differed on employment

baseline descriptive statistics
Baseline Descriptive Statistics

Groups were not significantly different at baseline.

percentage knowing their partner s hiv status
Percentage knowing their partner(s)' HIV status

Controlling for sociodemographics and HIV results

Time main effect: 3mo: χ2 20.09, OR 3.19 CI (1.92-5.26), p<0.001,

6mo: χ2 43.13, OR 6.76 CI (3.82-11.95), p<0.001

Time x Gender: 3mo: χ2 9.45, OR 0.44, CI (0.26-0.74), p=0.002

6mo: χ2 9.75, OR 0.39, CI (0.22-0.71), p=0.002

GEE regression model, autoregressive correlation structure, binomial distribution, logit link


Time x study condition: 3mo: χ2 0.20 OR 0.85 CI (0.41-1.74) p=0.65, 6mo: 6mo: χ2 5.87 OR 0.42 CI (0.21-0.85) p=0.015

GEE regression model, autoregressive correlation structure, binomial distribution (events w/in trials), logit link


Time x study condition: 3mo: χ2 0.34 OR 0.90 CI (0.64-1.27) p=0.56, 6mo: 6mo: χ2 9.16 OR 0.59 CI (0.41-0.83) p=0.002

GEE regression model, autoregressive correlation structure, Poisson distribution, log link

how did risk decrease
How did risk decrease?

Risky sex events with serodiscordant vs. unknown status partners

Controlling for knowledge of partner(s)’ status: Time x study condition: χ2 9.22, df =2, p=0.01

Time x study condition x knows partner status x gender: χ2 7.24, df=2, p=0.027

discussion and conclusion
Discussion and Conclusion
  • Women’s difficulty in getting their partners tested
  • Intervention effectiveness
    • For both HIV negative and HIV positive
  • Limitations
    • Study design
    • Follow-up
    • Self-report
  • Behavior change is possible!


Rhoda Wanyenze

Moses Bateganya

Haruna Lule


NIMH, K01MH083536

Research Assistants and Students

Ruth Sessanga

Harriet Nantaba

Hajara Kagulire

Farouk Kimbowa

Ruth Namuleme

Nalongo Kijje

Kia Jayaratne

Joe Jasperse

Rebecca Stern

Katy Sileo