减少有感染 HIV 风险的甲基苯丙胺使用者药物使用的干预措施。
Interventions to Reduce Drug Use Among Methamphetamine Users at Risk for HIV.
机构信息
Department of Psychiatry, University of Colorado School of Medicine, 1557 Ogden St., Denver, CO, 80218, USA.
Departments of Family Medicine and Psychiatry, University of California Los Angeles, Los Angeles, CA, USA.
出版信息
Curr HIV/AIDS Rep. 2019 Feb;16(1):29-36. doi: 10.1007/s11904-019-00423-y.
PURPOSE OF REVIEW
This paper reports on the results of a study comparing two behavioral treatments for methamphetamine users. The outcome was the effectiveness of the interventions in reducing meth use. The interventions were contingency management (CM) and contingency management plus strengths-based case management (CM/SBCM).
RECENT FINDINGS
CM/SBCM was found to be associated with attending more sessions for people who reported being in a couple. Also, participants who earned more money in the first part of the study were more likely to have more clean urinalysis in the second part of the study. Latent class analysis identified a class of participants who were in a couple, without sexual abuse history, and less meth use at baseline. This class tended to have more clean urinalysis in the CM/SBCM intervention. These results indicate that incentive-based interventions with case management may be useful for helping meth users reduce their drug use.
目的综述
本文报告了一项比较两种行为治疗方法治疗甲基苯丙胺使用者的研究结果。结果是干预措施在减少甲基苯丙胺使用方面的有效性。这两种干预措施是：依情况而定的管理（CM）和依情况而定的管理加上基于优势的个案管理（CM/SBCM）。
最近的发现
对于报告处于伴侣关系中的人来说，CM/SBCM 与参加更多的治疗会议有关。此外，在研究的第一部分中赚取更多钱的参与者在研究的第二部分中更有可能有更多的尿液分析结果为阴性。潜在类别分析确定了一类参与者，他们处于伴侣关系中，没有性虐待史，并且在基线时甲基苯丙胺的使用量较少。这类参与者在 CM/SBCM 干预中更有可能有更多的尿液分析结果为阴性。这些结果表明，基于激励的干预措施加上个案管理可能有助于帮助甲基苯丙胺使用者减少他们的药物使用。
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