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

doi:10.1007/s10461-011-9889-y

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 journal › Article › peer-review

21 Scopus citations

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 language	English (US)
Pages (from-to)	432-440
Number of pages	9
Journal	AIDS and behavior
Volume	16
Issue number	2
DOIs	https://doi.org/10.1007/s10461-011-9889-y
State	Published - Feb 2012
Externally published	Yes

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

Access to Document

10.1007/s10461-011-9889-y

Cite this

@article{58af66cb364b430f941611b354205747,

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

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.",

keywords = "Alcohol and drug use, HIV/AIDS, IVR self-monitoring, Risky sex",

author = "Tucker, {Jalie A.} and Blum, {Elizabeth R.} and Lili Xie and Roth, {David L.} and Simpson, {Cathy A.}",

note = "Funding Information: 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).",

year = "2012",

month = feb,

doi = "10.1007/s10461-011-9889-y",

language = "English (US)",

volume = "16",

pages = "432--440",

journal = "AIDS and behavior",

issn = "1090-7165",

publisher = "Springer New York",

number = "2",

}

TY - JOUR

T1 - Interactive voice Response self-monitoring to assess risk behaviors in rural substance users living with HIV/AIDS

AU - Tucker, Jalie A.

AU - Blum, Elizabeth R.

AU - Xie, Lili

AU - Roth, David L.

AU - Simpson, Cathy A.

N1 - Funding Information: 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).

PY - 2012/2

Y1 - 2012/2

N2 - 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.

AB - 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.

KW - Alcohol and drug use

KW - HIV/AIDS

KW - IVR self-monitoring

KW - Risky sex

UR - http://www.scopus.com/inward/record.url?scp=84859701797&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84859701797&partnerID=8YFLogxK

U2 - 10.1007/s10461-011-9889-y

DO - 10.1007/s10461-011-9889-y

M3 - Article

C2 - 21311964

AN - SCOPUS:84859701797

SN - 1090-7165

VL - 16

SP - 432

EP - 440

JO - AIDS and behavior

JF - AIDS and behavior

IS - 2

ER -

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

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this