Reducing sexual risk behaviors and alcohol use among HIV-positive men who have sex with men: A randomized clinical trial

TitleReducing sexual risk behaviors and alcohol use among HIV-positive men who have sex with men: A randomized clinical trial
Publication TypeJournal Article
Year of Publication2009
AuthorsVelasquez, MM, from Sternberg, K, Johnson, DH, Green, C, Carbonari, JP, Parsons, JT
JournalJournal of Consulting and Clinical Psychology
Volume77
Pagination657-667
Date PublishedAug
Publication Languageeng
ISBN Number1939-2117 (Electronic)0022-006X (Linking)
Accession Number19634959
Keywords*Motivation, Adult, Alcoholism/*prevention & control/psychology, Behavior Therapy/*methods, Combined Modality Therapy, Cross-Sectional Studies, Follow-Up Studies, Health Education/*methods, HIV Seropositivity/*psychology, Homosexuality, Male/*psychology, Humans, Male, Middle Aged, Psychotherapy, Group/*methods, Treatment Outcome, Unsafe Sex/*prevention & control/*psychology/statistics & numerical data, Y
Abstract

This randomized clinical trial (N = 253) evaluated the efficacy of a theory-based intervention designed to reduce both alcohol use and incidence of unprotected sexual behaviors among HIV-positive men who have sex with men with alcohol use disorders. An integrated, manualized intervention, using both individual counseling and peer group education/support, was compared with a control condition in which participants received resource referrals. The intervention was based on the transtheoretical model's stages and processes of change, and motivational interviewing was used to enhance client readiness for change. Major findings include treatment effects for reduction in number of drinks per 30-day period, number of heavy drinking days per 30-day period, and number of days on which both heavy drinking and unprotected sex occurred. Practitioners employing this intervention may achieve enhanced client outcomes in reduction of both alcohol use and risky sexual behavior.

URLhttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=19634959
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