title: Randomized trial to reduce club drug use and HIV risk behaviors among men who have sex with men.
abstract: The authors examined the effectiveness of motivational interviewing (MI) on club drug use and risky sex in non-treatment-seeking men who have sex with men (MSM). MSM (N = 150) were assessed and randomly assigned to 4 sessions of MI or an educational control intervention. Follow-up occurred at quarterly intervals for 1 year. Primary outcomes were days of any club drug use and number of unsafe sex acts. On average, club drug use declined during follow-up. A significant interaction effect showed that MI was associated with less club drug use during follow-up compared with education but only among participants with lower severity of drug dependence (p < .02; small to medium effect size). MI did not result in a significant reduction in risky sex relative to education. The results support the use of MI targeting club drug use in at-risk or mildly dependent users not seeking treatment but not in more severely dependent users. MI does not appear effective in reducing risky sexual behavior in this population.
authors.affiliation: Research Foundation for Mental Hygiene, Columbia University College of Physicians and Surgeons, New York, NY 10032, USA. jm977@columbia.edu
authors.forename: Jon
authors.initials: J
authors.lastname: Morgenstern
authors.forename: Donald A
authors.initials: DA
authors.lastname: Bux
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Parsons
authors.forename: Brett T
authors.initials: BT
authors.lastname: Hagman
authors.forename: Milton
authors.initials: M
authors.lastname: Wainberg
authors.forename: Thomas
authors.initials: T
authors.lastname: Irwin
mesh_terms: D000328:Adult; D005500:Follow-Up Studies; D015658:HIV Infections / Q000517:prevention & control* / Q000523:psychology / Q000635:transmission; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D018451:Homosexuality, Male / Q000523:psychology*; D006801:Humans; D013287:Illicit Drugs; D008297:Male; D008875:Middle Aged; D009042:Motivation; D009519:New York City; D011613:Psychotherapy / Q000379:methods*; D019966:Substance-Related Disorders / Q000517:prevention & control* / Q000523:psychology; D047568:Unsafe Sex / Q000517:prevention & control* / Q000523:psychology*
chemical_list: D013287:Illicit Drugs