TY - JOUR
KW - Adult
KW - Amphetamine-Related Disorders/therapy
KW - Anti-Retroviral Agents/therapeutic use
KW - Bisexuality
KW - CD4 Lymphocyte Count
KW - cognitive behavioral therapy
KW - Condoms/statistics & numerical data
KW - HIV Infections/blood/drug therapy
KW - Homosexuality, Male
KW - Humans
KW - Male
KW - Medication Adherence
KW - Methamphetamine
KW - Middle Aged
KW - Motivational Interviewing
KW - Risk Reduction Behavior
KW - Sexual Behavior/statistics & numerical data
KW - Sexual and Gender Minorities
KW - Viral Load
KW - Young Adult
KW - Crystal methamphetamine
KW - Drug intervention
KW - HIV
KW - IMB model
KW - Men who have sex with men (MSM)
AU - J. T. Parsons
AU - S. A. John
AU - B. M. Millar
AU - T. J. Starks
A1 - 
AB - Prior research has identified subgroups of HIV-positive gay and bisexual men (GBM) based upon information, motivation, and behavioral skills (IMB) profiles related to HIV medication adherence and methamphetamine use. We conducted a randomized controlled trial of a combined motivational interview (MI) and cognitive behavioral therapy (CBT) intervention tailored specifically to the unique context of HIV-positive GBM, and tested whether IMB profiles moderated treatment effects. HIV-positive GBM (N = 210) were randomized to MI + CBT or an attention-matched education control. Both conditions resulted in reduced methamphetamine use, improved medication adherence (and higher CD4 and lower viral loads), and fewer acts of condomless anal sex at 3, 6, 9 and 12 months post-intervention. Furthermore, the MI + CBT condition achieved greater improvements in medication adherence for men who had greater barriers to change compared to similarly-classified men in the control condition, suggesting the importance of pre-intervention profiles for tailoring future interventions.
AD - Department of Psychology, Hunter College of the City University of New York (CUNY), 695 Park Ave., New York, NY, 10065, USA. Jeffrey.Parsons@hunter.cuny.edu.; Health Psychology and Clinical Science Doctoral Program, Graduate Center, CUNY, New York, NY, USA. Jeffrey.Parsons@hunter.cuny.edu.; Center for HIV/AIDS Educational Studies and Training (CHEST), Hunter College, CUNY, New York, NY, USA. Jeffrey.Parsons@hunter.cuny.edu.; Center for HIV/AIDS Educational Studies and Training (CHEST), Hunter College, CUNY, New York, NY, USA.; Health Psychology and Clinical Science Doctoral Program, Graduate Center, CUNY, New York, NY, USA.; Center for HIV/AIDS Educational Studies and Training (CHEST), Hunter College, CUNY, New York, NY, USA.; Department of Psychology, Hunter College of the City University of New York (CUNY), 695 Park Ave., New York, NY, 10065, USA.; Health Psychology and Clinical Science Doctoral Program, Graduate Center, CUNY, New York, NY, USA.; Center for HIV/AIDS Educational Studies and Training (CHEST), Hunter College, CUNY, New York, NY, USA.
BT - AIDS and behavior
C5 - Healthcare Disparities; Opioids & Substance Use
CP - 8
DO - 10.1007/s10461-018-2086-5
IS - 8
JF - AIDS and behavior
LA - eng
M1 - Journal Article
N2 - Prior research has identified subgroups of HIV-positive gay and bisexual men (GBM) based upon information, motivation, and behavioral skills (IMB) profiles related to HIV medication adherence and methamphetamine use. We conducted a randomized controlled trial of a combined motivational interview (MI) and cognitive behavioral therapy (CBT) intervention tailored specifically to the unique context of HIV-positive GBM, and tested whether IMB profiles moderated treatment effects. HIV-positive GBM (N = 210) were randomized to MI + CBT or an attention-matched education control. Both conditions resulted in reduced methamphetamine use, improved medication adherence (and higher CD4 and lower viral loads), and fewer acts of condomless anal sex at 3, 6, 9 and 12 months post-intervention. Furthermore, the MI + CBT condition achieved greater improvements in medication adherence for men who had greater barriers to change compared to similarly-classified men in the control condition, suggesting the importance of pre-intervention profiles for tailoring future interventions.
PY - 2018
SN - 1573-3254; 1090-7165; 1090-7165
SP - 2674
EP - 2686
EP - 
T1 - Testing the Efficacy of Combined Motivational Interviewing and Cognitive Behavioral Skills Training to Reduce Methamphetamine Use and Improve HIV Medication Adherence Among HIV-Positive Gay and Bisexual Men
T2 - AIDS and behavior
TI - Testing the Efficacy of Combined Motivational Interviewing and Cognitive Behavioral Skills Training to Reduce Methamphetamine Use and Improve HIV Medication Adherence Among HIV-Positive Gay and Bisexual Men
U1 - Healthcare Disparities; Opioids & Substance Use
U2 - 29536284
U3 - 10.1007/s10461-018-2086-5
VL - 22
VO - 1573-3254; 1090-7165; 1090-7165
Y1 - 2018
Y2 - Aug
ER -