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Cognitive Behavior HIV prevention

Jeremy Sugarman, Damon M Seils, J Kemp Watson-Ormond, Kevin P Weinfurt
BACKGROUND: We describe our use of cognitive interviews in developing a measure of "preventive misconception" to demonstrate the importance of this approach to researchers developing surveys in empirical bioethics. The preventive misconception involves research participants' false beliefs about a prevention trial, including beliefs that the interventions being tested will certainly be effective. METHODS: We developed and refined a measure of the preventive misconception using qualitative interviews that focused on cognitive testing of proposed survey items with HIV prevention trial participants...
2016: AJOB Empirical Bioethics
Joshua D Lee, Edward V Nunes, Patricia Novo Mpa, Genie L Bailey, Gregory S Brigham, Allan J Cohen, Marc Fishman, Walter Ling, Robert Lindblad, Dikla Shmueli-Blumberg, Don Stablein, Jeanine May, Dagmar Salazar, David Liu, John Rotrosen
INTRODUCTION: For opioid-dependent patients in the US and elsewhere, detoxification and counseling-only aftercare are treatment mainstays. Long-term abstinence is rarely achieved; many patients relapse and overdose after detoxification. Methadone, buprenorphine-naloxone (BUP-NX) and extended-release naltrexone (XR-NTX) can prevent opioid relapse but are underutilized. This study is intended to develop an evidence-base to help patients and providers make informed choices and to foster wider adoption of relapse-prevention pharmacotherapies...
September 2016: Contemporary Clinical Trials
H Jonathon Rendina, Kristi E Gamarel, John E Pachankis, Ana Ventuneac, Christian Grov, Jeffrey T Parsons
BACKGROUND: Minority stress theory represents the most plausible conceptual framework for explaining health disparities for gay and bisexual men (GBM). However, little focus has been given to including the unique stressors experienced by HIV-positive GBM. PURPOSE: We explored the role of HIV-related stress within a minority stress model of mental health and condomless anal sex. METHODS: Longitudinal data were collected on a diverse convenience sample of 138 highly sexually active, HIV-positive GBM in NYC regarding sexual minority (internalized homonegativity and gay-related rejection sensitivity) and HIV-related stressors (internalized HIV stigma and HIV-related rejection sensitivity), emotion dysregulation, mental health (symptoms of depression, anxiety, sexual compulsivity, and hypersexuality), and sexual behavior (condomless anal sex with all male partners and with serodiscordant male partners)...
August 8, 2016: Annals of Behavioral Medicine: a Publication of the Society of Behavioral Medicine
Mesfin Awoke Bekalu, Steven Eggermont, K Vish Viswanath
Three-and-a-half decades on, no cure or vaccine is yet on the horizon for HIV, making effective behavior change communication (BCC) the key preventive strategy. Despite considerable success, HIV/AIDS BCC efforts have long been criticized for their primary focus on the individual-level field of influence, drawing on the more reductionist view of causation at the individual level. In view of this, we conducted a series of studies that employed a household survey, field experiment, and textual content analysis, and explored the macro-social-level effects of HIV/AIDS-related media and messages on HIV/AIDS cognitive and affective outcomes in Ethiopia...
July 1, 2016: Health Communication
Sabina Hirshfield, Martin J Downing, Jeffrey T Parsons, Christian Grov, Rachel J Gordon, Steven T Houang, Roberta Scheinmann, Patrick S Sullivan, Irene S Yoon, Ian Anderson, Mary Ann Chiasson
BACKGROUND: Gay, bisexual, and other men who have sex with men (GBMSM) accounted for 67% of new US human immunodeficiency virus (HIV) infections in 2012; however, less than 40% of HIV-positive GBMSM are virally suppressed. Preventing transmission from virally unsuppressed men who have condomless anal sex (CAS) with serodiscordant partners is a public health imperative. New HIV infections in GBMSM are attributed in part to online access to sex partners; therefore, low-cost eHealth interventions are a unique opportunity to reach men where they meet partners...
2016: JMIR Research Protocols
Adam W Carrico, Roland Zepf, Steven Meanley, Abigail Batchelder, Ronald Stall
Because problematic patterns of alcohol and other substance use are prevalent drivers of the HIV/AIDS epidemic, comprehensive interventions are needed for substance-using men who have sex with men (SUMSM). We conducted a systematic review of 12 randomized controlled trials (RCTs) of behavioral interventions for reducing condomless anal intercourse (CAI) in SUMSM. Three RCTs observed that cognitive-behavioral or motivational interviewing interventions achieved a 24% to 40% decrease in CAI. Interventions also tended to demonstrate greater efficacy for reducing CAI and substance use among those who had lower severity of substance use disorder symptoms...
May 30, 2016: Journal of Acquired Immune Deficiency Syndromes: JAIDS
Ibidun Fakoya, Débora Álvarez-Del Arco, Susana Monge, Andrew J Copas, Anne-Francoise Gennotte, Alain Volny-Anne, Siri Göpel, Giota Touloumi, Maria Prins, Henrique Barros, Cornelia Staehelin, Julia Del Amo, Fiona M Burns
BACKGROUND: Migrants form a substantial proportion of the population affected by the human immunodeficiency virus (HIV) epidemic in Europe, yet HIV prevention for this population is hindered by poor understanding of access to care and of postmigration transmission dynamics. OBJECTIVE: We present the design and methods of the advancing Migrant Access to health Services in Europe (aMASE) study, the first European cross-cultural study focused on multiple migrant populations...
2016: JMIR Research Protocols
Elizabeth A Bowen
Elevated HIV prevalence has been observed among urban U.S. individuals who use drugs and who lack stable housing. This article synthesizes extant research on this population and situates it in a multilevel, ecologically based model of HIV risk. Based on a multidisciplinary review of the literature, the model applies social-ecological theory on human development to identify factors shaping the HIV risk context for individuals who use drugs and who are unstably housed at global, societal, neighborhood, household, and individual levels of influence...
July 2016: Social Work in Public Health
Omary Ubuguyu, Olivia C Tran, Robert Douglas Bruce, Frank Masao, Cassian Nyandindi, Norman Sabuni, Sheryl McCurdy, Jessie Mbwambo, Barrot H Lambdin
BACKGROUND: Injection of heroin has become widespread in Dar es Salaam, Tanzania and is spreading throughout the country. To prevent potential bridging of HIV epidemics, the Tanzanian government established a methadone maintenance treatment (MMT) clinic in February 2011. We assess the effect of MMT on health-related quality of life (HRQOL) and examine factors, particularly HIV infection and methadone dose, associated with changes in HRQOL. METHODS: This study utilized routine data on clients enrolling in methadone from February 2011 to April 2012 at Muhimbili National Hospital...
April 2016: International Journal on Drug Policy
María de la Paz Bermúdez, Ludgleydson Fernandes de Araújo, Antonio Ortega Reyes, José Hernández-Quero, Inmaculada Teva
The wider availability of anti-retroviral treatment has brought about an improvement in the immunological situation of human immunodeficiency virus (HIV)-positive individuals, which in turn has led to significant reductions in AIDS-related morbidity and mortality and better quality of life for patients. However, the rate of diagnosis of new cases of HIV among the adult population is on the increase due to high-risk sexual behavior practices, particularly not using condoms, sexual relations with a large number of partners and starting sexual relations at a younger age, with unplanned pregnancies and sexually transmitted infections (STIs), including HIV...
July 2016: AIDS Care
Jeffrey H Herbst, Jerris L Raiford, Monique G Carry, Aisha L Wilkes, Renata D Ellington, David K Whittier
CDC's high-impact human immunodeficiency virus (HIV) prevention approach calls for targeting the most cost-effective and scalable interventions to populations of greatest need to reduce HIV incidence. CDC has funded research to adapt and demonstrate the efficacy of Personalized Cognitive Counseling (PCC) as an HIV prevention intervention. Project ECHO, based in San Francisco, California, during 2010-2012, involved an adaptation of PCC for HIV-negative episodic substance-using men who have sex with men (SUMSM) and a randomized trial to test its efficacy in reducing sexual and substance-use risk behaviors...
February 12, 2016: MMWR Supplements
Yi Yang, Cui Yang, Carl A Latkin, Rongsheng Luan, Kenrad E Nelson
There has been little theory-based research focusing on condom use among male clients of female sex workers (CFSW) in China. The current study applied social cognitive theory to condom use behaviors of CFSW in China. Face-to-face structured interviews were conducted among 584 CFSW recruited through snowball sampling. Bivariate and multivariate logistic regression models were applied to examine factors associated with consistent condom use. A minority (30.65 %) of respondents reported using condoms consistently with FSW, and 7 of 12 social cognitive dimensions/subdimensions were found to be significantly influential...
October 2016: AIDS and Behavior
Winnie Wing-Yan Yuen, Lynn Tran, Carlos King-Ho Wong, Eleanor Holroyd, Catherine So-Kum Tang, William Chi-Wai Wong
Current HIV prevention interventions for female sex workers (FSWs) have tended to target the cognitive factors in changing their behaviors, yet little attention has been paid to the psychological factors that influence the behavior of women in sex work. This review aimed to explore the associations between the psychological health of FSWs and HIV risk. A total of eight studies published in English before July 2013 were identified and reviewed. FSWs had reported psychological issues, including depression, suicidal thoughts as well as lower quality of life, and the pooled prevalence of probable depression was as high as 62...
July 2016: AIDS Care
Adam W Carrico, Ean Nil, Chhit Sophal, Ellen Stein, Muth Sokunny, Neak Yuthea, Jennifer L Evans, Song Ngak, Lisa Maher, Kimberly Page
Conditional cash transfer (CCT) and cognitive-behavioral treatments are evidence-based approaches to reduce stimulant use and sexual risk taking. We describe the adaptation and implementation of sequential behavioral interventions for Cambodian female entertainment and sex workers (FESW) who use amphetamine-type stimulants (ATS): (1) a 12-week CCT intervention; and (2) a 4-week cognitive-behavioral aftercare (AC) group. An ongoing cluster randomized stepped wedge trial in 10 Cambodian provinces is enrolling FESW with confirmed recent ATS use to examine the effectiveness of CCT + AC...
June 2016: Journal of Behavioral Medicine
Wanjiku Kariuki, Jennifer I Manuel, Ngaruiya Kariuki, Ellen Tuchman, Johnnie O'Neal, Genevieve A Lalanne
High rates of smoking among persons living with HIV (PLWH) may reduce the effectiveness of HIV treatment and contribute to significant morbidity and mortality. Factors associated with smoking in PLWH include mental health comorbidity, alcohol and drug use, health-related quality of life, smoking among social networks and supports, and lack of access to care. PLWH smokers are at a higher risk of numerous HIV-associated infections and non-HIV related morbidity, including a decreased response to antiretroviral treatment, impaired immune functioning, reduced cognitive functioning, decreased lung functioning, and cardiovascular disease...
2016: HIV/AIDS: Research and Palliative Care
Maria De Jesus, Juanita Taylor, Cathleen Maine, Patricia Nalls
BACKGROUND: To date, there are very few comparative US studies and none in DC that distinguish between US-born and foreign-born black women to examine and compare their perceptions of HIV risk. This qualitative study, therefore, analyzes African American and East African women's perceptions of HIV risk in the Washington DC Metropolitan area, which has the highest AIDS rate in the United States. METHODS: Forty in-depth, semistructured interviews and 10 cognitive interviews were conducted among a sample of 25 African American women and 25 East African born women between October 2012 and March 2013 to examine perceptions regarding HIV risk...
February 2016: Sexually Transmitted Diseases
Molly E Ireland, Qijia Chen, H Andrew Schwartz, Lyle H Ungar, Dolores Albarracin
HIV is uncommon in most US counties but travels quickly through vulnerable communities when it strikes. Tracking behavior through social media may provide an unobtrusive, naturalistic means of predicting HIV outbreaks and understanding the behavioral and psychological factors that increase communities' risk. General action goals, or the motivation to engage in cognitive and motor activity, may support protective health behavior (e.g., using condoms) or encourage activity indiscriminately (e.g., risky sex), resulting in mixed health effects...
June 2016: AIDS and Behavior
Lena Nilsson Schonnesson, Anne M Bowen, Mark L Williams
In Sweden, 57 % of HIV transmission occurs among MSM, and other sexually transmitted infections are increasing, supporting the need for innovative interventions. The Internet is a potentially useful HIV-prevention platform, but there is a lack of such programs in Sweden. The purpose of this exploratory study was to test the efficacy of the Internet-based SMART intervention to decrease HIV sexual risks in Swedish MSM. The intervention was adapted from the Wyoming Rural AIDS Prevention Project to the Swedish context, which was guided by the Information-Motivation-Behavioral (IMB) skills model and consisted of six sessions...
August 2016: Archives of Sexual Behavior
Jason Kessler, Kelly Ruggles, Anik Patel, Kimberly Nucifora, Lifeng Li, Mark S Roberts, Kendall Bryant, R Scott Braithwaite
BACKGROUND: In the current report, we ask if targeting a cognitive behavioral therapy (CBT)-based intervention aimed at reducing hazardous alcohol consumption to HIV-infected persons in East Africa would have a favorable value at costs that are feasible for scale-up. METHODS: Using a computer simulation to inform HIV prevention decisions in East Africa, we compared 4 different strategies for targeting a CBT intervention-(i) all HIV-infected persons attending clinic; (ii) only those patients in the pre-antiretroviral therapy (ART) stages of care; (iii) only those patients receiving ART; and (iv) only those patients with detectable viral loads (VLs) regardless of disease stage...
November 2015: Alcoholism, Clinical and Experimental Research
José Côté, Sylvie Cossette, Pilar Ramirez-Garcia, Alexandra De Pokomandy, Catherine Worthington, Marie-Pierre Gagnon, Patricia Auger, François Boudreau, Joyal Miranda, Yann-Gaël Guéhéneuc, Cécile Tremblay
BACKGROUND: Long-term use of antiretroviral therapy, normal aging, and presence of certain risk factors are associated with metabolic disorders that predispose persons living with HIV to diabetes and cardiovascular diseases. The emergence and progression of these disorders can be prevented by adopting healthy behaviours. Based on the theory of planned behaviour, the Web-based tailored intervention TAVIE en santé was developed. The aim of this study is to evaluate the effectiveness of TAVIE en santé in order to support people living with HIV in the adoption of health promoting behaviours...
October 12, 2015: BMC Public Health
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