Motivational and skills training HIV/sexually transmitted infection sexual risk reduction groups for men

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• 作者：Donald A. Calsyn ; Mary Hatch-Maillette ; Susan Tross ; Suzanne R. Doyle ; Paul Crits-Christoph ; Yong S. Song ; Judy M. Harrer ; Genise Lalos ; Sara B. Berns
• 关键词：HIV prevention ; Substance abuse treatment ; Behavioral intervention
• 刊名：Journal of Substance Abuse Treatment
• 出版年：2009
• 出版时间：September 2009
• 年：2009
• 卷：37
• 期：2
• 页码：138-150
• 全文大小：399 K

文摘

The effectiveness of a motivational and skills training HIV/AIDS group intervention designed for men in substance abuse treatment was evaluated. Men in methadone maintenance (n = 288) or outpatient psychosocial treatment (n = 302) completed assessments at baseline, 2 weeks, 3 months, and 6 months postintervention. Participants were randomly assigned to attend either Real Men Are Safe (REMAS; five sessions containing information, motivational exercises, and skills training) or HIV education (HIV-Ed; one session containing HIV prevention information). REMAS participants engaged in significantly fewer unprotected vaginal and anal sexual intercourse occasions (USO) during the 90 days prior to the 3- and 6-month follow-ups than HIV-Ed participants. Completing REMAS resulted in an even stronger effect: Completers reduced their number of USO by 21 % from baseline to 6-month follow-up. In contrast, HIV-Ed completers increased the number of USO by 2 % . A motivational and skills training HIV prevention intervention designed for men was associated with greater sexual risk reduction over standard HIV-Ed. Substance abuse treatment programs can therefore help reduce sexual risk among their clientele by providing a more intensive intervention than what is traditionally provided.