Testing an optimized community-based human immunodeficiency virus (HIV) risk reduction and antiretroviral adherence intervention for HIV-infected injection drug users.

Testing an optimized community-based human immunodeficiency virus (HIV) risk reduction and antiretroviral adherence intervention for HIV-infected injection drug users.
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DOI:
10.1080/08897077.2011.540466
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发表时间:
2011-01
期刊:
影响因子:
3.5
通讯作者:
Altice FL
Altice FL
中科院分区:
医学3区
文献类型:
--
作者:
Copenhaver MM;Lee IC;Margolin A;Bruce RD;Altice FL

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我们进行了一项初步研究,4届社区友好的健康恢复计划艾滋病毒感染的吸毒者(CHRP+),这是改编自12届循证降低风险和抗逆转录病毒治疗依从性干预。在正确遵守艾滋病毒药物治疗方案所需的行为技能方面发现了改善。在降低性风险结果的所有测量方面都发现了增强,包括艾滋病毒知识,减少性风险行为的动机,与降低性风险相关的行为技能和降低风险行为。吸毒成果的改善包括减少风险技能的提高以及海洛因和可卡因使用的减少。干预效果也显示了从干预后到随访评估点的持久性。女性在减少风险技能和风险行为方面的反应特别好。这项研究表明,以证据为基础的行为干预可能会成功地适用于以社区为基础的临床环境中,艾滋病毒感染的吸毒者可以更有效地达到。
We conducted a preliminary study of the 4 session Community-Friendly Health Recovery Program for HIV-infected drug users (CHRP+) which was adapted from a 12 session evidence-based risk reduction and antiretroviral adherence intervention. Improvements were found in the behavioral skills required to properly adhere to HIV medication regimens. Enhancements were found in all measured aspects of sex-risk reduction outcomes including HIV knowledge, motivation to reduce sex-risk behavior, behavioral skills related to engaging in reduced sexual risk, and reduced risk behavior. Improvements in drug use outcomes included enhancements in risk reduction skills as well as reduced heroin and cocaine use. Intervention effects also showed durability from Post-intervention to the Follow-up assessment point. Females responded particularly well in terms of improvements in risk reduction skills and risk behavior. This study suggests that an evidence-based behavioral intervention may be successfully adapted for use in community-based clinical settings where HIV-infected drug users can be more efficiently reached.
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