Intervening effectively with drug abusers infected with HIV: Taking into account the potential for cognitive impairment
Intervening effectively with drug abusers infected with HIV: Taking into account the potential for cognitive impairment
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DOI：
10.1080/02791072.2003.10400002
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发表时间：
2003-04-01
影响因子：
2.8
通讯作者：
Margolin, A
中科院分区：
文献类型：
--
作者：
Copenhaver, M;Avants, SK;Margolin, A
艾滋病毒阳性吸毒者在艾滋病毒感染的传播中起着重要作用。药物滥用治疗计划可以通过向这些人提供艾滋病毒预防干预措施来减少传播。然而，越来越多的证据表明，由于各种因素，相当大比例的艾滋病毒阳性吸毒者可能进入成瘾治疗，在可能阻碍他们学习，保持和执行艾滋病毒预防行为的能力的领域存在一定程度的认知障碍。因此，为了优化这些干预措施的有效性，可能需要考虑客户的认知功能水平。在这篇文章中，信息-动机-行为技能模型的艾滋病毒预防行为是用来说明在认知功能障碍可能会阻碍艾滋病毒的预防工作的方式，并提出了一些实用的策略，一线药物滥用咨询人员和其他治疗提供者可以纳入干预提供给艾滋病毒阳性的客户。
HIV-positive drug users play a significant role in the transmission of HIV infection. Substance abuse treatment programs can potentially reduce transmission by providing HIV preventive interventions to these individuals. However, there is growing evidence suggesting that, due to a variety of factors, a substantial proportion of HIV-positive drug users may enter addiction treatment with some degree of cognitive impairment in domains that could impede their ability to learn, retain, and execute HIV preventive behaviors. Hence, in order to optimize the effectiveness of these interventions, the client's level of cognitive functioning may need to be considered. In this article an Information-Motivation-Behavioral Skills model of HIV preventive behavior is used to illustrate ways in which impairment in cognitive functioning could impede HIV preventive efforts, and present several practical strategies that front-line substance abuse counseling staff and other treatment providers can incorporate into interventions delivered to HIV-positive clients.