Adapted Personalized Cognitive Counseling for Episodic Substance-Using Men Who Have Sex with Men: A Randomized Controlled Trial

Coffin, Phillip O.; Santos, Glenn-Milo; Colfax, Grant; Das, Moupali; Matheson, Tim; DeMicco, Erin; Dilley, James; Vittinghoff, Eric; Raiford, Jerris L.; Carry, Monique; Herbst, Jeffrey H.

doi:10.1007/s10461-014-0712-4

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Adapted Personalized Cognitive Counseling for Episodic Substance-Using Men Who Have Sex with Men: A Randomized Controlled Trial

Published Date:

Jul 2014

Publisher's site:

http://dx.doi.org/10.1007/s10461-014-0712-4 New Site Icon

Source:

AIDS Behav. 18(7):1390-1400.

[PDF-795.05 KB]

Details:

Alternative Title:

AIDS Behav

Personal Author:

Coffin, Phillip O. ; Santos, Glenn-Milo ; Colfax, Grant ; Das, Moupali ; Matheson, Tim ; ... More ▼

Description:

Episodic drug use and binge drinking are associated with HIV risk among substance-using men who have sex with men (SUMSM), yet no evidence-based interventions exist for these men. We adapted personalized cognitive counseling (PCC) to address self-justifications for high-risk sex among HIV-negative, episodic SUMSM, then randomized men to PCC (n = 162) with HIV testing or control (n = 164) with HIV testing alone. No significant between-group differences were found in the three primary study outcomes: number of unprotected anal intercourse events (UAI), number of UAI partners, and UAI with three most recent non-primary partners. In a planned subgroup analysis of non-substance dependent men, there were significant reductions in UAI with most recent non-primary partners among PCC participants (RR = 0.56; 95 %CI 0.34-0.92; P = 0.02). We did not find evidence that PCC reduced sexual risk behaviors overall, but observed significant reductions in UAI events among non-dependent SUMSM. PCC may be beneficial among SUMSM screening negative for substance dependence.

Subject:

[+]

Pubmed ID:

24510401

Pubmed Central ID:

PMC4655874

Document Type:

Journal Article

Funding:

UR6PS000684/PS/NCHHSTP CDC HHS/United States

Collection(s):

CDC Public Access

Main Document Checksum:

[+]

Supporting Files:

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