Posts Tagged ‘SSSB’

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.

Find it in the CTN Dissemination Library!


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; for SSB, see

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.