Telephone-delivered Behavioral Interventions to Reduce Risky Sexual Behavior in HIV-positive Late Middle-age and Older Adults (MI)
![]() |
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. |
ClinicalTrials.gov Identifier: NCT01499706 |
Recruitment Status
:
Completed
First Posted
: December 26, 2011
Last Update Posted
: December 26, 2011
|
- Study Details
- Tabular View
- No Results Posted
- Disclaimer
- How to Read a Study Record
The number of late middle-age and older adults living with HIV/AIDS in the U.S. continues to rise due largely to
- better clinical care and the improved efficacy of highly active antiretroviral therapy that has extended the lives of many HIV-positive persons
- an increase in the number of new HIV infections in older persons. This study tested the efficacy of 1- and 4-session telephone-administered behavioral sexual risk reduction interventions for HIV-positive adults 45-plus years of age who engage in risky sexual behaviors.
Condition or disease | Intervention/treatment | Phase |
---|---|---|
Unsafe Sex | Behavioral: 1-session of telephone-administered motivational interviewing Behavioral: 4-session telephone-administered motivational interviewing | Phase 1 |
The number of late middle-age and older adults living with HIV/AIDS in the U.S. continues to rise. In fact, it is estimated that by 2014, 50% of all HIV-positive persons will be 50 years of age or older, due largely to a) better clinical care and the improved efficacy of highly active antiretroviral therapy that has extended the lives of many HIV-positive persons and b) an increase in the number of new HIV infections in older persons. Despite escalating HIV incidence and prevalence rates in older adults, and the fact that an estimated 13% to 30% of older persons living with HIV/AIDS continue to engage in risky sexual practices, few secondary risk reduction interventions have been contextualized to meet the unique needs of sexually active HIV-infected older adults. These unique needs include biological and libidinal changes associated with aging such as erectile dysfunction and the increased use of erectile dysfunction medications in older men, sexual partnerships with younger persons, survivor guilt over outliving romantic partners, and the impact of co-morbid chronic illnesses (e.g., diabetes, osteoporosis, cancer, hepatitis C) and associated medication and/or treatment side effects on perceptions of physical attractiveness.
Many HIV-positive older adults who would benefit from face-to-face sexual risk reduction interventions live with serious comorbid health conditions that complicate travel to medical and social service appointments, have significant confidentiality concerns, and are geographically isolated from traditional risk reduction resources. As such, face-to-face interventions are an unrealistic intervention modality for many members of this group. However, risk reduction interventions delivered using distance technologies, such as regular and cellular telephones, can reach many older adults living with HIV/AIDS.
In response to the lack of age-appropriate risk reduction interventions for HIV-infected older adults who engage in high-risk sex, and the potential of telephone technology to deliver cost-effective risk reduction interventions to this group, this study tested the efficacy of 1- and 4-session telephone-administered behavioral sexual risk reduction interventions for HIV-positive adults 45-plus years of age who engage in risky sexual behaviors.
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 100 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | Phase I Clinical Trial of Telephone-delivered Motivational Interviewing to Reduce Sexual Risk Behavior in HIV-positive Persons 45-plus Years of Age |
Study Start Date : | November 2009 |
Actual Primary Completion Date : | October 2010 |
Actual Study Completion Date : | October 2010 |

Arm | Intervention/treatment |
---|---|
No Intervention: Standard of Care Control
Participants will receive standard sexual risk reduction services available to them through medical and community-based organizations
|
|
Experimental: 1-session motivational interviewing
Participants will receive a single session of motivational interviewing delivered over the telephone
|
Behavioral: 1-session of telephone-administered motivational interviewing
Participants will receive a single session of telephone-delivered motivational interviewing to reduce sexual risk behavior.
|
Experimental: 4-session motivational interviewing
Participants will receive four weekly sessions of motivational interviewing delivered over the telephone.
|
Behavioral: 4-session telephone-administered motivational interviewing
Participants will receive four weekly sessions of telephone-delivered motivational interviewing to reduce sexual risk behavior.
|
- Change in self-reported number of non-condom-protected anal and vaginal sex acts in the past 3 months from baseline to 3-month follow-up [ Time Frame: baseline, 3-month follow-up ]
- Change in self-reported number of non-condom-protected anal and vaginal sex acts in the past 3 months from baseline to 6-month follow-up [ Time Frame: baseline, 6-month follow-up ]
- Proportion of participants reporting 100% condom use for anal and vaginal sex in the past 3 months [ Time Frame: 3-month follow-up, 6-month follow-up ]

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
Ages Eligible for Study: | 45 Years and older (Adult, Senior) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- HIV-positive
- English-speaking
- Access to a land line or cellular telephone
- Unprotected anal or vaginal intercourse in the past 3 months
Exclusion Criteria:
- Sexual partner of study participant

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01499706
United States, Ohio | |
Ohio University College of Osteopathic Medicine | |
Athens, Ohio, United States, 45701 |
Principal Investigator: | Travis I Lovejoy, Ph.D., M.P.H. | Ohio University College of Osteopathic Medicine |
Publications of Results:
Responsible Party: | Travis Lovejoy, Ph.D., M.P.H., Health Psychology Fellow, Ohio University College of Osteopathic Medicine |
ClinicalTrials.gov Identifier: | NCT01499706 History of Changes |
Other Study ID Numbers: |
OUCOM-MI-1 |
First Posted: | December 26, 2011 Key Record Dates |
Last Update Posted: | December 26, 2011 |
Last Verified: | December 2011 |
Keywords provided by Travis Lovejoy, Ph.D., M.P.H., Ohio University College of Osteopathic Medicine:
Motivational Interviewing Telephone HIV AIDS Older Adults |