Testing an Optimized Community-Based Human Immunodeficiency Virus (HIV) Risk Reduction and Antiretroviral Adherence Intervention for HIV-Infected Injection Drug Users |
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| Authors: | Michael M Copenhaver PhD I-Ching Lee PhD Arthur Margolin PhD Robert D Bruce MD MA MSc Frederick L Altice MD |
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| Institution: | 1. Department of Allied Health Sciences , University of Connecticut , Storrs, Connecticut, USA;2. Department of Psychology and Center for Mind, Brain, and Learning , National Chengchi University , Taipei, Taiwan;3. Section of Infectious Diseases, AIDS Program , Yale University School of Medicine , New Haven, Connecticut, USA |
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| Abstract: | ABSTRACT The authors conducted a preliminary study of the 4-session Holistic Health for HIV (3H+), which was adapted from a 12-session evidence-based risk reduction and antiretroviral adherence intervention. Improvements were found in the behavioral skills required to properly adhere to HIV medication regimens. Enhancements were found in all measured aspects of sex-risk reduction outcomes, including HIV knowledge, motivation to reduce sex-risk behavior, behavioral skills related to engaging in reduced sexual risk, and reduced risk behavior. Improvements in drug use outcomes included enhancements in risk reduction skills as well as reduced heroin and cocaine use. Intervention effects also showed durability from post-intervention to the follow-up assessment point. Females responded particularly well in terms of improvements in risk reduction skills and risk behavior. This study suggests that an evidence-based behavioral intervention may be successfully adapted for use in community-based clinical settings where HIV-infected drug users can be more efficiently reached. |
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| Keywords: | Behavioral intervention HIV infection HIV risk reduction implementation injection drug use intervention adaptation |
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