Archive for April, 2012

Developing a Computerized Sexual Risk Assessment and Feedback Tool – CTN Platform Study

April 16, 2012

This poster by Don Calsyn, Bryan Hartzler, Betsy Wells, and Michele Peavy (all of the Pacific Northwest Node) was presented at the 2011 College on Problems of Drug Dependence annual meeting (June 18-23, 2011).  It reports on a CTN platform study, “Being Safe in Treatment (BEST),” that aimed to develop a sexual risk assessment and feedback tool to be used in substance abuse treatment programs.  An audio computer-assisted self-interview HIV risk assessment previously used in a multi-site randomized controlled trial was modified for use as a brief assessment. A feedback report is generated that identifies a client’s risk behaviors and how they compare to normative groups. Suggestions for reducing risk behaviors are then provided.

Analysis of the results from the trial found that the BEST assessment and feedback report showed promise of increasing client-counselor discussion of sexual issues, and condom use and possession.

Citation:  Calsyn DA, Hartzler B, Wells EA, Peavy KM.  Developing a Computerized Sexual Risk Assessment and Feedback Tool for Use in Substance Abuse Treatment.  Poster presented at the College on Problems of Drug Dependence (CPDD) annual meeting, Hollywood, FL, June 18-23, 2011.

Find it in the CTN Dissemination Library!


Revising Real Men Are Safe for an Ethnically Diverse Group of Men

April 10, 2012

Protocol CTN-0018, “Reducing HIV/STD Risk Behaviors: A Research Study for Men in Drug Abuse Treatment,” evaluated an HIV prevention intervention targeting men in substance abuse treatment called “Real Men Are Safe” (REMAS).  REMAS was found to be effective at reducing the number of unprotected sexual occasions for men in substance abuse treatment compared to an HIV education control intervention.

Using a modified Delphi process, Pacific Northwest Node researchers Don Calsyn, Mary Hatch-Maillette, Jerika Wilson, and colleagues compared modules from REMAS to similar-content modules from other CDC-approved, culturally tailored HIV prevention interventions.  Utilizing ratings and recommendations from an independent expert panel, REMAS was subsequently revised to be more culturally relevant to an ethnically diverse group of men.  This article in AIDS Education and Prevention describes the revisions made to REMAS in this CTN ancillary study, including an added focus on how culture, social norms, and upbringing affect a man’s sexual behavior and relationships.

Citation:  Calsyn DA, Burlew AK, Hatch-Maillette MA, Wilson J, Beadnesll B, Wright L.  Real Men Are Safe-Culturally Adapted: Utilizing the Delphi Process to Revise Real Men Are Safe for an Ethnically Diverse Group of Men in Substance Abuse Treatment.  AIDS Education and Prevention 2012;24(2):117-131.

Find it in the CTN Dissemination Library!

Helping Alliance, Retention, and Outcomes for Women with Trauma Histories

April 6, 2012

In this secondary analysis of data from the protocol CTN-0015 (Women’s Treatment for Trauma and Substance Use Disorders),  researchers examined the association between the therapeutic alliance and treatment outcome among 223 women with PTSD and substance use disorders.  The research team included Mary Hatch-Maillette, PhD, from the PNW Node.

Conclusions: Women who received the study intervention, Seeking Safety, had significantly higher alliance ratings than those in the control group.  Alliance was related to significant decreases in PTSD symptoms and higher retention for both interventions. Alliance was not related to substance use outcomes.

In all, this study demonstrates that this typically challenging group of women can develop a strong therapeutic alliance within a relatively brief treatment episode in a group format, facilitating reductions in PTSD symptoms and leading to treatment retention.

Citation:  Ruglass LM, Miele GM, Hien DA, Campbell ANC, Hu M, Caldeira N, Jian H, Litt L, Killeen T, Hatch-Maillette MA, Najavits LM, Brown C, Robinson JA, Brigham GS, Nunes EV.  Helping Alliance, Retention, and Treatment Outcomes: A Secondary Analysis from the NIDA Clinical Trials Network Women and Trauma Study.  Substance Use & Misuse 2012 (in press).

Find it in the CTN Dissemination Library!