Poster presented at the College on Problems of Drug Dependence (CPDD) annual meeting, Hollywood, FL, June 18-23, 2011.
Donald A. Calsyn, PhD, Bryan Hartzler, PhD, Elizabeth A. Wells, PhD, K. Michelle Peavy, PhD (all from Alcohol & Drug Abuse Intitute, University of Washington, PN Node)
The aim of this CTN platform study, "Being Safe in Treatment (BEST)," is the development of a sexual risk assessment and feedback tool to be used in substance abuse treatment programs. An audio computer-assisted self-interview HIV risk assessment previously used in a multi-site randomized controlled trial was modified for use as a brief assessment. A feedback report is generated that identifies a client's risk behaviors and how they compare to normative groups. Suggestions for reducing risk behaviors are then provided. The BEST feedback report was modified in response to feedback provided in focus groups conducted with clients and counseling staff in a residential treatment center. It was then administered to 61 men and 48 women in outpatient treatment with the aim of determining if receiving a BEST feedback report was associated with increased client-counselor discussion of sexual issues and/or changes in variables associated with sexual risk behavior. Participants were randomly assigned to receive (RR) or not receive (NR) a BEST feedback report in a 2:1 ratio. Those receiving a report had the option of sharing a copy of the report with their counselor (CR). More CR clients reported discussion sexual issues in counseling sessions in the 90 days prior to follow-up than non-CR clients. Fewer NR clients reported using condoms during their most recent sexual event prior to the 90 day follow-up than RR clients. Fewer NR clients possessed condoms at follow-up than RR clients.
Conclusions: The BEST assessment and feedback report shows promise of increasing client-counselor discussion of sexual issues, and condom use and possession. (Poster, PowerPoint slides, English, 2011)
Keywords: Community health services | Condom use | Counselors | CTN platform/ancillary study | Sexual risk behavior | College on Problems of Drug Dependence (CPDD) annual meeting, 2011
Document No: 805
Submitted by Donald A. Calsyn, PhD, Lead Investigator, CTN-0018, 4/16/2012.