Motivational Interviewing in HIV Care

Edited by Antoine Douaihy and K. Rivet Amico

Reflects recent advances in the applications of motivational interviewing in the HIV care practice
Includes illustrations and program implementations and demonstrations
Provides a state of the art practical motivational interviewing strategies tailored to the clinical HIV contexts

Motivational Interviewing in HIV Care

Edited by Antoine Douaihy and K. Rivet Amico

Description

It is no exaggeration to say that motivational interviewing (MI) has transformed the culture of clinical practice and the way healthcare practitioners and researchers understand behavior change. MI, as an empirically supported therapeutic approach, has grown all across prevention, intervention, treatment, and research settings. Nowhere is the need to target behavior change more urgent than in people living with HIV.

MI is a collaborative, person-centered clinical method that fosters a constructive practitioner-patient relationship and facilitates behavior change through eliciting and strengthening motivation for change. MI can be implemented as a stand-alone brief intervention, a prelude to treatment, or a platform for ongoing care. While MI has been shown to promote behavior change in a variety of healthcare settings and health behaviors in diverse cultures and communities, from substance use, safer sex, physical activity, medication and treatment adherence, more recently there has been an explosion of research that tailors MI to HIV care.

This original and compassionate book, Motivational Interviewing in HIV Care, brings together researchers and healthcare practitioners who have considerably contributed to the science and clinical practice of MI in HIV care. It provides current, accessible review of the current status of the MI interventions, their clinical applications, and the evidence that supports them.

Motivational Interviewing in HIV Care is essential reading for workers in the field of HIV, who will benefit from up-to-date research reviews and practical applications of MI across the continuum of HIV care.

Motivational Interviewing in HIV Care

Edited by Antoine Douaihy and K. Rivet Amico

I. Orientation to Motivational Interviewing and the Continuum of HIV care in Practice
1. Overview of Motivational Interviewing
2. Motivational Interviewing Processes & Skills
3. Motivational Interviewing Strategies
4. Motivational Interviewing and the Continuum of HIV care in Practice
II. Applications of Motivational Interviewing- Intervening in the Continuum of HIV Care
5. Overview of Motivational Interviewing and the Adolescent-Young Adult HIV Care Continuum
6. An example program of Motivational Interviewing Informed Linkage to HIV Care
7. Overview of Motivational Interviewing to Enhance Initiation of and Adherence to Antiretroviral Therapy
8. Example interventions using Motivational Interviewing to Enhance Engagement in HIV Care
III. Applications of Motivational Interviewing in Addressing Other Comorbid Conditions
9. Lifestyle Changes & Motivational Interviewing
10. Comorbid medical problems & Motivational Interviewing
11. Substance Use & Motivational Interviewing
12. Emotional management, psychological issues, & Motivational Interviewing
IV. Implementation of Motivational Interviewing
13. Learning and Experiencing Motivational Interviewing
14. Motivational Interviewing in Global Practice Settings: The Importance of Ongoing Support
15. Integrating MI across Multiple Intervention Approaches and in Patient-Practitioner Communication
16. Motivational Interviewing and Technology
V. Ethics
17. Ethical Challenges in the Applications of Motivational Interviewing in HIV Care
Index

Motivational Interviewing in HIV Care

Edited by Antoine Douaihy and K. Rivet Amico

Author Information

Antoine Douaihy is Professor of Psychiatry and Medicine, Senior Academic Director of Addiction Medicine Services, and Director of the Addiction Psychiatry Fellowship at Western Psychiatric Hospital of the University of Pittsburgh Medical Center (UPMC) and Co-Director of the Tobacco Treatment Service at UPMC. He has a well-established record of clinical. leadership, and research expertise in substance use disorders (SUDs) and SUDs co-occurring with psychiatric disorders, psychology of behavior change, motivational interviewing, and HIV/AIDS. Dr. Douaihy has a well-established record of leadership and expertise in conducting clinical trials, having served and currently serving as a PI, Co-PI and Co-I on NIAAA, NIMH, NIDA, HRSA, SAMHSA, and industry sponsored grants.

K Rivet Amico is an Associate Professor at the University of Michigan's School of Public Health. As a counselling psychologist by training, her work has focused on applying social behavioural science to HIV treatment and prevention. She works with adolescent and adult populations in a wide range of community settings on research and implementation efforts to end the HIV epidemic. Her interests center on optimizing social and structural environments, intrapersonal processes, and skills development to engage individuals and communities in protection and promotion of sexual and mental health. She has worked extensively with Motivational Interviewing informed and based approaches.

Contributors:

Priyanka Amin, MD
Psychiatry resident
Western Psychiatric Hospital
Pittsburgh, PA

Pierre Azzam, MD
Associate Professor of Psychiatry
University of Pittsburgh School of Medicine
Pittsburgh, PA

Claire Becker
Medical student
University of Pittsburgh School of Medicine
Pittsburgh, PA

Dr. Isra Black
Lecturer in Law
York Law School
The University of York
York, England

Robert Bolan, MD
Family Medicine
Infectious Diseases
Los Angeles LGBT Center

Steve Bradley-Bull, M.Ed.
UNC Center for AIDS Research (CFAR)

Maurice Bulls, M.Ed.
Behavior Change Consulting

Breana Uhrig Castonguay
MPH-Manager
Social and Behaviora Science Core
UNC Center for AIDS Research (CFAR)

Sofie L. Champassak, Ph.D.
Clinical Psychologist
The Center for Stress and Healthy Aging
San Diego, CA

Larry Chang, MD
Associate Professor of Medicine
Johns Hopkins Medicine
Baltimore, MD

Jin Cheng, MG
Addiction Psychiatry Fellow
University of Pittsburgh Medical Center
Pittsburgh, PA

Sharon Connor, PharmD.
Associate Professor, Pharmacy and Therapeutics
University of Pittsburgh
Pittsburgh, PA

Sarah Dewing, Ph.D.
South African Medical Research Council
Cape Town, South Africa

Risa P. Flynn
Manager
Clinical Research Program
Los Angeles LGBT Center

Lisa Forsberg
British Academy Post-Doctoral Fellow
Oxford Uehiro Centre for Practical Ethics
Oxford, England

Linda Rose Frank, Ph.D.
Professor of Public Health, Medicine, and Nursing
Department of Infectious Diseases and Microbiology
Graduate School of Public Health
University of Pittsburgh
Pittsburgh, PA

Carol Golin, MD
Professor
Department of Medicine
UNC School of Medicine
Chapel Hill, NC

Catherine Grodensky, MPH
Doctoral Student
Sanford School of Public Policy
Duke University
Durham, NC

Lisa Hightow-Weidman, MD
Associate Professor
Division of Infectious Diseases
Department of Medicine
UNC School of Medicine
Chapel Hill, NC

Marcia M. Holstad, PhD, FNP-BC, FAANP, FAAN
Professor, Marcia Stanhope Professor in Public Health
Nell Hodgson Woodruff School of Nursing
Assistant Director of Clinical and Social Science Integration
Emory Center for AIDS Research, GA

Heidi Hutton, Ph.D.
Associate Professor of Psychiatry and Behavioral Sciences
Johns Hopkins Medicine
Baltimore, MD

Megan Mueller Johnson, MA
School of Public Health
Department of Health Behavior and Health Education
University of Michigan
Ann Arbor, MI

Shriya Kaneriya, MD
Psychiatry resident
Western Psychiatric Hospital
Pittsburgh, PA

Kelly Amy Knudtson, MPH
Research Coordinator
Behavior and Technology Lab
University of North Carolina
Chapel Hill, NC

Liuyi (Laura) Lin, MD
Psychiatry resident
Western Psychiatric Hospital
Pittsburgh, PA

Gordon Liu, MD
Assistant Professor of Medicine
University of Pittsburgh School of Medicine
Pittsburgh, PA

David A. Martinez, Ph.D
Assistant Professor, Clinical Psychology, Psy Program
School of Nursing and Health Professions
University of San Francisco
San Francisco, CA

Cathy Mathews, Ph.D.
Health Systems Research Unit
South African Medical Research Council
Cape Town, South Africa

Riddhi Modi, MBBS, MPH
Division of Infectious Diseases
Department of Medicine
University of Alabama at Birmingham
Birmingham, AL

Sylvie Naar, Ph.D.
Center for Translational Behavioral Science
Florida State University
Tallahassee, FL

Ramakrishna Prasad, MD, MPH
Medical Director, PCMH Restore Health
Chair, Academy of Family Physicians of India (AFPI)
National Center for Primary Care Research & Policy
Bangalore, India

Laramie Smith, Ph.D.
Assistant Professor of Medicine
University of California
San Diego, CA

Peter Veldkamp, MD
Professor of Medicine
University of Pittsburgh School of Medicine
Pittsburgh, PA

Motivational Interviewing in HIV Care

Edited by Antoine Douaihy and K. Rivet Amico

Reviews and Awards

"Motivational Interviewing in HIV Care, edited by Antoine Douaihy and K. Rivet Amico, is a comprehensive, well referenced handbook that is helpful for any practitioner interested in incorporating motivational interviewing into their HIV practice. This book covers not only the basics of how to perform motivational interviewing, but also provides specific examples illustrating methods to help patients with HIV infection engage in care, adhere to their antiretroviral regimen and effectively deal with substance use. The collection of experts who have authored each chapter provide an evidence-based approach with ample examples of demonstration projects which have successfully leveraged motivational interviewing techniques to help patients with HIV infection succeed with their care." -- Jamie Riddell IV, MD, Clinical Professor, Department of Internal Medicine, Division of Infectious Diseases, Michigan Medicine, University of Michigan

"Motivational Interviewing in HIV Care nicely illustrates that engaging patients in meaningful conversations while examining personal health behavior adjustments can improve adherence to pre-exposure prophylaxis (PrEP) and antiretroviral therapy (ART) while offering healthy lifestyle choices. The "Stages in Learning Motivational Interviewing" assists practitioners in their assessment of the time, commitment and training needed to become proficient in this method of care. The reader gains a thorough understanding of the benefits, challenges and ethical implications surrounding the motivational interviewing counseling method. Motivational Interviewing in HIV Care offers practical methods that can be used alone or in conjunction with other modalities to develop positive patient relationships and treatment outcomes." -- John W. Mellors, M.D., Chief, Division of Infectious Diseases, Endowed Chair for Elimination of HIV and AIDS, University of Pittsburgh School of Medicine

"The editors of this book, along with the expert authors, have brought together the broad literature on MI and skillfully applied it to the HIV continuum of care. Beginning with a thorough orientation, the text provides clinicians with an understanding of the key elements of MI, applies MI to a variety of clinical scenarios, and offers case examples to highlight interviewing techniques. The remaining chapters provide evidence and potential applications of MI to the entire HIV continuum, including linkage and engagement in care as well as medication adherence, and then expand to address special populations, HIV co-morbidities and several ethical considerations. This book provides a valuable resource to any HIV practitioner wishing to learn about MI, or improve their existing skills with patients." -- Sybil Hosek, PhD, Clinical Psychologist/Director of Research, Department of Psychiatry, Stroger Hospital of Cook County, Chicago, IL