Related Experiment Video
Updated: May 29, 2026

Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility
Published on: May 30, 2025
Does motivational interviewing counseling time influence HIV-positive persons' self-efficacy to practice safer sex?
Zulfiya Chariyeva1, Carol E Golin, Jo Anne Earp
1Department of Health Behavior and Health Education, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, USA.
Objective:
This study examined the impact of motivational interviewing (MI) counseling time on self-efficacy to practice safer sex for people living with HIV/AIDS (PLWHA).
Methods:
In 4 month intervals we followed a cohort of 490 PLWHA for 12 months. We conducted hierarchical linear regression models to examine changes in safer sex self-efficacy when participants received zero, low to moderate (5-131 min) and high (132-320 min) doses of MI time. We conducted a similar analysis using number of counseling sessions as the predictor variable.
Results:
Participants with low to moderate doses of MI counseling had 0.26 higher self-efficacy scores than participants with zero MI time (p=0.01). Also, they had 0.26 lower self-efficacy scores than participants with high amounts of MI time (p=0.04). Participants with high doses of MI had a 0.5 higher self-efficacy score than participants with zero amount of MI time (p<0.0001). Participants who received 3-4 counseling sessions had 0.41 greater self-efficacy scores than participants who did not receive any sessions (p<0.0001) but did not differ from participants receiving 1-2 sessions.
Conclusion:
MI time is a key to enhancing safer sex self-efficacy among PLWHA.
Practice Implications:
Safer sex self-efficacy improves the more MI counseling time and sessions PLWHA receive.
Related Concept Videos
Sexually Transmitted Infections
Amebiasis
Self-Efficacy
Retrovirus Life Cycles
Stress Prevention and Stress Management Techniques VI
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Humanistic Therapy

