Abstract
Homeless, substance-dependent men who have sex with men (MSM) continue to suffer health disparities, including high rates of HIV. One-hundred and thirty one homeless, substancedependent MSM were randomized into a contingency management (CM) intervention to increase substance abstinence and health-promoting behaviors. Participants were recruited from a community-based, health education/risk reduction HIV prevention program and the research activities were also conducted at the community site. Secondary analyses were conducted to identify and characterize treatment responders (defined as participants in a contingency management intervention who scored at or above the median on three primary outcomes). Treatment responders were more likely to be Caucasian/White (p <.05), report fewer years of lifetime methamphetamine, cocaine, and polysubstance use (p ≤.05), and report more recent sexual partners and high-risk sexual behaviors than nonresponders (p <.05). The application of evidence-based interventions continues to be a public health priority, especially in the effort to implement effective interventions for use in community settings. The identification of both treatment responders and nonresponders is important for intervention development tailored to specific populations, both in service programs and research studies, to optimize outcomes among highly impacted populations.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 166-172 |
| Number of pages | 7 |
| Journal | Journal of Psychoactive Drugs |
| Volume | 44 |
| Issue number | 2 |
| DOIs | |
| State | Published - Nov 5 2012 |
| Externally published | Yes |
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Keywords
- Cocaine
- Contingency management (CM)
- Homeless
- Men who have sex with men (MSM)
- Methamphetamine
- Sexual risk behavior
ASJC Scopus subject areas
- Medicine (miscellaneous)
- Psychology(all)
Cite this
Lifetime substance use and HIV sexual risk behaviors predict treatment response to contingency management among homeless, substance-dependent MSM. / Reback, Cathy J.; Peck, James A.; Fletcher, Jesse B.; Nuno, Miriam A; Dierst-Davies, Rhodri.
In: Journal of Psychoactive Drugs, Vol. 44, No. 2, 05.11.2012, p. 166-172.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Lifetime substance use and HIV sexual risk behaviors predict treatment response to contingency management among homeless, substance-dependent MSM
AU - Reback, Cathy J.
AU - Peck, James A.
AU - Fletcher, Jesse B.
AU - Nuno, Miriam A
AU - Dierst-Davies, Rhodri
PY - 2012/11/5
Y1 - 2012/11/5
N2 - Homeless, substance-dependent men who have sex with men (MSM) continue to suffer health disparities, including high rates of HIV. One-hundred and thirty one homeless, substancedependent MSM were randomized into a contingency management (CM) intervention to increase substance abstinence and health-promoting behaviors. Participants were recruited from a community-based, health education/risk reduction HIV prevention program and the research activities were also conducted at the community site. Secondary analyses were conducted to identify and characterize treatment responders (defined as participants in a contingency management intervention who scored at or above the median on three primary outcomes). Treatment responders were more likely to be Caucasian/White (p <.05), report fewer years of lifetime methamphetamine, cocaine, and polysubstance use (p ≤.05), and report more recent sexual partners and high-risk sexual behaviors than nonresponders (p <.05). The application of evidence-based interventions continues to be a public health priority, especially in the effort to implement effective interventions for use in community settings. The identification of both treatment responders and nonresponders is important for intervention development tailored to specific populations, both in service programs and research studies, to optimize outcomes among highly impacted populations.
AB - Homeless, substance-dependent men who have sex with men (MSM) continue to suffer health disparities, including high rates of HIV. One-hundred and thirty one homeless, substancedependent MSM were randomized into a contingency management (CM) intervention to increase substance abstinence and health-promoting behaviors. Participants were recruited from a community-based, health education/risk reduction HIV prevention program and the research activities were also conducted at the community site. Secondary analyses were conducted to identify and characterize treatment responders (defined as participants in a contingency management intervention who scored at or above the median on three primary outcomes). Treatment responders were more likely to be Caucasian/White (p <.05), report fewer years of lifetime methamphetamine, cocaine, and polysubstance use (p ≤.05), and report more recent sexual partners and high-risk sexual behaviors than nonresponders (p <.05). The application of evidence-based interventions continues to be a public health priority, especially in the effort to implement effective interventions for use in community settings. The identification of both treatment responders and nonresponders is important for intervention development tailored to specific populations, both in service programs and research studies, to optimize outcomes among highly impacted populations.
KW - Cocaine
KW - Contingency management (CM)
KW - Homeless
KW - Men who have sex with men (MSM)
KW - Methamphetamine
KW - Sexual risk behavior
UR - http://www.scopus.com/inward/record.url?scp=84865366433&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84865366433&partnerID=8YFLogxK
U2 - 10.1080/02791072.2012.684633
DO - 10.1080/02791072.2012.684633
M3 - Article
C2 - 22880545
AN - SCOPUS:84865366433
VL - 44
SP - 166
EP - 172
JO - Journal of Psychoactive Drugs
JF - Journal of Psychoactive Drugs
SN - 0279-1072
IS - 2
ER -