Telephone Counseling to Enhance the Quality and Safety of Romantic and Sexual Relationships in People Living and Aging With HIV

Estimated rates of condomless anal and vaginal intercourse among HIV-positive older adults
remain high. Brief motivational interventions delivered face-to-face have demonstrated
efficacy at reducing condomless sex in HIV-positive persons. However, these interventions are
not contextualized to the unique sexual health needs of HIV-positive older adults. Further,
many HIV-positive older adults have difficulty accessing face-to-face services due to
transportation, stigma, and other barriers. Telehealth interventions represent one delivery
approach that overcomes such barriers.

Inclusion Criteria:

- English speaking

- Have access to a landline or cellular telephone

- Be 50 years of age or older at some point during study participation

- Report engaging in one or more occasions of condomless anal and/or vaginal intercourse
with an HIV-negative or unknown HIV serostatus sex partner in the 3 months prior to
study enrollment. An exception to this criterion is participants whose HIV viral load
is undetectable and whose only condomless sex is in the context of a monogamous sexual
relationship with an HIV-negative partner.

Exclusion Criteria:

- Active suicidal ideation as determined by the Patient Health Questionnaire 9-item
Depression Module