Men in Methadone Maintenance versus Psychosocial Outpatient Treatment: Differences in Sexual Risk Behaviors and Intervention Effectiveness from a Multisite HIV Prevention Intervention Trial.

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This new article in Journal of Addictive Diseases, written by Don Calsyn, Susan Doyle, and Mary Hatch-Maillette of the Alcohol & Drug Abuse Institute at the University of Washington, as well as other colleagues from the National Drug Abuse Treatment Clinical Trials Network (CTN), reports on the effectiveness of the Real Men Are Safe (REMAS) HIV prevention intervention (protocol CTN-0018) as a function of treatment program modality.

REMAS is a five-session sexual risk reduction intervention for men involving didactically delivered informational material, role playing, peer group discussions, and self-assessment motivational exercises (see REMAS manual).

REMAS was associated with significantly larger decreases in unprotected sexual occasions than an HIV education control condition in both methadone maintenance and psychosocial outpatient program participants, however it was especially effective with the latter group.  Potential reasons why are explored in this article, including differences in patient variables, the effects of methadone as a treatment, and greater relevance of the REMAS intervention to patients in outpatient treatment.

Modifications of the REMAS approach may be needed to further enhance effectiveness with methadone maintained patients.

Find the article in the CTN Dissemination Library: http://ctndisseminationlibrary.org/display/512.htm

Article citation: Calsyn DA, Campbell ANC, Crits-Christoph P, Doyle SR, Tross S, Hatch-Maillette MA, Mandler RN.  Men in methadone maintenance versus psychosocial outpatient treatment: Differences in sexual risk behaviors and intervention effectiveness from a multisite HIV prevention intervention trial.  Journal of Addictive Diseases 2010;29(3):370-382. [doi: 10.1080/10550887.2010.489451]

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