Reducing HIV-related risk behaviors among injection drug users in residential detoxification

Robert E. Booth; Barbara K. Campbell; Susan K. Mikulich-Gilbertson; Carrie J. Tillotson; Dongseok Choi; James Robinson; Donald A. Calsyn; Raul N. Mandler; Lindsay M. Jenkins; Laetitia L. Thompson; Catherine L. Dempsey; Michael R. Liepman; Dennis McCarty

doi:10.1007/s10461-010-9751-7

Reducing HIV-related risk behaviors among injection drug users in residential detoxification

Robert E. Booth
, Barbara K. Campbell
, Susan K. Mikulich-Gilbertson
, Carrie J. Tillotson
, Dongseok Choi
, James Robinson
, Donald A. Calsyn
, Raul N. Mandler
, Lindsay M. Jenkins
, Laetitia L. Thompson
, Catherine L. Dempsey
, Michael R. Liepman
, Dennis McCarty

School Of Public Health

Research output: Contribution to journal › Article › peer-review

28 Scopus citations

Abstract

This study of 632 drug injectors enrolled in eight residential detoxification centers within the National Drug Abuse Treatment Clinical Trials Network tested three interventions to reduce drug and sex risk behaviors. Participants were randomized to: (a) a two-session, HIV/HCV counseling and education (C&E) model added to treatment as usual (TAU), (b) a one-session, therapeutic alliance (TA) intervention conducted by outpatient counselors to facilitate treatment entry plus TAU, or (c) TAU. Significant reductions in drug and sex risk behaviors occurred for all three conditions over a 6-month follow-up period. C&E participants reported significantly greater rates of attending an HIV testing appointment, but this was not associated with better risk reduction outcomes. Reporting treatment participation within 2 months after detoxification and self-efficacy to practice safer injection behavior predicted reductions in injection risk behaviors. Findings indicate that participation in detoxification was followed by significant decreases in drug injection and risk behaviors for up to 6-months; interventions added to standard treatment offered no improvement in risk behavior outcomes.

Original language	English (US)
Pages (from-to)	30-44
Number of pages	15
Journal	AIDS and Behavior
Volume	15
Issue number	1
DOIs	https://doi.org/10.1007/s10461-010-9751-7
State	Published - Jan 1 2011

Funding

from the Oregon Clinical and Translational Research Institute (UL1 RR024140) from the National Center for Research Resources (NCRR), a component of the National Institutes of Health (NIH), and NIH Roadmap for Medical Research.

Funders	Funder number
NIH Roadmap for Medical Research
Author National Institutes of Health National Institutes of Health National Institutes of Health National Institutes of Health The Bev Hartig Huntington's Disease Foundation National Institutes of Health
National Institute on Drug Abuse	U10DA013036
National Center for Research Resources	NCRR
Oregon Clinical and Translational Research Institute	UL1 RR024140

Keywords

Detoxification
Drug injection
Risk reduction
Treatment entry

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

Access to Document

10.1007/s10461-010-9751-7

Cite this

Booth, R. E., Campbell, B. K., Mikulich-Gilbertson, S. K., J. Tillotson, C., Choi, D., Robinson, J., Calsyn, D. A., Mandler, R. N., Jenkins, L. M., Thompson, L. L., Dempsey, C. L., Liepman, M. R., & McCarty, D. (2011). Reducing HIV-related risk behaviors among injection drug users in residential detoxification. AIDS and Behavior, 15(1), 30-44. https://doi.org/10.1007/s10461-010-9751-7

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abstract = "This study of 632 drug injectors enrolled in eight residential detoxification centers within the National Drug Abuse Treatment Clinical Trials Network tested three interventions to reduce drug and sex risk behaviors. Participants were randomized to: (a) a two-session, HIV/HCV counseling and education (C\&E) model added to treatment as usual (TAU), (b) a one-session, therapeutic alliance (TA) intervention conducted by outpatient counselors to facilitate treatment entry plus TAU, or (c) TAU. Significant reductions in drug and sex risk behaviors occurred for all three conditions over a 6-month follow-up period. C\&E participants reported significantly greater rates of attending an HIV testing appointment, but this was not associated with better risk reduction outcomes. Reporting treatment participation within 2 months after detoxification and self-efficacy to practice safer injection behavior predicted reductions in injection risk behaviors. Findings indicate that participation in detoxification was followed by significant decreases in drug injection and risk behaviors for up to 6-months; interventions added to standard treatment offered no improvement in risk behavior outcomes.",

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Reducing HIV-related risk behaviors among injection drug users in residential detoxification

Abstract

Funding

Keywords

ASJC Scopus subject areas

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