Interactive voice Response self-monitoring to assess risk behaviors in rural substance users living with HIV/AIDS

Jalie A. Tucker, Elizabeth R. Blum, Lili Xie, David L. Roth, Cathy A. Simpson

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
Pages (from-to)432-440
Number of pages9
JournalAIDS and behavior
Volume16
Issue number2
DOIs
StatePublished - Feb 2012
Externally publishedYes

Keywords

  • Alcohol and drug use
  • HIV/AIDS
  • IVR self-monitoring
  • Risky sex

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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