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

i

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

Supporting Files

Jul 2014
By Coffin, Phillip O. ; Santos, Glenn-Milo ; Colfax, Grant ; ...

Details

Alternative Title:

AIDS Behav
Personal Author:

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.
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.
Subjects:

Adaptation Adult Article Binge Drinking Cognition Cognitive Counseling Directive Counseling Evidence-based Intervention Follow-Up Studies HIV Infections HIV Prevention Homosexuality, Male Humans Male MSM Questionnaires Risk-Taking Risk Reduction Behavior Sexual Behavior Sexual Partners Substance-Related Disorders Substance Use
Source:

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

24510401
Pubmed Central ID:

PMC4655874
Document Type:

Journal Article
Funding:

UR6PS000684/PS/NCHHSTP CDC HHS/United States
Volume:

18
Issue:

7
Collection(s):

CDC Public Access
Main Document Checksum:

urn:sha256:f3cc0b33e0a83e00e0bbcc77c3d44563852560027b33fb6a4cd33bd18f639ffe
Download URL:

https://stacks.cdc.gov/view/cdc/36214/cdc_36214_DS1.pdf
File Type:

[PDF - 795.05 KB ]

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