Motivational interviewing among HIV health care providers: Challenges and opportunities to enhance engagement and retention in care in Buenos Aires, Argentina

• Type of Material: Article
• Authors: L Bofill, University of Miami; SM Weiss, Fundación Helios Salud; M Lucas, Fundación Huésped; A Bordato, Fundación Helios Salud; A Dorigo, Fundación Huésped; G Fernandez-Cabanillas, Fundación Helios Salud; I Aristegui, Fundación Huésped; M Lopez, University of Miami; Drenna Waldrop-Valverde, Emory University; D Jones, University of Miami
• Language: English
• Date: 2015-01-01
• Publisher: SAGE Publications
• Publication Version: Author Accepted Manuscript (After Peer Review)
• Copyright Statement: © 2015 SAGE Publications.
• Final Published Version (URL): http://dx.doi.org/10.1177/2325957415586257
• Title of Journal or Parent Work: Journal of the International Association of Providers of AIDS Care
• ISSN: 2325-9574
• Volume: 14
• Issue: 6
• Start Page: 491
• End Page: 496
• Keywords: adherence; Education; Referral and Consultation; Male; Motivation; Adult; motivational interviewing; retention in care; HIV Infections; HIV; Young Adult; Middle Aged; Argentina; Humans; Female; Physicians; Motivational Interviewing
• Research Categories: Health Sciences, Health Care Management; Health Sciences, Medicine and Surgery; Health Sciences, Nursing

Abstract

In Argentina, providers' response to motivational interviewing (MI) to improve engagement and retention in care among challenging patients with HIV was evaluated. Twelve HIV care physicians participated, and their video recordings pre- and post-MI training were also obtained. One week post-training, 11 of the 12 participants were committed to using MI strategies during consult session. Of the 12 participants, 9 demonstrated appropriate utilization of MI techniques and change in HIV education provided during consultation (Z = -2.375, P =.018). Motivational interviewing appears to be a viable strategy to enhance engagement and retention in challenging HIV-positive patients.