What is Tailored Motivational Interviewing?
Tailored Motivational Interviewing (TMI) is an evidence-based intervention comprised of brief sessions that can be integrated into many provider-client interactions to improve health behaviors for the prevention and treatment of HIV, including HIV testing, engagement and retention in HIV treatment or PrEP services, mediation adherence and other target behaviors relevant to self-management. The intervention is based on Motivational Interviewing (MI), “a collaborative conversation style for strengthening a person’s own motivation and commitment to change." MI conversational style may also be thought of as guiding a person to change, rather than directing them to follow change. TMI is MI tailored for HIV-related behaviors and includes cultural tailoring based on a cultural humility framework. Tailoring is based on communication studies of HIV clinic interactions and provider training studies. TMI can vary from a single brief encounter to multiple sessions based on client need and organizational context. Sessions in home-based or office settings can last 30 minutes to an hour, while sessions in medical clinics or street-outreach contexts may take 15 minutes or less.
Learn more about TMI interventions and implementation through the Center for Innovation and Engagement (CIE).
What are the goals of TMI-HIV?
- To improve HIV-related behaviors across the prevention and treatment continua.
- To address other health behaviors such as substance use and sexual activity.
- To provide developmentally tailored strategies to engage young people and people of color.
- to support TMI implementation with evidence-based implementation strategies.
Additional TMI-HIV Resources
TMI-HIV Toolkit
- Download the TMI Implementation Guide.pdf
- Download the TMI Intervention Guide.pdf
- For more information, contact Sylvie Naar via email at sylvie.Naar@med.fsu.edu
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References:
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Naar, S., Kimball, D., Cain, D., Pooler, M., Rambo, S., Chapman, J., MacDonell, K., & Lin Miller, R. (2023). Mechanisms of Successful Implementation of Tailored Motivational Interviewing in a Multisite Study of Youth HIV Clinics in the United States. Journal of acquired immune deficiency syndromes (1999), 94(4), 325–331.
Read the full article: Mechanisms of successful implementation of tailored motivational interviewing in a multi-site study of youth HIV clinics in the U.S. -
Budhwani, H., Kiszla, B M., Outlaw, A. Y., Oster, R. A., Mugavero, M. J., Johnson, M. O., Hightow-Weidman, L. B., Naar, S., & Turan, J. M. (2022). Adapting a motivational interviewing intervention to improve HIV prevention among young, black, sexual minority men in Alabama: Protocol for the development of the Kings Digital Health intervention. JMIR, 11(7):e36655.
Read the full article: Adapting a motivational interviewing intervention to improve HIV prevention among young, black, sexual minority men in Alabama: Protocol for the development of the Kings Digital Health Intervention. -
Naar, S., Pennar, A. L., Wang, B., Brogan-Hartlieb, K., & Fortenberry, J. D. (2021). Tailored motivational interviewing (TMI): Translating basic science in skills acquisition into a behavioral intervention to improve community health worker motivational interviewing competence for youth living with HIV. Health Psychology, 40(12), 920–927.
Read the full article: TMI Translating basic science in skills acquisition into a behavioral intervention to improve community health worker MI competence for youth living with HIV -
Naar, S., MacDonell, K., Chapman, J. E., Todd, L., Gurung, S., Cain, D., . . . Parsons, J. T. (2019). Testing a motivational interviewing implementation intervention in adolescent HIV clinics: Protocol for a type 3, hybrid implementation-effectiveness trial. JMIR Research Protocols, 8(6), e11200.
Read the full article: Testing a motivational interviewing implementation intervention in adolescent HIV clinics: Protocol for a type 3, hybrid implementation-effectiveness trial