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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. AIDS Behav 2018 Aug;22(8):2674-2686

Date

03/15/2018

Pubmed ID

29536284

Pubmed Central ID

PMC6051905

DOI

10.1007/s10461-018-2086-5

Scopus ID

2-s2.0-85043689899 (requires institutional sign-in at Scopus site)   32 Citations

Abstract

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.

Author List

Parsons JT, John SA, Millar BM, Starks TJ

Author

Steven A. John PhD Associate Professor in the Psychiatry and Behavioral Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adult
Amphetamine-Related Disorders
Anti-Retroviral Agents
Bisexuality
CD4 Lymphocyte Count
Condoms
HIV Infections
Homosexuality, Male
Humans
Male
Medication Adherence
Methamphetamine
Middle Aged
Motivational Interviewing
Risk Reduction Behavior
Sexual Behavior
Sexual and Gender Minorities
Viral Load
Young Adult