Behavioral Activation and HIV Risk Reduction for Men Who Have Sex With Men With Crystal Meth Abuse
| Status: | Completed |
|---|---|
| Conditions: | Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/2/2016 |
| Start Date: | January 2011 |
| End Date: | December 2013 |
| Contact: | Matthew Mimiaga, ScD, MPH |
| Email: | MMimiaga@fenwayhealth.org |
| Phone: | 617-927-6084 |
Behavioral Activation and HIV Risk Reduction for MSM With Crystal Methamphetamine Abuse
The purpose of this study is to research a new behavioral treatment to reduce sexual
risk-taking in men who have sex with men (MSM) who abuse crystal methamphetamine (crystal
meth), and are at risk for HIV acquisition. This study proposes using a treatment based on
our original pilot study that incorporates risk reduction and behavioral activation therapy.
In order to help learn what types of treatment programs best help individuals who abuse
crystal meth and engage in sexual risk-taking, we will compare our treatment to a control
group. The treatment group will receive therapy incorporating behavioral risk reduction
counseling with behavioral activation therapy to treat depression, helping individuals
reengage in their life. The control group will receive the risk reduction counseling without
the behavioral activation therapy. The current study hopes to explore the efficacy of this
previous developed treatment in a two-arm pilot randomized controlled trial.
risk-taking in men who have sex with men (MSM) who abuse crystal methamphetamine (crystal
meth), and are at risk for HIV acquisition. This study proposes using a treatment based on
our original pilot study that incorporates risk reduction and behavioral activation therapy.
In order to help learn what types of treatment programs best help individuals who abuse
crystal meth and engage in sexual risk-taking, we will compare our treatment to a control
group. The treatment group will receive therapy incorporating behavioral risk reduction
counseling with behavioral activation therapy to treat depression, helping individuals
reengage in their life. The control group will receive the risk reduction counseling without
the behavioral activation therapy. The current study hopes to explore the efficacy of this
previous developed treatment in a two-arm pilot randomized controlled trial.
1. To estimate, in a two-arm pilot randomized controlled trial (RCT), the effect size of
the proposed intervention on reductions in sexual risk taking and crystal meth use. The
primary outcome is the number of unprotected anal sex acts and a secondary outcome is
reduction in crystal meth use episodes over the follow up period.
2. To explore the degree to which improvements in sexual risk taking are associated with
the conceptual mediators of the effects of the intervention: reductions in crystal meth
use and increases in pleasurable (but safe) activities, BAT skills, use of risk
reduction skills, and reductions in depressed mood.
the proposed intervention on reductions in sexual risk taking and crystal meth use. The
primary outcome is the number of unprotected anal sex acts and a secondary outcome is
reduction in crystal meth use episodes over the follow up period.
2. To explore the degree to which improvements in sexual risk taking are associated with
the conceptual mediators of the effects of the intervention: reductions in crystal meth
use and increases in pleasurable (but safe) activities, BAT skills, use of risk
reduction skills, and reductions in depressed mood.
Inclusion Criteria:
- Age: 18 years or older
- Self-reports as a man who has sex with men
- HIV-uninfected and verifies serostatus at baseline (HIV antibody testing and positive
tests will be confirmed by Western Blots; see Human Subjects for operational aspects)
- Meets DSM-IV diagnostic criteria for crystal meth abuse/dependence
- Self reported unprotected anal intercourse—receptive or insertive—with a
non-monogamous male sexual partner, while concurrently using crystal meth (use of
meth must be a few hours prior to, or during, sex) in the prior three months
Exclusion Criteria:
- Unable to provide informed consent due to severe mental or physical illness, or
substance intoxication at the time of interview
- Has lived in the greater Boston area for three months or less (as a means to enhance
participant retention)
- Discovery of active suicidal ideation at the time of interview (these patients will
be referred immediately for treatment, but may join the study when this is resolved)
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