O'Neill K, Baker A, Cooke M, Collins E, Heather N, Wodak A
National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia.
Addiction. 1996 Aug;91(8):1115-25. doi: 10.1046/j.1360-0443.1996.91811154.x.
Pregnant injecting drug users were randomly assigned to: (i) individually receive a six-session cognitive-behavioural intervention in addition to their usual methadone maintenance treatment (intervention condition (I) (n = 40)); or (ii) their usual methadone maintenance treatment only (control condition (C) (n = 40)). There was no change in drug use per se in either group after the intervention. However, at 9-month follow-up the I group had significantly reduced some HIV risk-taking behaviours (in particular injecting risk behaviours). The I group reduced the needle risk associated both with "typical" use (drug use in the month before interview) and "binge" use (drug use in the month nominated as the heaviest month of drug use in the previous 6 months). The intervention had no effect on sexual risk behaviours. The finding of reduced injecting risk behaviour following the six-session intervention suggests that such an intervention may be of benefit for individuals persisting with injecting risk behaviours despite methadone maintenance treatment and the availability of sterile injection equipment.
（i）除接受常规美沙酮维持治疗外，还单独接受为期六节的认知行为干预（干预组（I）（n = 40））；或（ii）仅接受常规美沙酮维持治疗（对照组（C）（n = 40））。干预后两组的吸毒行为本身均未发生变化。然而，在9个月的随访中，干预组显著减少了一些感染艾滋病毒的冒险行为（特别是注射冒险行为）。干预组降低了与“典型”使用（访谈前一个月的吸毒行为）和“ binge”使用（前6个月中被指定为吸毒最严重月份的那个月的吸毒行为）相关的针头风险。该干预对性冒险行为没有影响。经过六节干预后注射风险行为降低的这一发现表明，尽管有美沙酮维持治疗和无菌注射设备，但对于持续存在注射风险行为的个体而言，这种干预可能有益。
