HIV, Sex, Substance Use
Conditions
Keywords
sexual risk, substance use, HIV, prevention, intervention, Motivational Enhancement Therapy, young men who have sex with men
Brief summary
The primary aim of this study is to test a brief 4-session risk reduction intervention, based on Motivational Enhancement Therapy (MET) to reduce the co-occurrence of club drug use and sexual risk taking behaviors among non-treatment seeking young men who have sex with men (YMSM) in NYC.
Detailed description
This study is a randomized clinical trial. A sample of 300 non-treatment seeking YMSM (ages 18-24) who report risky sex and club drug use in the past 90 days are being enrolled using active and passive community-based recruitment strategies in NYC. After baseline assessment, participants are being randomly assigned to one of two study arms: a Brief Risk Reduction Intervention Condition - a four session MET intervention piloted for feasibility and acceptability among YMSM, designed to increase readiness to change club drug use and unprotected sex; or an Education Comparison Condition - four sessions of facilitated education regarding the effects of club drugs and unprotected sex. Participants undergo follow-up assessments 3, 6, 9, and 12 months after baseline.
Interventions
BEHAVIORALHIV prevention intervention randomized control trial
Substance using HIV-negative young MSM who engage in sexual risk are randomized to either a motivational interviewing or an education condition to reduce sexual risk and drug use.
Sponsors
Hunter College of City University of New York
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
MALE
Age
18 Years to 29 Years
Healthy volunteers
Yes
Inclusion criteria
* At least 5 days of drug use (cocaine, ketamine, ecstasy, methamphetamine, or GHB) in the past 90 days; * At least 1 instance of unprotected anal sex in the past 90 days; * Biological male; * HIV-negative; * Residential stability; * Ability to communicate in written English.
Exclusion criteria
* Unstable, serious psychiatric symptoms; * Currently suicidal/homicidal; * Evidence of gross cognitive impairment; * Reports current enrollment in a drug or HIV related intervention or research study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sexual risk | every three months over the course of a year | Participants in the MET condition will report greater reductions in the number of unprotected anal intercourse acts and in the proportion of days of club drug use than those in the education comparison condition at the end of the intervention period (3 months) and will maintain greater reductions in the number of unprotected anal intercourse acts and the proportion of days of club drug use than those in the education comparison condition at the three follow-up assessments (6, 9, and 12 months). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| motivation to change club drug use and unsafe sex over 12 months | every three months over the course of a year | The following factors assessed at baseline will predict club drug use and unsafe sex over the 12-month outcome period: baseline severity of club drug use, baseline severity of other substance use, motivation, decisional balance, and self-efficacy. |
Countries
United States
Outcome results
None listed