title: A randomized controlled trial of the community-friendly health recovery program (CHRP) among high-risk drug users in treatment.
abstract: Existing evidence-based HIV risk reduction interventions have not been designed for implementation within clinical settings, such as methadone maintenance programs, where many high-risk drug users seek treatment services. We therefore systematically developed an adapted, significantly shortened, version of a comprehensive evidence-based intervention called the Community-friendly Health Recovery Program (CHRP) which has demonstrated preliminary evidence of efficacy in a feasibility/acceptability study already published. In a randomized controlled trial reported here, we tested the efficacy of the CHRP intervention among high-risk drug users newly enrolled in drug treatment at an inner-city methadone maintenance program. The CHRP intervention produced improvements in drug risk reduction knowledge as well as demonstrated sex- and drug-risk reduction skills. Support was found for the IMB model of health behavior change. Implications for future intervention research and practice are considered.
authors.affiliation: Department of Allied Health Sciences, University of Connecticut, 358 Mansfield Road, Box 2101, Storrs, CT, 06269-2101, USA, michael.copenhaver@uconn.edu.
authors.forename: Michael M
authors.initials: MM
authors.lastname: Copenhaver
authors.forename: I-Ching
authors.initials: IC
authors.lastname: Lee
authors.forename: Patrick
authors.initials: P
authors.lastname: Baldwin
mesh_terms: D000328:Adult; D005260:Female; D015658:HIV Infections / Q000517:prevention & control* / Q000635:transmission; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008691:Methadone / Q000627:therapeutic use; D009042:Motivation; D058850:Opiate Substitution Treatment / Q000379:methods*; D009293:Opioid-Related Disorders / Q000453:epidemiology; D015397:Program Evaluation; D040242:Risk Reduction Behavior; D012944:Social Support; D015819:Substance Abuse, Intravenous / Q000150:complications / Q000517:prevention & control* / Q000534:rehabilitation*; D014481:United States / Q000453:epidemiology; D019037:Urban Health Services / Q000458:organization & administration / Q000706:statistics & numerical data
chemical_list: D008691:Methadone