HIV Infection, Substance Abuse
Conditions
Keywords
HIV/AIDS, substance use, club drugs, sexual risk
Brief summary
The proposed study is a three-armed randomized clinical trial. A total of 750 clients will be randomly assigned (using a random number table) to the interviewer-administered intervention, the self-administered intervention, and waitlist control conditions upon completion of screening, informed consent, HIV pretest counseling and test administration, and collection of baseline risk behavior data. Outcomes will be measured at 3, 6 and 12 months.
Detailed description
The specific aims of the 5-year study are to: 1. identify the covariates of baseline substance abuse and sexual risks (including demographics, social risk measures, peer norms, abuse history, and mental health status) among a sample of 750 heterosexually active, not-in-treatment, club and prescription drug users ages 18 to 39 in Miami, Florida. 2. evaluate, through random assignment, the relative effectiveness of two intervention conditions and a waitlist control in reducing sex risks and drug use, as measured at 3-, 6- and 12-month follow-ups: * Arm 1, an interviewer-administered comprehensive health and social risk assessment intervention (CAPI Intervention) similar to the baseline instrument used in the parent grant; * Arm 2, an identical self-administered comprehensive assessment intervention (ACASI Intervention); and * Arm 3, a waitlist control condition (Control). Outcome measures, including past 90-day counts of unprotected sex acts and days' drug use, will be obtained from brief risk behavior inventories at baseline and follow-ups. 3. conduct qualitative process evaluation research with 40 participants in each study arm to contextualize the study findings and intervention outcomes.
Interventions
BEHAVIORALTrans-theoretical Process of Change Model-self
self-administered, computer-based intervention
BEHAVIORALTrans-theoretical Process of Change Model - interviewer
interviewer-administered intervention
Sponsors
National Institute on Drug Abuse (NIDA)
Nova Southeastern University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 39 Years
Healthy volunteers
No
Inclusion criteria
* heterosexually active * ongoing club and prescription drug use * between 18-39 years of age * must go to local clubs at least two times per month
Exclusion criteria
* no current working phone number or e-mail address * no intention to remain in South Florida for the next 12 months * new HIV diagnosis in the past 90 days * currently participating in a drug treatment program (excluding 12-step programs such as Alcoholics Anonymous)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| unprotected sexual intercourse events outside of primary relationships | 3 months |
| unprotected sexual intercourse events outside of primary relationship | 6 months |
| Days drug use in the past 90 days | 3 months |
Countries
United States
Outcome results
None listed