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在可卡因依赖治疗期间,咨询师促使增加避孕套的使用。

Counselor prompts to increase condom taking during treatment for cocaine dependence.

作者信息

Kirby K C, Marlowe D B, Carrigan D R, Platt J J

机构信息

Counseling Psychology Program, Temple University, Philadelphia, PA 19122-6085, USA.

出版信息

Behav Modif. 1998 Jan;22(1):29-44. doi: 10.1177/01454455980221002.

DOI:10.1177/01454455980221002
PMID:9567735
Abstract

This study examined whether active prompting would increase the number of free condoms taken from dispensers placed in counselors' offices in a cocaine abuse treatment clinic. Using a combined multiple baseline and reversal design, two teams of counselors were instructed to actively prompt and encourage condom taking during some conditions and to avoid commenting on or encouraging condom use in other conditions. To monitor accuracy of implementing the intervention, counselors completed a checklist for every subject they saw in their office during the day. Overall, the number of condoms taken per visit during prompting conditions was almost six times greater than during baseline conditions. However, implementation declined during the study, and all counselors complained about the intervention. Implications for dispensing free condoms to reduce HIV risk in drug abuse treatment clinics are discussed.

摘要

本研究考察了主动劝诱是否会增加从可卡因滥用治疗诊所咨询师办公室放置的避孕套自动售卖机中取用免费避孕套的数量。采用多基线和反转设计相结合的方法,指导两组咨询师在某些情况下主动劝诱并鼓励取用避孕套,而在其他情况下避免对避孕套使用进行评论或鼓励。为监测干预措施实施的准确性,咨询师为当天在其办公室接待的每位来访者填写一份清单。总体而言,在劝诱阶段每次来访取用的避孕套数量几乎是基线阶段的六倍。然而,在研究过程中实施情况有所下降,所有咨询师都对该干预措施表示不满。本文讨论了在药物滥用治疗诊所发放免费避孕套以降低艾滋病毒风险的意义。

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