title: Motivational and skills training HIV/sexually transmitted infection sexual risk reduction groups for men.
abstract: The effectiveness of a motivational and skills training HIV/AIDS group intervention designed for men in substance abuse treatment was evaluated. Men in methadone maintenance (n = 288) or outpatient psychosocial treatment (n = 302) completed assessments at baseline, 2 weeks, 3 months, and 6 months postintervention. Participants were randomly assigned to attend either Real Men Are Safe (REMAS; five sessions containing information, motivational exercises, and skills training) or HIV education (HIV-Ed; one session containing HIV prevention information). REMAS participants engaged in significantly fewer unprotected vaginal and anal sexual intercourse occasions (USO) during the 90 days prior to the 3- and 6-month follow-ups than HIV-Ed participants. Completing REMAS resulted in an even stronger effect: Completers reduced their number of USO by 21% from baseline to 6-month follow-up. In contrast, HIV-Ed completers increased the number of USO by 2%. A motivational and skills training HIV prevention intervention designed for men was associated with greater sexual risk reduction over standard HIV-Ed. Substance abuse treatment programs can therefore help reduce sexual risk among their clientele by providing a more intensive intervention than what is traditionally provided.
authors.affiliation: Alcohol and Drug Abuse Institute, University of Washington, Seattle, WA 98105, USA. calsyn@u.washington.edu
authors.forename: Donald A
authors.initials: DA
authors.lastname: Calsyn
authors.forename: Mary
authors.initials: M
authors.lastname: Hatch-Maillette
authors.forename: Susan
authors.initials: S
authors.lastname: Tross
authors.forename: Suzanne R
authors.initials: SR
authors.lastname: Doyle
authors.forename: Paul
authors.initials: P
authors.lastname: Crits-Christoph
authors.forename: Yong S
authors.initials: YS
authors.lastname: Song
authors.forename: Judy M
authors.initials: JM
authors.lastname: Harrer
authors.forename: Genise
authors.initials: G
authors.lastname: Lalos
authors.forename: Sara B
authors.initials: SB
authors.lastname: Berns
mesh_terms: D000328:Adult; D005500:Follow-Up Studies; D015658:HIV Infections / Q000517:prevention & control; D006266:Health Education / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008691:Methadone / Q000627:therapeutic use; D008875:Middle Aged; D009042:Motivation; D009294:Narcotics / Q000627:therapeutic use; D040242:Risk Reduction Behavior; D012309:Risk-Taking; D021841:Safe Sex / Q000523:psychology; D012725:Sexual Behavior / Q000523:psychology; D012749:Sexually Transmitted Diseases / Q000517:prevention & control; D019966:Substance-Related Disorders / Q000523:psychology* / Q000534:rehabilitation
chemical_list: D009294:Narcotics; D008691:Methadone