Successfully integrating an HIV risk reduction intervention into a community-based substance abuse treatment program

被引:24
作者
Copenhaver, Michael M.
Lee, I. -Ching
Margolin, Arthur
机构
[1] Univ Connecticut, Dept Psychol, Ctr Hlth Intervent & Prevent, Storrs, CT 06269 USA
[2] Yale Univ, Sch Med, Dept Psychiat, New Haven, CT USA
关键词
behavioral intervention; HIV risk reduction; injection drug use; intervention transportability; substance abuse treatment;
D O I
10.1080/00952990601087463
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
A number of evidence-based HTV risk reduction interventions are now widely available to clinicians. However, difficulties with intervention transportability have historically impeded the integration of evidence-based interventions into clinical settings. In this article, we discuss one successful approach to transportability through appropriate intervention selection, adaptation, placement, and evaluation. Our intervention adaptation process required substantially reducing the content and duration of an evidence-based intervention. Findings from 226 assessed participants suggested significant drug- and sex-related risk reduction outcomes, particularly among participants at greatest risk. Results point to a need to examine the relative costs/benefits of comprehensive, evidence-based interventions vs. shortened, adapted versions thereof.
引用
收藏
页码:109 / 120
页数:12
相关论文
共 22 条
[1]  
[Anonymous], 1998, BRIDG GAP PRACT RES
[2]  
[Anonymous], 1993, 6 ANN M NAT COOP VAC
[3]   Targeting HIV-related outcomes with intravenous drug users maintained on methadone: A randomized clinical trial of a harm reduction group therapy [J].
Avants, SK ;
Margolin, A ;
Usubiaga, MH ;
Doebrick, C .
JOURNAL OF SUBSTANCE ABUSE TREATMENT, 2004, 26 (02) :67-78
[4]  
*CDCP, 2004, SPEC DAT REQ
[5]  
COPEHAVER M, 2006, AIDS BEH
[6]   Intervening effectively with drug abusers infected with HIV: Taking into account the potential for cognitive impairment [J].
Copenhaver, M ;
Avants, SK ;
Warburton, LA ;
Margolin, A .
JOURNAL OF PSYCHOACTIVE DRUGS, 2003, 35 (02) :209-218
[7]   Behavioral HIV risk reduction among people who inject drugs: Meta-analytic evidence of efficacy [J].
Copenhaver, Michael M. ;
Johnson, Blair T. ;
Lee, I-Ching ;
Harman, Jennifer J. ;
Carey, Michael P. .
JOURNAL OF SUBSTANCE ABUSE TREATMENT, 2006, 31 (02) :163-171
[8]   Clinician-initiated HIV risk reduction intervention for HIV-positive persons - Formative research, acceptability, and fidelity of the options project [J].
Fisher, JD ;
Cornman, DH ;
Osborn, CY ;
Amico, KR ;
Fisher, WA ;
Friedland, GA .
JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, 2004, 37 :S78-S87
[9]   CHANGING AIDS-RISK BEHAVIOR [J].
FISHER, JD ;
FISHER, WA .
PSYCHOLOGICAL BULLETIN, 1992, 111 (03) :455-474
[10]   INTRODUCTION TO THE SPECIAL SECTION - EFFICACY AND EFFECTIVENESS IN STUDIES OF CHILD AND ADOLESCENT PSYCHOTHERAPY [J].
HOAGWOOD, K ;
HIBBS, E ;
BRENT, D ;
JENSEN, P .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1995, 63 (05) :683-687