Posts Tagged ‘CTN-0019’

HIV Prevention in Substance Abuse Treatment Webinar

April 16, 2013

This 90 minute webinar was presented on March 20, 2013 by Mary Hatch-Maillette of the Pacific Northwest Node and Aimee N. C. Campbell of the Greater New York Node as part of the Seattle STD/HIV Prevention Training Center webinar series, “Hard to Reach, Hard to Treat: Current Approaches to HIV Prevention and Care.”

Titled “HIV Prevention in Substance Abuse Treatment Settings,” this webinar includes an overview of current incidence of HIV/AIDS in the U.S.; descriptions of recent research examining prevention interventions of biological, behavioral, and structural focus; and a discussion of the challenges clinicians and counselors face when trying to talk openly and comfortable with their clients about sexual issues.

Aims, methods, and results from CTN-0018 and CTN-0019 (Reducing HIV/STD Risk Behaviors: A Research Study for Men/Women in Drug Abuse Treatment) are presented, with a focus on “real world implications.” The webinar ends with an overview of the pilot feasibility trial testing the efficacy of a culturally-adapted version of the CTN-0018 intervention for men (Real Men Are Safe – Culturally Adapted) to make it more relevant to African American and Hispanic men.

Find this and the rest of the “Hard to Reach, Hard to Retain” series at the Seattle STD/HIV Prevention Training Center web site: http://www.seattlestdhivptc.org/webinars.html.

Citation: Hatch-Maillette MA, Campbell ANC. HIV Prevention in Substance Abuse Treatment Settings. Seattle STD/HIV Prevention Training Center webinar, March 20, 2013.


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Differences Between Men and Women in Condom Use, Attitudes, & Skills.

February 25, 2013

This article by Pacific Northwest Node researchers Don Calsyn, Michelle Peavy, Betsy Wells, Mary Hatch-Maillette, as well as colleagues from the Greater New York and New England Consortium Nodes, recently published in American Journal on Addictions, reports on a study using data from two HIV risk reduction studies in the Clinical Trials Network (protocols CTN-0018 and -0019). The study compared treatment-seeking male and female substance abusers in their reported barriers to condom use and condom use skills.

The analysis revealed that men endorsed more barriers to condom use, especially in terms of their impact on sexual experience. For both men and women, stronger endorsement of barriers to condom use was associated with less use of condoms. However, the difference between condom users and non-users in endorsement of condom barriers in general is greater for men than women, especially for those who report having casual partners.

Conclusions: Results provide additional information about the treatment and prevention needs of treatment-seeking men and women. Understanding differences between men and women in their beliefs, knowledge, and skills related to condom use will allow clinicians to better tailor risk behavior interventions.

Citation: Calsyn DA, Peavy KM, Wells EA, et al. Differences Between Men and Women in Condom Use, Attitudes, and Skills in Substance Abuse Treatment Seekers. American Journal on Addictions 2013;22:150-157.


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Effect of Gender-Specific HIV Prevention Interventions on Heterosexual Anal Sex

August 8, 2012

Substance abusers are at risk for HIV and other STIs, with heterosexual anal intercourse (HAI) riskier than vaginal intercourse, and more risky for women than for men. This poster from the 2012 International AIDS Conference (Washington, DC, July 2012), by Pacific Northwest Node scientists Don Calsyn and Mary Hatch-Maillette, as well as colleagues Aimee Campbell, Christina Meade, and Susan Tross, reports on a study that aimed to evaluate the effectiveness of the five session CTN gender-specific HIV prevention interventions, Real Men Are Safe (REMAS) (CTN-0018) and Safer Sex Skill Building (SSSB) for women (CTN-0019), vs. single session information only control, on decreasing heterosexual anal intercourse (HAI) and increasing condom use for HAI.

Results of the study found that the percent of men, but not women, engaging in HAI decreased from baseline to 3 month follow-up, with the decrease for men similar for both REMAS and control condition participants. Although condom use for HAI remained infrequent, the percentage of both women and men reporting any use of condoms for HAI increased between baseline and follow-up. Women attending SSSB were more likely to change from no condom use to some condom use than women attending the control intervention. A similar non-significant trend was noticed for men attending REMAS as well.

Citation: Calsyn DA, Campbell ANC, Meade CS, Hatch-Maillette MA, Tross S. The Effect of Gender-Specific HIV Prevention Interventions on Heterosexual Anal Sex Among Men and Women in Substance Abuse Treatment. Poster presented at the International AIDS Society (IAS) Conference, Washington, DC, July 22-27, 2012.


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Addressing Sexual Issues in Addictions Treatment Workshop – Free CEUs!

January 31, 2012

This 2.5 hour workshop, Addressing Sexual Issues in Addictions Treatment, developed by the CTN Research Utilization Committee (RUC), focuses on the outcomes and clinical utility of National Drug Abuse Treatment Clinical Trials Network protocols CTN-0018 and CTN-0019, which were designed to test gender-specific interventions to reduce HIV sexual risk behavior among clients in drug treatment programs.  Counselors often have a difficult time discussing issues related to sex with their clients.  This workshop aims to provide information and skills that can help begin that dialogue.

The workshop, now available at the CTN Dissemination Library website, features an article from Counselor magazine and brief video from Louise Haynes, MSW, plus two longer video presentations from Pacific Northwest Node researcher Don Calsyn, PhD, and Susan Tross, PhD, the Lead Investigators of the safer sex studies in the CTN.

To qualify for free! continuing education credits (3 each from NAADAC and NBCC), users must read the article, view all three videos, and then pass a 12-item quiz (a passing score is 10/12 correct).  Get started here!


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Community Providers’ Impression of HIV Prevention Research in the CTN

January 17, 2012

This exploratory survey study, published in Journal of Drug Issues and co-written by Pacific Northwest Node researchers Bryan Hartzler, Mary Hatch-Maillette, and Don Calsyn, as well as Aimee Campbell, Gloria Miele and Susan Tross of the Greater New York Node, assessed staff attitudes as a function of direct research participation, treatment program type, and study performance within 7 methadone maintenance and 8 psychosocial outpatient substance abuse treatment programs participating in CTN-0018 and -0019 (HIV risk reduction in men and women, respectively).

Findings determined that effectiveness trials, such as the ones conducted in the CTN, offer a valuable opportunity to assess provider-level factors associated with adoption and implementation.  This study supports continued research on effective methodology for collaboration between investigators and providers to influence post-study implementation.

Citation:  Campbell ANC, Hartzler B, Hatch-Maillette MA, Calsyn DA, Miele GM, Tross S.  Community Providers’ Impression of HIV Prevention Intervention Research in NIDA’s Clinical Trials Network.  Journal of Drug Issues 2011;41(4):441-460.



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CTN-0018 and CTN-0019 Highlighted in NIDA Notes

August 12, 2011

An article in the new issue of NIDA Notes highlights the outcomes of CTN-0018,  and CTN-0019, both of which involved the Pacific Northwest Node (CTN-0018 was led by our node and researcher Don Calsyn, and Evergreen Treatment Services participated in both protocols).

In a large-scale test of gender-specific interventions, male participants in CTN-0018’s  Real Men Are Safe (REMAS) and female participants in CTN-0019’s Safer Sex Skills Building (SSB) workshops made greater reductions in high-risk sexual behavior for a longer period than comparison groups, who were provided a standardized single-session HIV educational intervention designed to mimic those provided in many substance abuse clinics. Moreover, at the 3-month followup, men who received the training were less likely than the comparison group to have been under the influence of drugs during their most recent sexual experience.

For detailed descriptions of the interventions and free manuals and implementation aids regarding REMAS, see ctndisseminationlibrary.org/display/397.htm; for SSB, see ctndisseminationlibrary.org/display/398.htm.

Citation:  Bonetta L. Intensive Interventions Reduce Risky Sexual Behaviors. NIDA Notes 2011;23(5):10-11.  Find it in the CTN Dissemination Library!

Sexual Risk Reduction for Men and Women in Substance Abuse Treatment: New CTN Manuals Published

October 28, 2009

Two CTN studies involving researchers and community treatment providers in the Pacific NW Node, in conjunction with programs in other states, have produced manuals that guide clinicians in the implementation of evidence-based interventions for reducing sexual risk behavior among men and women in substance abuse treatment.  Evergreen Treatment Services (Seattle) participated in both studies.

Don Calsyn, PhD (ADAI) was the lead investigator for CTN-0018, Reducing HIV/STD Risk Behaviors: A Research Study for Men in Drug Abuse Treatment.  The manual Real Men Are Safe (REMAS): A Gender-Focused HIV and Sexual Risk Reduction Intervention for Men in Substance Abuse Treatment is a five-session, group-delivered intervention package designed to help clients in substance abuse treatment reduce their HIV risk.  Outcomes from CTN-0018 found that the this motivational and skills training HIV intervention was associated with greater sexual risk reduction than a standard HIV education session, suggesting that substance abuse treatment programs can help reduce sexual risk among their patients by providing not only information, but also practice skills.

Directed by Susan Tross, PhD in New York, CTN-0019 led to the development of the manual, Safer Sex Skills Building: A Manual for HIV/STD Safer Sex Skills Groups for Women in Outpatient Substance Abuse Treatment.  This is also a five-session intervention package, focusing on the importance of changing high-risk behaviors and teaching women the social and technical skills necessary to keep them from engaging in these high-risk behaviors, including skills intended to help women protect themselves from partner abuse as the potential result of assertiveness around safer sex.

The manuals were formatted for publication by CTN Dissemination Librarian Meg Brunner (PN Node), and are now available to download for free from the Library’s web site. The manuals come with slides for flip charts used in the interventions, and a participants’ workbook is provided with the women’s manual. Questions about either manual may be directed to the developers.