Journal of Substance Abuse Treatment 2009;37:138-150. [doi: 10.1016/j.jsat.2008.11.008]
Donald A. Calsyn, PhD (Alcohol & Drug Abuse Institute, University of Washington, PN Node), Mary A. Hatch-Maillette, PhD (Alcohol & Drug Abuse Institute, University of Washington, PN Node), Susan Tross, PhD (Columbia University, NY Psychiatric Institute, LI Node), Suzanne R. Doyle, PhD (Alcohol & Drug Abuse Institute, University of Washington, PN Node), Paul Crits-Christoph, PhD (Treatment Research Center, University of Pennsylvania School of Medicine, DV Node), Yong S. Song, PhD (SF VA Medical Center, CA/AZ Node), Judith M. Harrer, PhD (University of Cincinnati, OV Node), Genise Lalos, MA (Prestera Center for Mental Health Services, OV Node), Sara B. Berns, PhD (Alcohol & Drug Abuse Institute, University of Washington, PN Node).
This is the Primary Outcomes Article for CTN-0018. The effectiveness of a motivational and skills training HIV/AIDS group intervention designed for men in substance abuse treatment was evaluated in protocol CTN-0018 ("Reducing HIV/STD Risk Behaviors: A Research Study for Men in Drug Abuse Treatment"). Men in methadone maintenance (n = 288) or outpatient psychosocial treatment (n = 302) completed assessments at baseline, 2 weeks, 3 months, and 6 months postintervention. Participants were randomly assigned to attend either Real Men Are Safe (REMAS; five sessions containing information, motivational exercises, and skills training) or HIV education (HIV-Ed; one session containing HIV prevention information). REMAS participants engaged in significantly fewer unprotected vaginal and anal sexual intercourse occasions (USO) during the 90 days prior to the 3- and 6-month follow-ups than HIV-Ed participants. Completing REMAS resulted in an even stronger effect: Completers reduced their number of USO by 21% from baseline to 6-month follow-up. In contrast, HIV-Ed completers increased the number of USO by 2%.
Conclusions: A motivational and skills training HIV prevention intervention designed for men was associated with greater sexual risk reduction over standard HIV-Ed. Substance abuse treatment programs can therefore help reduce sexual risk among their clientele by providing a more intensive intervention than what is traditionally provided. (Article, Peer-Reviewed, PDF, English, 2009)
Keywords: Community health services | Condom use | CTN primary outcomes | Gender-specific interventions | HIV/AIDS | Real Men Are Safe (REMAS) | Sexual risk behavior | Sexually transmitted diseases | Journal of Substance Abuse Treatment (journal)
Document No: 337, PMID: 19150206, PMCID: PMC2749552
Submitted by CTN Dissemination Librarians, 1/17/2009.