Motivational interviewing with personalized feedback to reduce alcohol use in HIV-infected men who have sex with men: A randomized controlled trial.
Motivational interviewing with personalized feedback to reduce alcohol use in HIV-infected men who have sex with men: A randomized controlled trial.
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DOI：
10.1037/ccp0000322
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发表时间：
2018-08
影响因子：
5.9
通讯作者：
Mayer KH
中科院分区：
文献类型：
--
作者：
Kahler CW;Pantalone DW;Mastroleo NR;Liu T;Bove G;Ramratnam B;Monti PM;Mayer KH
这项随机对照试验测试了动机访谈（MI）对减少从事艾滋病毒护理但目前未接受成瘾治疗的重度饮酒男性（MSM）饮酒的有效性。180名HIV感染的男男性行为者被随机分配到MI组或常规治疗（TAU）对照组。MI包括一次面对面会议，随后是两次简短的电话会议和3个月和6个月时的面对面助推会议。时间轴随访访谈评估了基线后3、6和12个月的过去30天的饮酒和性行为，血清样本和医疗记录评估了病毒载量、CD 4细胞计数和肝功能。在6个月和12个月时，与TAU相比，MI导致每周饮酒量明显减少（6个月：B = −8.72，95% CI = −12.69，−4.76; 12个月：B = −5.98，95% CI = −9.77，−2.19）和重度饮酒天数较少（6个月：发生率比= 0.55，95% CI = 0.38，0.79; 12个月：发生率比= 0.50，95% CI = 0.33，0.78）。对病毒载量、CD 4细胞计数和肝功能的影响不显著。在基线时报告与非稳定性伴侣发生无安全套性行为的患者中，MI导致3个月和12个月时这种行为的发生率显著低于TAU。在感染艾滋病毒的男男性行为者中，MI显示出减少大量饮酒和减少高危人群中无避孕套性行为的实质性希望。
This randomized controlled trial tested the efficacy of motivational interviewing (MI) to reduce alcohol use among heavy drinking men who have sex with men (MSM) who are engaged in HIV care but not currently receiving addictions treatment. One hundred eighty MSM living with HIV–recruited regardless of interest in changing drinking—were randomly assigned to MI or an assessment-only treatment as usual (TAU) control. MI comprised one in-person session followed by two brief phone calls and in-person booster sessions at 3 and 6 months. The Timeline Follow-Back Interview assessed past 30-day alcohol use and sexual behavior at 3, 6, and 12 months post-baseline, and serum samples and medical records assessed viral load, CD4 cell count, and liver function. At 6 and 12 months, MI compared to TAU resulted in significantly fewer drinks per week (6 months: b = −8.72, 95% CI = −12.69, −4.76; 12 months: b = −5.98, 95% CI = −9.77, −2.19) and lower number of heavy drinking days (6 months: incidence rate ratio = 0.55, 95% CI = 0.38, 0.79; 12 months: incidence rate ratio = 0.50, 95% CI = 0.33, 0.78). Effects on viral load, CD4 cell count, and liver function were nonsignificant. Among those reporting condomless sex with non-steady partners at baseline, MI resulted in significantly lower rates of this behavior at 3 and 12 months compared to TAU. In MSM living with HIV, MI shows substantial promise for reducing heavy drinking and for reducing condomless sex among those at risk.
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DOI：
10.1080/09540120412331336652
发表时间：
2005-08-01
影响因子：
1.7
作者：
Giordano, TP;Visnegarwala, F;Grimes, RM
通讯作者：
Grimes, RM
DOI：
10.1111/j.1530-0277.2010.01335.x
发表时间：
2011-02-01
影响因子：
3.2
作者：
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通讯作者：
Quesenberry, Charles P., Jr.
DOI：
10.1097/qai.0000000000000679
发表时间：
2015-10-01
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
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作者：
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通讯作者：
McCaul ME
影响因子：
4.2
作者：
Justice, Amy C.;McGinnis, Kathleen A.;Fiellin, David A.
通讯作者：
Fiellin, David A.
影响因子：
4.4
作者：
Kahler, Christopher W.;Wray, Tyler B.;Pantalone, David W.;Kruis, Ryan D.;Mastroleo, Nadine R.;Monti, Peter M.;Mayer, Kenneth H.
通讯作者：
Mayer, Kenneth H.