Implementing an Updated “Break the Cycle” Intervention to Reduce Initiating Persons into Injecting Drug Use in an Eastern European and a US “opioid epidemic” Setting
We tested the hypothesis that an updated “Break the Cycle” (BtC) intervention, based in social cognitive theory and motivational interviewing, would reduce the likelihood that current persons who inject drugs (PWID) would assist persons who do not inject drugs (non-PWID) with first injections in Tal...
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| Veröffentlicht in: | AIDS and behavior 2019-09, Vol.23 (9), p.2304-2314 |
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| creator | Des Jarlais, Don Uuskula, Anneli Talu, Ave Barnes, David M. Raag, Mait Arasteh, Kamyar Org, Greete Demarest, Donna Feelemyer, Jonathan Berg, Hayley Tross, Susan |
| description | We tested the hypothesis that an updated “Break the Cycle” (BtC) intervention, based in social cognitive theory and motivational interviewing, would reduce the likelihood that current persons who inject drugs (PWID) would assist persons who do not inject drugs (non-PWID) with first injections in Tallinn, Estonia and Staten Island, New York City. 402 PWID were recruited, a baseline interview covering demographics, drug use, and assisting non-PWID with first drug injections was administered, followed by BtC intervention. 296 follow-up interviews were conducted 6 months post-intervention. Percentages assisting with first injections declined from 4.7 to 1.3% (73% reduction) in Tallinn (p |
| doi_str_mv | 10.1007/s10461-019-02467-y |
| format | Article |
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Percentages assisting with first injections declined from 4.7 to 1.3% (73% reduction) in Tallinn (p < 0.02), and from 15 to 6% (60% reduction) in Staten Island (p < 0.05). Persons assisted with first injections declined from 11 to 3 in Tallinn (p = 0.02) and from 32 to 13 in Staten Island. (p = 0.024). Further implementation research on BtC interventions is urgently needed where injecting drug use is driving HIV/HCV epidemics and areas experiencing opioid epidemics.</description><identifier>ISSN: 1090-7165</identifier><identifier>EISSN: 1573-3254</identifier><identifier>DOI: 10.1007/s10461-019-02467-y</identifier><identifier>PMID: 30879209</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Cognitive ability ; Demographics ; Demography ; Drug abuse ; Drug use ; Epidemics ; Health Psychology ; HIV ; Human immunodeficiency virus ; Infectious Diseases ; Intervention ; Interviews ; Medicine ; Medicine & Public Health ; Motivation ; Narcotics ; Opioids ; Original Paper ; Public Health ; Reduction</subject><ispartof>AIDS and behavior, 2019-09, Vol.23 (9), p.2304-2314</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2019</rights><rights>AIDS and Behavior is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-be86e56fab795a2cba44bb26ca708d765efa0266cbf1dbcd8b67f39080e716c53</citedby><cites>FETCH-LOGICAL-c474t-be86e56fab795a2cba44bb26ca708d765efa0266cbf1dbcd8b67f39080e716c53</cites><orcidid>0000-0002-0157-8168</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10461-019-02467-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10461-019-02467-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,777,781,882,27325,27905,27906,33755,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30879209$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Des Jarlais, Don</creatorcontrib><creatorcontrib>Uuskula, Anneli</creatorcontrib><creatorcontrib>Talu, Ave</creatorcontrib><creatorcontrib>Barnes, David M.</creatorcontrib><creatorcontrib>Raag, Mait</creatorcontrib><creatorcontrib>Arasteh, Kamyar</creatorcontrib><creatorcontrib>Org, Greete</creatorcontrib><creatorcontrib>Demarest, Donna</creatorcontrib><creatorcontrib>Feelemyer, Jonathan</creatorcontrib><creatorcontrib>Berg, Hayley</creatorcontrib><creatorcontrib>Tross, Susan</creatorcontrib><title>Implementing an Updated “Break the Cycle” Intervention to Reduce Initiating Persons into Injecting Drug Use in an Eastern European and a US “opioid epidemic” Setting</title><title>AIDS and behavior</title><addtitle>AIDS Behav</addtitle><addtitle>AIDS Behav</addtitle><description>We tested the hypothesis that an updated “Break the Cycle” (BtC) intervention, based in social cognitive theory and motivational interviewing, would reduce the likelihood that current persons who inject drugs (PWID) would assist persons who do not inject drugs (non-PWID) with first injections in Tallinn, Estonia and Staten Island, New York City. 402 PWID were recruited, a baseline interview covering demographics, drug use, and assisting non-PWID with first drug injections was administered, followed by BtC intervention. 296 follow-up interviews were conducted 6 months post-intervention. Percentages assisting with first injections declined from 4.7 to 1.3% (73% reduction) in Tallinn (p < 0.02), and from 15 to 6% (60% reduction) in Staten Island (p < 0.05). Persons assisted with first injections declined from 11 to 3 in Tallinn (p = 0.02) and from 32 to 13 in Staten Island. (p = 0.024). Further implementation research on BtC interventions is urgently needed where injecting drug use is driving HIV/HCV epidemics and areas experiencing opioid epidemics.</description><subject>Cognitive ability</subject><subject>Demographics</subject><subject>Demography</subject><subject>Drug abuse</subject><subject>Drug use</subject><subject>Epidemics</subject><subject>Health Psychology</subject><subject>HIV</subject><subject>Human immunodeficiency virus</subject><subject>Infectious Diseases</subject><subject>Intervention</subject><subject>Interviews</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Motivation</subject><subject>Narcotics</subject><subject>Opioids</subject><subject>Original Paper</subject><subject>Public 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Greete</au><au>Demarest, Donna</au><au>Feelemyer, Jonathan</au><au>Berg, Hayley</au><au>Tross, Susan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Implementing an Updated “Break the Cycle” Intervention to Reduce Initiating Persons into Injecting Drug Use in an Eastern European and a US “opioid epidemic” Setting</atitle><jtitle>AIDS and behavior</jtitle><stitle>AIDS Behav</stitle><addtitle>AIDS Behav</addtitle><date>2019-09-01</date><risdate>2019</risdate><volume>23</volume><issue>9</issue><spage>2304</spage><epage>2314</epage><pages>2304-2314</pages><issn>1090-7165</issn><eissn>1573-3254</eissn><abstract>We tested the hypothesis that an updated “Break the Cycle” (BtC) intervention, based in social cognitive theory and motivational interviewing, would reduce the likelihood that current persons who inject drugs (PWID) would assist persons who do not inject drugs (non-PWID) with first injections in Tallinn, Estonia and Staten Island, New York City. 402 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| ispartof | AIDS and behavior, 2019-09, Vol.23 (9), p.2304-2314 |
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| source | Sociological Abstracts; Springer Nature - Complete Springer Journals |
| subjects | Cognitive ability Demographics Demography Drug abuse Drug use Epidemics Health Psychology HIV Human immunodeficiency virus Infectious Diseases Intervention Interviews Medicine Medicine & Public Health Motivation Narcotics Opioids Original Paper Public Health Reduction |
| title | Implementing an Updated “Break the Cycle” Intervention to Reduce Initiating Persons into Injecting Drug Use in an Eastern European and a US “opioid epidemic” Setting |
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