|
Poster presented at the College on Problems of Drug Dependence (CPDD) annual meeting, San Juan, Puerto Rico, June 14-19, 2008.
Donald A. Calsyn, PhD (Alcohol & Drug Abuse Institute, University of Washington, PN Node), Melinda Godinez, MSW (University of Washington), Suzanne R. Doyle, PhD (Alcohol & Drug Abuse Institute, University of Washington, PN Node), Mary A. Hatch-Maillette, PhD (Alcohol & Drug Abuse Institute, University of Washington, PN Node), Sarah J. Cousins (Matrix Institute, PR Node), TeChieh Chen (San Francisco General Hospital, UCSF, CA/AZ Node).
HIV/STI prevention efforts often include a condom skills component. The researchers for protocol CTN-0018 ("NIDA-CTN-0018 Reducing HIV/STD Risk Behaviors : A Research Study for Men in Drug Abuse Treatment") hypothesized that teaching condom use skills through exposure to a practice exercise would be superior to viewing a demonstration only, which, in turn, would be superior to exposure to neither. Men in substance abuse treatment enrolled in CTN-0018, which compared a five session, gender-specific HIV prevention intervention with a one session HIV education intervention, were administered male and female condom use skills measures (MCUS, 14 items; FCUS, 11 items) at pre-intervention, 2 weeks, 3 months, and 6 months post-intervention. Participants were classified as exposed to the demonstration only (DO, n=161), exposed to the demonstration plus practice exercises (DP, n=121), and exposed to no session (NS, n=212). The MCUS and FCUS scores were compared for the intervention exposure groups across the assessment time points using mixed effects linear regression. Results showed intervention group-by-time effects (p < .0001) for both the MCUS and FCUS. Post hoc, pairwise linear trends across time indicated that for MCUS the DP group is superior to the DO groups, but the DO and NS groups are not different. For the FCUS, pairwise comparison indicated that the DP group is superior to the DO groups, but the DO and NS groups are not different.
When baseline scores are removed from the primary outcome model, there is only an intervention group effect, suggesting that differences observed between groups occurs between the baseline and 2 week post intervention and remains stable through the 3 and 6 month follow-ups. In conclusion, practice of condom use was superior to a condom use demonstration alone in teaching condom skills. Differential benefits were maintained over six months. (Poster, PowerPoint slides, English, 2008)
 Keywords: Assessment | Condom use | Gender-specific interventions | HIV/AIDS | Sexual risk behavior | Sexually transmitted diseases | Training | College on Problems of Drug Dependence (CPDD) annual meeting, 2008
Document No: 303
Submitted by Donald Calsyn, PhD, Lead Investigator (9/4/2008). |
