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Interactive Voice Response Self-Monitoring to Assess Risk Behaviors in Rural Substance Users Living with HIV/AIDS

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Abstract

Community-dwelling HIV/AIDS patients in rural Alabama self-monitored (SM) daily HIV risk behaviors using an Interactive Voice Response (IVR) system, which may enhance reporting, reduce monitored behaviors, and extend the reach of care. Sexually active substance users (35 men, 19 women) engaged in IVR SM of sex, substance use, and surrounding contexts for 4–10 weeks. Baseline predictors of IVR utilization were assessed, and longitudinal IVR SM effects on risk behaviors were examined. Frequent (n = 22), infrequent (n = 22), and non-caller (n = 10) groups were analyzed. Non-callers had shorter durations of HIV medical care and lower safer sex self-efficacy and tended to be older heterosexuals. Among callers, frequent callers had lost less social support. Longitudinal logistic regression models indicated reductions in risky sex and drug use with IVR SM over time. IVR systems appear to have utility for risk assessment and reduction for rural populations living with HIV disease.

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Acknowledgments

This research was supported in part by National Institute on Drug Abuse grant no. 5 R21 DA21524 to Jalie A. Tucker. The authors thank Dr. Barbara Hanna, Medical Director, and the staff of the Health Services Center, Hobson City, AL for their support of project data collection, and Katharine E. Stewart for consultation on HIV-related assessment. Portions of the research were presented at the August 2008 meeting of the American Psychological Association, Boston, MA and the April 2010 meeting of the Society of Behavioral Medicine, Seattle, WA. Send correspondence to Jalie A. Tucker, Department of Health Behavior, School of Public Health, University of Alabama at Birmingham, 1665 University Boulevard, 227 RPHB, Birmingham, AL 35294 (email: jtucker@uab.edu).

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Tucker, J.A., Blum, E.R., Xie, L. et al. Interactive Voice Response Self-Monitoring to Assess Risk Behaviors in Rural Substance Users Living with HIV/AIDS. AIDS Behav 16, 432–440 (2012). https://doi.org/10.1007/s10461-011-9889-y

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