A Pilot Randomized Trial of Intervention Components Addressing Drug Use in Couples HIV Testing and Counseling (CHTC) with Male Couples
A Pilot Randomized Trial of Intervention Components Addressing Drug Use in Couples HIV Testing and Counseling (CHTC) with Male Couples
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DOI：
10.1007/s10461-019-02455-2
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发表时间：
2019-09-01
影响因子：
4.4
通讯作者：
Parsons, Jeffrey T.
中科院分区：
文献类型：
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作者：
Starks, Tyrel J.;Dellucci, Trey V.;Parsons, Jeffrey T.
男男性行为者（MSM）的药物使用率和艾滋病毒感染率很高。这些新的艾滋病毒感染者中有许多人（35-68%）是主要伴侣。本研究开发并检查了两个辅助组件的有效性，夫妇艾滋病毒检测和咨询（CHTC）-沟通培训（CT）视频和物质使用模块（SUM）-以减少药物使用和性传播艾滋病毒的风险在男男性行为者夫妇。参与者包括70对男性夫妇，随机分为四种情况之一：CHTC，CHTC + CT视频，CHTC + SUM和CHTC + CT视频+ SUM。参与者在干预前以及1个月、3个月和6个月后完成了一项调查。在没有CT视频的情况下完成SUM与药物使用和相关问题的显著立即减少相关;然而，在3个月和6个月的随访中，SUM仅与也观看CT视频的男性中药物使用和相关问题的减少相关。在性行为方面没有条件差异。CHTC可以作为一种工具，为MSM夫妇提供简短的物质使用干预。ClinicalTrails.gov NCT # 03125915
Men who have sex with men (MSM) experience high rates of substance use and HIV infection. Main partners are the source of many (35-68%) of these new HIV infections. This study developed and examined the efficacy of two adjunct components to couples HIV testing and counseling (CHTC)-communication training (CT) videos and a substance use module (SUM)-to reduce drug use and sexual HIV transmission risk in MSM couples. Participants included 70 male couples randomized into one of four conditions: CHTC, CHTC + CT videos, CHTC + SUM, and CHTC + CT videos + SUM. Participants completed a survey pre-intervention and 1-, 3-, and 6-months later. Completion of the SUM in the absence of CT videos was associated with significant immediate decreases in drug use and related problems; however, at 3- and 6-month follow ups, the SUM was only associated with reductions in drug use and related problems among men who also viewed the CT videos. There were no between-condition differences in sexual behavior. CHTC may serve as a vehicle for the delivery of brief substance use intervention for MSM couples. ClinicalTrails.gov NCT # 03125915