Archive for January, 2011

Reducing HIV-Related Risk Behaviors – Outcomes from CTN-0017

January 25, 2011

The primary outcomes article from protocol CTN-0017, cowritten by Donald Calsyn and Lindsay Jenkins from the Pacific Northwest Node, has just been published in the journal AIDS and Behavior.

The article reports on findings from the study, which examined 632 drug injectors in detoxification who were randomized into three interventions aimed at reducing drug and sex risk behaviors (a 2-session HIV/HCV counseling and education model added to treatment as usual (TAU), a 1-session therapeutic alliance intervention plus TAU, or TAU alone).

Results indicated that participation in detoxification in and of itself led to significant decreases in drug injection and risk behaviors for up to six months, but the test interventions offered no added improvement in risk behavior outcomes. This study supports the importance of access to detoxification for drug injectors followed by transition to continued treatment.

Citation: Booth RE, Campbell BK, Mikulich-Gilbertson SK, Tillotson C, Choi D, Robinson JA, Calsyn DA, Mandler RN, Jenkins LM, Thompson LL, Dempsey CL, Lipeman MR, McCarty D.  Reducing HIV-related risk behaviors among injection drug users in residential detoxification.  AIDS and Behavior 2001;15(1):30-44.

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Mutual Influence in Therapists’ Adherence to MET.

January 12, 2011

This CTN platform study by Zac Imel and John Baer of the Pacific Northwest Node, as well as colleagues from the New England Consortium, examined variability in therapist adherence and competence in Motivational Enhancement Therapy (MET) both within and between caseloads in a large multi-site clinical trial (CTN-0004: Motivational Enhancement Treatment to Improve Treatment Engagement and Outcome in Subjects Seeking Treatment for Substance Abuse).

Variability in MET adherence and competence within caseloads was not consistently associated with client severity of addiction at baseline.  However, client motivation at the beginning of the session and days of use during treatment were consistent predictors of therapist adherence and competence.  Results raise questions about the nature of therapist adherence and competence in treatment protocols.

Citation: Imel ZE, Baer JS, Martino S, Ball SA, Carroll KM.  Mutual Influence in Therapist Competence and Adherence to Motivational Enhancement Therapy.  Drug and Alcohol Dependence 2011 (in press).

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