Reducing Sexual Risk Behaviors and Alcohol Use Among HIV-Positive Men Who Have Sex With Men: A Randomized Clinical Trial
Reducing Sexual Risk Behaviors and Alcohol Use Among HIV-Positive Men Who Have Sex With Men: A Randomized Clinical Trial
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DOI：
10.1037/a0015519
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发表时间：
2009-08-01
影响因子：
5.9
通讯作者：
Parsons, Jeffrey T.
中科院分区：
文献类型：
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作者：
Velasquez, Mary M.;von Sternberg, Kirk;Parsons, Jeffrey T.
这项随机临床试验（N = 253）评估了一种基于理论的干预措施的有效性，该干预措施旨在减少与酒精使用障碍男性发生性关系的HIV阳性男性的酒精使用和无保护性行为的发生率。一个综合的，手动的干预，使用个人咨询和同伴团体的教育/支持，进行了比较与控制条件下，参与者收到资源转介。干预的基础上的跨理论模型的阶段和变化的过程中，和动机访谈，以提高客户的变化准备。主要的发现包括治疗效果，减少每30天内的饮酒次数，每30天内的大量饮酒天数，以及大量饮酒和无保护性行为发生的天数。从业人员采用这种干预可能会实现增强客户端的结果，减少酒精使用和危险的性行为。
This randomized clinical trial (N = 253) evaluated the efficacy of a theory-based intervention designed to reduce both alcohol use and incidence of unprotected sexual behaviors among HIV-positive men who have sex with men with alcohol use disorders. An integrated, manualized intervention, using both individual counseling and peer group education/support, was compared with a control condition in which participants received resource referrals. The intervention was based on the transtheoretical model's stages and processes of change, and motivational interviewing was used to enhance client readiness for change. Major findings include treatment effects for reduction in number of drinks per 30-day period, number of heavy drinking days per 30-day period, and number of days on which both heavy drinking and unprotected sex occurred. Practitioners employing this intervention may achieve enhanced client outcomes in reduction of both alcohol use and risky sexual behavior.