Table 2: Single-Session MI Intervention Content and Timing

Section Content/Activity Length in Minutes
1 Introduction
Provide a brief introduction to orient the participant to the spirit of MI and briefly explain what will be covered during the session		 5
2
  1. Review the client’s patterns of methamphetamine use to ascertain the frequency and duration of use and the amount of methamphetamine used and the route of administration (e.g., sniffed, smoked, injected).
  2. Assess the physical, social, and emotional contexts in which methamphetamine is used.
  3. Explore substance-free alternatives.
 5
3 Patterns of methamphetamine use
Assess the patterns of sexual risk behavior with and without methamphetamine use:
  1. types of sexual behaviors (e.g., insertive or receptive anal intercourse);
  2. types of partners (e.g., main, casual);
  3. frequencies of high-risk sexual activities;
  4. contexts of high-risk sexual activities; and
  5. attitudes toward HIV.

Assess contexts in which unprotected anal intercourse is most likely to occur.
  1. Physical contexts
  2. Social contexts
  3. Emotional contexts
 10
4 Assessing motivation to change methamphetamine use
  1. Good things about methamphetamine use
  2. Not so good things about methamphetamine use
  3. Summarize the pros and cons of methamphetamine use
  4. Elicit change talk
 15
5 Assessing motivation to change sexual risk behavior
  1. Good things about unprotected anal sex with emphasis on sex while using methamphetamine or other drugs
  2. Not so good things about unprotected anal sex
  3. Summarize the pros and cons of unprotected anal sex
  4. Elicit change talk
 15
6 Enhancing motivation to change 20
Changing Sexual Risk Behaviors
  1. Identify the pros and cons to changing high-risk sexual behaviors.
  2. Identify the pros and cons to staying the same (i.e. not changing).
  3. Explore what might happen if changes are made.

Changing Methamphetamine Use
  1. Identify the pros and cons to changing methamphetamine use.
  2. Identify the pros and cons to staying the same (i.e., not changing).
  3. Explore what might happen if changes are made.
7 Planning for change
  1. Establish a plan for changing meth use and/or sexual risk behaviors.
  2. Explore barriers to changing methamphetamine use and sexual risk behavior.
  3. Emphasize personal power and self-efficacy (e.g., explore previous successful change attempts.
  4. Imagine hypothetical situations
    1. Situation for reducing sexual risk
    2. Situation for reducing methamphetamine use.
 15
8 Summary and closing
  1. Summarize high points of session
  2. Debrief
  3. Distribute HIV and methamphetamine education prevention materials
  4. Provide lists of referrals for substance and HIV
 5