Adapted Personalized Cognitive Counseling for Episodic Substance-Using Men Who Have Sex with Men: A Randomized Controlled Trial
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,...
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| Veröffentlicht in: | AIDS and behavior 2014-07, Vol.18 (7), p.1390-1400 |
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| creator | 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. |
| doi_str_mv | 10.1007/s10461-014-0712-4 |
| format | Article |
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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.</description><identifier>ISSN: 1090-7165</identifier><identifier>EISSN: 1573-3254</identifier><identifier>DOI: 10.1007/s10461-014-0712-4</identifier><identifier>PMID: 24510401</identifier><identifier>CODEN: AIBEFC</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Acquired Immune Deficiency Syndrome ; Adult ; Alcohol use ; Binge drinking ; Binge Drinking - epidemiology ; Binge Drinking - psychology ; Cognition ; Cognitive therapy ; Counseling ; Directive Counseling ; Drug Abuse ; Drug use ; Follow-Up Studies ; Health Psychology ; Health risks ; HIV ; HIV Infections - epidemiology ; HIV Infections - prevention & control ; HIV Infections - psychology ; Homosexuality ; Homosexuality, Male - psychology ; Human immunodeficiency virus ; Humans ; Infectious Diseases ; Intervention ; Male ; Males ; Medical Research ; Medicine ; Medicine & Public Health ; Men ; Original Paper ; Prevention ; Public Health ; Risk ; Risk factors ; Risk Reduction Behavior ; Risk taking ; Sexual behavior ; Sexual Behavior - psychology ; Sexual orientation ; Sexual Partners ; Sexually transmitted diseases ; STD ; Substance-Related Disorders - epidemiology ; Substance-Related Disorders - psychology ; Surveys and Questionnaires</subject><ispartof>AIDS and behavior, 2014-07, Vol.18 (7), p.1390-1400</ispartof><rights>Springer Science+Business Media New York 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c536t-b80351c9313a4b1f2d964a788c1342110d2c83ee8e18b3d9bbdebf47a5d6ca03</citedby><cites>FETCH-LOGICAL-c536t-b80351c9313a4b1f2d964a788c1342110d2c83ee8e18b3d9bbdebf47a5d6ca03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10461-014-0712-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10461-014-0712-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27321,27901,27902,33751,33752,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24510401$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Coffin, Phillip O.</creatorcontrib><creatorcontrib>Santos, Glenn-Milo</creatorcontrib><creatorcontrib>Colfax, Grant</creatorcontrib><creatorcontrib>Das, Moupali</creatorcontrib><creatorcontrib>Matheson, Tim</creatorcontrib><creatorcontrib>DeMicco, Erin</creatorcontrib><creatorcontrib>Dilley, James</creatorcontrib><creatorcontrib>Vittinghoff, Eric</creatorcontrib><creatorcontrib>Raiford, Jerris L.</creatorcontrib><creatorcontrib>Carry, Monique</creatorcontrib><creatorcontrib>Herbst, Jeffrey H.</creatorcontrib><title>Adapted Personalized Cognitive Counseling for Episodic Substance-Using Men Who Have Sex with Men: A Randomized Controlled Trial</title><title>AIDS and behavior</title><addtitle>AIDS Behav</addtitle><addtitle>AIDS Behav</addtitle><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.</description><subject>Acquired Immune Deficiency Syndrome</subject><subject>Adult</subject><subject>Alcohol use</subject><subject>Binge drinking</subject><subject>Binge Drinking - epidemiology</subject><subject>Binge Drinking - psychology</subject><subject>Cognition</subject><subject>Cognitive therapy</subject><subject>Counseling</subject><subject>Directive Counseling</subject><subject>Drug Abuse</subject><subject>Drug use</subject><subject>Follow-Up Studies</subject><subject>Health Psychology</subject><subject>Health risks</subject><subject>HIV</subject><subject>HIV Infections - epidemiology</subject><subject>HIV Infections - prevention & control</subject><subject>HIV Infections - psychology</subject><subject>Homosexuality</subject><subject>Homosexuality, Male - psychology</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infectious Diseases</subject><subject>Intervention</subject><subject>Male</subject><subject>Males</subject><subject>Medical Research</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Men</subject><subject>Original Paper</subject><subject>Prevention</subject><subject>Public Health</subject><subject>Risk</subject><subject>Risk factors</subject><subject>Risk Reduction Behavior</subject><subject>Risk taking</subject><subject>Sexual behavior</subject><subject>Sexual Behavior - psychology</subject><subject>Sexual orientation</subject><subject>Sexual Partners</subject><subject>Sexually transmitted diseases</subject><subject>STD</subject><subject>Substance-Related Disorders - epidemiology</subject><subject>Substance-Related Disorders - psychology</subject><subject>Surveys and 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Science and Risk</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>AIDS and behavior</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Coffin, Phillip O.</au><au>Santos, Glenn-Milo</au><au>Colfax, Grant</au><au>Das, Moupali</au><au>Matheson, Tim</au><au>DeMicco, Erin</au><au>Dilley, James</au><au>Vittinghoff, Eric</au><au>Raiford, Jerris L.</au><au>Carry, Monique</au><au>Herbst, Jeffrey H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adapted Personalized Cognitive Counseling for Episodic Substance-Using Men Who Have Sex with Men: A Randomized Controlled Trial</atitle><jtitle>AIDS and behavior</jtitle><stitle>AIDS Behav</stitle><addtitle>AIDS Behav</addtitle><date>2014-07-01</date><risdate>2014</risdate><volume>18</volume><issue>7</issue><spage>1390</spage><epage>1400</epage><pages>1390-1400</pages><issn>1090-7165</issn><eissn>1573-3254</eissn><coden>AIBEFC</coden><abstract>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
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| ispartof | AIDS and behavior, 2014-07, Vol.18 (7), p.1390-1400 |
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| language | eng |
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| source | MEDLINE; Sociological Abstracts; SpringerLink Journals - AutoHoldings |
| subjects | Acquired Immune Deficiency Syndrome Adult Alcohol use Binge drinking Binge Drinking - epidemiology Binge Drinking - psychology Cognition Cognitive therapy Counseling Directive Counseling Drug Abuse Drug use Follow-Up Studies Health Psychology Health risks HIV HIV Infections - epidemiology HIV Infections - prevention & control HIV Infections - psychology Homosexuality Homosexuality, Male - psychology Human immunodeficiency virus Humans Infectious Diseases Intervention Male Males Medical Research Medicine Medicine & Public Health Men Original Paper Prevention Public Health Risk Risk factors Risk Reduction Behavior Risk taking Sexual behavior Sexual Behavior - psychology Sexual orientation Sexual Partners Sexually transmitted diseases STD Substance-Related Disorders - epidemiology Substance-Related Disorders - psychology Surveys and Questionnaires |
| title | Adapted Personalized Cognitive Counseling for Episodic Substance-Using Men Who Have Sex with Men: A Randomized Controlled Trial |
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