Title |
Testing the Efficacy of Combined Motivational Interviewing and Cognitive Behavioral Skills Training to Reduce Methamphetamine Use and Improve HIV Medication Adherence Among HIV-Positive Gay and Bisexual Men
|
---|---|
Published in |
AIDS and Behavior, March 2018
|
DOI | 10.1007/s10461-018-2086-5 |
Pubmed ID | |
Authors |
Jeffrey T. Parsons, Steven A. John, Brett M. Millar, Tyrel J. Starks |
Abstract |
Prior research has identified subgroups of HIV-positive gay and bisexual men (GBM) based upon information, motivation, and behavioral skills (IMB) profiles related to HIV medication adherence and methamphetamine use. We conducted a randomized controlled trial of a combined motivational interview (MI) and cognitive behavioral therapy (CBT) intervention tailored specifically to the unique context of HIV-positive GBM, and tested whether IMB profiles moderated treatment effects. HIV-positive GBM (N = 210) were randomized to MI + CBT or an attention-matched education control. Both conditions resulted in reduced methamphetamine use, improved medication adherence (and higher CD4 and lower viral loads), and fewer acts of condomless anal sex at 3, 6, 9 and 12 months post-intervention. Furthermore, the MI + CBT condition achieved greater improvements in medication adherence for men who had greater barriers to change compared to similarly-classified men in the control condition, suggesting the importance of pre-intervention profiles for tailoring future interventions. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 130 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 21 | 16% |
Student > Ph. D. Student | 15 | 12% |
Student > Doctoral Student | 12 | 9% |
Researcher | 11 | 8% |
Student > Bachelor | 11 | 8% |
Other | 19 | 15% |
Unknown | 41 | 32% |
Readers by discipline | Count | As % |
---|---|---|
Psychology | 26 | 20% |
Medicine and Dentistry | 17 | 13% |
Nursing and Health Professions | 15 | 12% |
Social Sciences | 9 | 7% |
Pharmacology, Toxicology and Pharmaceutical Science | 4 | 3% |
Other | 11 | 8% |
Unknown | 48 | 37% |