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Integrated behavioral intervention to improve HIV/AIDS treatment adherence and reduce HIV transmission

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  • Kalichman, S.C.
  • Cherry, C.
  • Kalichman, M.O.
  • Amaral, C.M.
  • White, D.
  • Pope, H.
  • Swetzes, C.
  • Eaton, L.
  • Macy, R.
  • Cain, D.

Abstract

Objectives. We conducted a randomized clinical trial to test an integrated behavioral intervention designed to enhance using HIV treatment as prevention by improving medication adherence, reducing risks for other sexually transmitted infections, and minimizing risk compensation beliefs. Methods. Individuals living with HIV/AIDS (n=436) participated in a randomized clinical trial testing an intensive behavioral intervention aimed at reducing HIV transmission risks compared with an attention control condition. We used unannounced pill counts to monitor antiretroviral therapy adherence and computerized interviews to measure risk behaviors. Results. The integrated transmission risk reduction intervention demonstrated increased antiretroviral therapy adherence and less unprotected intercourse with nonseroconcordant partners at 3- and 6-month follow-ups as well as fewer new sexually transmitted infections diagnosed over the 9-month follow-up period (adjusted odds ratio=3.0; P

Suggested Citation

  • Kalichman, S.C. & Cherry, C. & Kalichman, M.O. & Amaral, C.M. & White, D. & Pope, H. & Swetzes, C. & Eaton, L. & Macy, R. & Cain, D., 2011. "Integrated behavioral intervention to improve HIV/AIDS treatment adherence and reduce HIV transmission," American Journal of Public Health, American Public Health Association, vol. 101(3), pages 531-538.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2010.197608_5
    DOI: 10.2105/AJPH.2010.197608
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    Cited by:

    1. Lu Yin & Na Wang & Sten H Vermund & Bryan E Shepherd & Yuhua Ruan & Yiming Shao & Han-Zhu Qian, 2014. "Sexual Risk Reduction for HIV-Infected Persons: A Meta-Analytic Review of “Positive Prevention” Randomized Clinical Trials," PLOS ONE, Public Library of Science, vol. 9(9), pages 1-15, September.
    2. Thabang Manyaapelo & Bart Van den Borne & Robert A. C. Ruiter & Sibusiso Sifunda & Priscilla Reddy, 2019. "Effectiveness of a Health Behavioural Intervention Aimed at Reduction of Risky Sexual Behaviours among Young Men in the KwaZulu-Natal Province, South Africa," IJERPH, MDPI, vol. 16(11), pages 1-18, May.

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