1. Motivational Interviewing intervention for HIV+ young Thai men who had sex with men (MSM) Motivational Interviewing (MI) Counseling style that guides an individual to resolve ambivalence about behavior change and to strengthen motivation for change. 1 Healthy Choices Study 4-session MI-based intervention improved condom use, alcohol use, plasma HIV viral loads, and depression in HIV+ US youth. 2, 3 The intervention was acceptable for HIV+ youth in Thailand, with minimal modification needed. 4 Study Methods Subjects: 16-25 year-old HIV+ Thai persons Randomization: 4-session Healthy Choices Sexual risk, alcohol, adherence 4-session Health Education (Control) Assessments: Baseline, 1 month, 6 months Sexual acts Alcohol use Plasma HIV viral loads Mental health scores 1.Miller WR, Rollnick S. Motivational interviewing: Preparing people for change. 2002 2.Naar-King S. Arch Pediatr Adolesc Med 2009; 163: 1092-8. 3.Murphy DA. AIDS Patient Care STDS 2012; 26: 95-100. 4.Rongkavilit C. J Assoc Nurses AIDS Care 2012; Epub Ahead 1 Wayne State University, USA 2 HIVNAT & Thai Red Cross AIDS Research Centre, Thailand 3 City University of New York, USA 4 Phramongkutklao College of Medicine, Thailand 12 wk C. Rongkavilit 1, T. Bunupuradah 2, S. Naar-King 1, J. Parsons 3, A. Panthong 2, S. Phonphithak 2, J. Koken 3, B. Wang 1, P. Saengcharnchai 4, P. Phanuphak 2

2. Results MSM: Healthy Choices (N=37) vs Control (N=37) Past 30 days Baseline6 months InterventionControlInterventionControl Anal sex, %45.959.5 38.2*65.4 Consistent condom use with anal sex, % 70.078.384.694.1 HIV negative/unknown partners, % 48.951.4 26.5*61.5 Using alcohol, %37.845.941.246.2 Log HIV RNA copies2.2 ± 1.12.0 ± 1.02.2 ± 0.91.9 ± 0.4 Mental health score1.9 ± 0.31.8 ± 0.5 1.7 ± 0.3*1.7 ± 0.4 Total subjects=108. 74 were MSM. InterventionControl Attended ≥3 of 4 sessions, % 94.683.8 Loss to follow-up, %8.1 29.7* *p<0.05

3. Conclusions Healthy Choices, an MI intervention, showed potentials in reducing anal sex and sex with HIV-negative or unknown partners among HIV+ young Thai MSM in this pilot study. Improvement in mental health was noted in HIV+ young Thai MSM who received Healthy Choices. Study retention rate was significantly higher in Healthy Choices group than in Control group. Study limitation: High rate of loss to follow-up in Control group. Funding support: NIH, R34MH077523