Examining the Impact of Race on Motivational Interviewing Implementation and Outcomes with HIV+ Heavy Drinking Men Who Have Sex with Men

Datos Bibliográficos

ID15477463
AutoresAnthony Surace (0000-0003-3965-7432, Brown University, autor de correspondencia), David G Zelaya (0000-0002-3173-3499, Harvard University), Arryn A Guy (0000-0002-3042-1063, Brown University), Nadine R Mastroleo (0000-0002-7190-8054, Binghamton University), Ayla Durst (Brown University), David W Pantalone (0000-0003-2020-8696, University of Massachusetts Boston), Peter M Monti (0000-0002-9185-4081, Brown University), Kenneth H Mayer (0000-0001-7460-733X, Beth Israel Deaconess Medical Center), Christopher W Kahler (0000-0002-6248-4149, Brown University)
Año2022
Volumen19
Número7
Páginas3930-3930
Fecha de publicación2022-03-25
Open AccessSí
TipoARTICLE
RevistaInternational Journal of Environmental Research and Public Health (JOURNAL)
Identificadores de la revistaISSN: 1661-7827 • E-ISSN: 1660-4601
EditorialMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph19073930
PMID35409611
OpenAlexW4220882136
IdiomaEN
Referencias citadas38

Motivational interviewing (MI)-based interventions focus on changing behavior through building client motivation. It is unknown how racial mismatch between clients and providers may impact MI implementation and subsequent behavior. We used a mixed methods approach to examine differences in Motivational Interviewing Skill Code (MISC) coded sessions and post-session outcomes between a sample of HIV-positive cisgender men who have sex with men (MSM) participants of an MI-based intervention to reduce heavy drinking who identified as persons of color (POC; n = 19) and a matched sample of White participants ( n = 19). We used quantitative methods to analyze how providers implemented the intervention (i.e., MISC codes) and post-session drinking. We used qualitative analyses of session transcripts to examine content not captured by MISC coding. Quantitative analyses showed that providers asked fewer open-ended questions and had a lower ratio of complex reflections to simple reflections when working with POC participants, but no significant differences were observed in drinking post-intervention between participants. Qualitative analyses revealed that participants discussed how racial and sexual orientation discrimination impacted their drinking. Allowing clients to share their experiences and to explore individually meaningful reasons for behavioral change may be more important than strict adherence to MI techniques

Family medicine · Focus group · Human immunodeficiency virus (HIV · Intervention (counseling · Interview · Motivational interviewing · Psychiatry · Psychological intervention · Qualitative research · Session (web analytics · Sexual orientation · Clinical Psychology · HIV/AIDS Research and Interventions · LGBTQ Health, Identity, and Policy · Medicine · Psychology · Social Psychology · Substance Abuse Treatment and Outcomes

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