Ethnic differences in HIV risk behaviors among methadone-maintained women receiving contingency management for cocaine use disorders

Barry, Danielle; Weinstock, Jeremiah; Petry, Nancy M.

doi:10.1016/j.drugalcdep.2008.06.009

Cited by 15 publications

(20 citation statements)

References 54 publications

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“…Relative to those assigned to the control condition, individuals who received contingency management experienced reductions in alcohol use, HIV-risk behavior (injection drug use), psychiatric symptoms, and inpatient care. Consistent with previous research in stimulant-abusing adults (36) without serious mental illness, contingency management was associated with reduced injection drug/HIV-risk in our sample. Reductions in injection drug use are of particular public health relevance given the relatively high comorbidity of stimulant and injection drug use (approximately 25%) observed in this sample.…”

Section: Discussionsupporting

confidence: 91%

Randomized Controlled Trial of Contingency Management for Stimulant Use in Community Mental Health Patients With Serious Mental Illness

McDonell

Srebnik²,

Angelo³

et al. 2013

AJP

109

113

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Objective The primary objective of this study was to determine if contingency management was associated with increased stimulant drug abstinence in community mental health outpatients with serious mental illness and stimulant dependence. Secondary objectives were to determine if contingency management was associated with reductions in use of other substances, psychiatric symptoms, HIV-risk behavior, and inpatient service utilization. Method A randomized controlled design compared outcomes of 176 outpatients with serious mental illness and stimulant dependence. Participants were randomized to three months of contingency management for stimulant abstinence plus treatment-as-usual or treatment-as-usual with reinforcement for study participation only. Urine drug tests, self-report, clinician-report, and service utilization outcomes were assessed during three-month treatment and three-month follow-up periods. Results While participants in the contingency management condition were less likely to complete the treatment period (n=38; 42%) than those assigned to the control condition (n=55; 65%), X2(1)=9.8, p=0.02; those assigned to the contingency management condition were 2.4 (CI=1.9-3.0) times more likely to submit a stimulant-negative urine test during treatment. Participants assigned to contingency management experienced significantly lower levels of alcohol use, injection drug use, psychiatric symptoms, and were five times less likely than those assigned to the control condition to be admitted for psychiatric hospitalization, X2(1)=5.4, p=0.02. Contingency management participants reported significantly fewer days of stimulant drug use, relative to controls during the three-month follow-up. Conclusions When added to treatment-as-usual, contingency management is associated with large reductions in stimulant, injection drug, and alcohol use. Reductions in psychiatric symptoms and hospitalizations were important secondary benefits.

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Section: Discussionsupporting

confidence: 91%

Randomized Controlled Trial of Contingency Management for Stimulant Use in Community Mental Health Patients With Serious Mental Illness

McDonell

Srebnik²,

Angelo³

et al. 2013

AJP

109

113

View full text Add to dashboard Cite

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“…The following variables were entered into two models to independently examine drug scores and sex scores: age, gender, race, ethnicity, log income, education, methadone dose, and alcohol use disorders. These variables were selected due to previously demonstrated relations with HIV risk behaviors (e.g., Barry et al, 2008; Brooks et al, 2010; Brooks et al, 2013; Patton et al, 2014; Sheeran et al, 1999; Wu et al, 2010) or because they differed between groups based on alcohol use disorder status.…”

Section: Methodsmentioning

confidence: 99%

“…Notably, this study was limited by its single item characterization of alcohol use problems (i.e., at least one episode of drinking to intoxication during the past month) and analyses were not adjusted for potential covariates other than gender (e.g., age, race, education, methadone dose, etc. ; Barry, Weinstock, & Petry, 2008; Brooks et al, 2010; Brooks et al, 2013; Patton et al, 2014; Sheeran, Abraham, & Orbell, 1999; Wu et al, 2010). …”

Section: Introductionmentioning

confidence: 99%

Alcohol use disorders are associated with increased HIV risk behaviors in cocaine-dependent methadone patients

Meredith

Rash

Petry

2017

Journal of Substance Abuse Treatment

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People who inject drugs (PWID) are at increased risk of HIV infection. Although methadone maintenance therapy can help lower this risk, many methadone patients continue to engage in HIV risk behaviors, especially patients who use cocaine and alcohol. The purpose of the current study was to investigate relations between alcohol use disorders and HIV risk behavior in 239 cocaine-dependent methadone patients participating in a randomized controlled trial of a behavioral intervention to promote cocaine abstinence. Past 3-month HIV Risk-taking Behavior Scale (HRBS) scores were compared between cocaine-dependent methadone patients who met DSM-IV-TR diagnostic criteria for alcohol abuse or dependence and those who did not meet these criteria. No significant differences in HRBS drug subscale scores were observed between participants with and without alcohol use disorders, indicating risky drug use was similar between groups. However, alcohol use disorder was significantly associated with HRBS sex subscale scores (t=2.59, p=.01), indicating participants with alcohol use disorders were more likely to engage in risky sexual behavior. Item-level analyses of the sex-related HRBS questions showed participants with alcohol use disorders were significantly more likely than participants without alcohol use disorders to have unprotected sex, engage in transactional (paid) sex, and have anal sex. Interventions are needed to reduce risky sexual behavior and attenuate the spread of HIV in this high-risk population.

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“…HIV risk behavior (i.e. injection drug use and sexual behaviors) will be assessed at baseline and at each monthly interview with the brief HIV Risk Behavior Scale [48,49]. Physical and mental health-related quality of life will be assessed by the Short-Form-12 Health Survey , a well-established measure [50] that has been used to asses health-related quality of life in AI/AN populations [51].…”

Section: Methodsmentioning

confidence: 99%

A culturally-tailored behavioral intervention trial for alcohol use disorders in three American Indian communities: Rationale, design, and methods

McDonell

Nepom

Leickly

et al. 2016

Contemporary Clinical Trials

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Background Disproportionately high rates of alcohol use disorders are present in many American Indian/Alaska Native (AI/AN) communities, yet little information exists regarding the effectiveness of alcohol treatments in AI/AN populations. Contingency management is an intervention for illicit drug use in which tangible reinforcers (rewards) are provided when patients demonstrate abstinence as assessed by urine drug tests. Contingency management has not been widely studied as an intervention for alcohol problems because until recently, no alcohol biomarker has been available to adequately verify abstinence. Aims The HONOR Study is designed to determine whether a culturally-tailored contingency management intervention is an effective intervention for AI/AN adults who suffer from alcohol use disorders. Methods Participants include 400 AI/AN alcohol-dependent adults residing in one rural reservation, one urban community, as well as a third site to be decided, in the Western U.S. Participants complete a 4-week lead-in phase prior to randomization, then 12 weeks of either a contingency management intervention for alcohol abstinence, or a control condition where participants receive reinforcers for attending study visits regardless of alcohol use. Participants are then followed for 3-more months post-intervention. The primary study outcome is urinary ethyl glucuronide-confirmed alcohol abstinence; secondary outcomes include self-reported alcohol and drug use, HIV risk behaviors, and self-reported cigarette smoking. Discussion This will be the largest randomized, controlled trial of any alcohol for AI/ANs and the largest contingency management study targeting alcohol use disorders, thus providing important information to AI/AN communities and the alcohol treatment field in general.

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Ethnic differences in HIV risk behaviors among methadone-maintained women receiving contingency management for cocaine use disorders

Cited by 15 publications

References 54 publications

Randomized Controlled Trial of Contingency Management for Stimulant Use in Community Mental Health Patients With Serious Mental Illness

Randomized Controlled Trial of Contingency Management for Stimulant Use in Community Mental Health Patients With Serious Mental Illness

Alcohol use disorders are associated with increased HIV risk behaviors in cocaine-dependent methadone patients

A culturally-tailored behavioral intervention trial for alcohol use disorders in three American Indian communities: Rationale, design, and methods

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