Suppr超能文献

ARM-U的形成性评估:一种用于降低感染HIV和未感染HIV的使用甲基苯丙胺男男性行为者风险行为的模块化干预措施。

Formative Assessment of ARM-U: A Modular Intervention for Decreasing Risk Behaviors Among HIV-Positive and HIV-Negative Methamphetamine-Using MSM.

作者信息

Garfein Richard S, Metzner Mitcheal, Cuevas Jazmine, Bousman Chad A, Patterson Thomas

机构信息

Division of Global Public Health, Department of Medicine, University of California, San Diego, La Jolla, California, USA.

出版信息

Open AIDS J. 2010 May 14;4:105-15. doi: 10.2174/1874613601004030105.

Abstract

BACKGROUND

Methamphetamine is a major contributor to HIV transmission among men who have sex with men (MSM). Recent studies show that up to one-third of methamphetamine-using MSM (MUMSM) inject the drug. We developed a behavioral intervention for MUMSM to decrease unprotected anal intercourse and increase awareness of parenteral HIV transmission risk. This 6-session (3 in-person, 3 by telephone) modular intervention was designed to be tailored to participants' HIV (+/-) and injection drug user ([IDU] yes/no) status. We present results of formative research used to evaluate the content and to assess feasibility and acceptability of this individual-level HIV risk-reduction intervention.

SETTING

HIV research clinic in a high MSM and methamphetamine prevalence neighborhood.

PROJECT

Avoiding Risks from Methamphetamine-Use (ARM-U) is a brief toolbox intervention that allows counselors to select modules that suit a client's individual risk profile and intervention needs employing motivational interviewing and cognitive behavioral theory. We evaluated the format and content of the intervention through focus groups and pre-testing of the entire intervention using volunteers from the target population stratified into four groups (HIV+/IDU, HIV-/IDU, HIV+/non-IDU, HIV-/non-IDU). Four individuals in each stratum were recruited to undergo the intervention and complete a satisfaction survey at the end of each in-person session.

RESULTS

In total, 25 MUMSM attended one of five focus groups. Participants thought all proposed intervention topics were important and could aid in reducing sexual risk behaviors among MUMSM. However, the neurocognitive effects of methamphetamine were reported to be a barrier to practicing safer sex, condom use negotiation or HIV status disclosure. Fifteen (94%) of 16 participants completed all 6 sessions and the satisfaction survey. On average, participants felt the intervention was useful for MUMSM, made them contemplate and move toward behavior change, and would recommend the program to their peers.

LESSONS LEARNED

Based on our formative research, we revised the ARM-U intervention to emphasize pre-planning to avoid combining methamphetamine use and sex or develop strategies to avoid sex risk following methamphetamine use. We also increased emphasis on referrals for care and other requested services. Future efficacy trials are needed to evaluate the intervention's ability to reduce HIV-associated risk behaviors.

摘要

背景

甲基苯丙胺是男男性行为者(MSM)中HIV传播的主要促成因素。近期研究表明,高达三分之一的使用甲基苯丙胺的男男性行为者(MUMSM)会注射该药物。我们为MUMSM开发了一种行为干预措施,以减少无保护肛交行为,并提高对经静脉注射感染HIV风险的认识。这种为期6节(3节面对面授课,3节电话授课)的模块化干预措施旨在根据参与者的HIV感染状况(阳性/阴性)和注射吸毒者身份(是/否)进行量身定制。我们展示了用于评估该干预措施内容以及评估这种个体层面HIV风险降低干预措施的可行性和可接受性的形成性研究结果。

地点

一个男男性行为者和甲基苯丙胺流行率较高社区的HIV研究诊所。

项目

“避免甲基苯丙胺使用风险(ARM-U)”是一种简短的工具箱式干预措施,允许咨询师使用动机性访谈和认知行为理论选择适合客户个体风险状况和干预需求的模块。我们通过焦点小组以及使用从目标人群中分层抽取的志愿者(分为四组:HIV阳性/注射吸毒者、HIV阴性/注射吸毒者、HIV阳性/非注射吸毒者、HIV阴性/非注射吸毒者)对整个干预措施进行预测试,来评估干预措施的形式和内容。每个分层招募了4个人接受干预,并在每次面对面授课结束时完成满意度调查。

结果

共有25名MUMSM参加了五个焦点小组中的一个。参与者认为所有提议的干预主题都很重要,并且有助于减少MUMSM中的性风险行为。然而,据报告甲基苯丙胺的神经认知作用是进行更安全性行为、协商使用避孕套或披露HIV感染状况的一个障碍。16名参与者中有15名(94%)完成了全部6节课程和满意度调查。平均而言,参与者认为该干预措施对MUMSM有用,促使他们思考并朝着行为改变迈进,并且会向同龄人推荐该项目。

经验教训

基于我们的形成性研究,我们对ARM-U干预措施进行了修订,以强调预先规划,避免同时使用甲基苯丙胺和进行性行为,或制定策略以避免在使用甲基苯丙胺后出现性风险。我们还进一步强调了转介接受护理和其他所需服务。未来需要进行疗效试验,以评估该干预措施降低与HIV相关风险行为的能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26dc/2905777/2f490c78bcc7/TOAIDJ-4-105_F1.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验