Maximizing the Patient-counselor Relationship to Reduce Sexual Risk
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 入组人数
- 537
- 主要终点
- Patient unprotected sexual occasions
研究概览
简要总结
Prior research has shown that many individuals with substance use disorders engage in HIV/sexual risk behaviors, and could strongly benefit from HIV prevention interventions that were delivered as part of their substance abuse treatment. However, discussions about sexual risk are not occurring at an appropriate frequency in treatment settings. This project will test the effects of counselor training and coaching, combined with a brief assessment and feedback tool, on counselor-patient communication about sex and on patient sexual risk behavior.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Admitted to substance use disorder treatment in the prior 45 days,
- •Age 18 years or older
- •Plan to remain in the local area for the next three months
- •Assigned to a treatment counselor enrolled in the study.
排除标准
- 未提供
研究组 & 干预措施
Comparator: No Feedback, Standard Counselor
Patient assigned to a Standard Training counselor, completed the BEST assessment, but did NOT receive a feedback report.
干预措施: Standard Counselor Training (Behavioral)
Active1: Feedback, Standard Counselor
Patient assigned to a Standard Training counselor, completed the BEST assessment, and received a personalized feedback report.
干预措施: Standard Counselor Training (Behavioral)
Comparator: No Feedback, Standard Counselor
Patient assigned to a Standard Training counselor, completed the BEST assessment, but did NOT receive a feedback report.
干预措施: BEST assessment only (Behavioral)
Active1: Feedback, Standard Counselor
Patient assigned to a Standard Training counselor, completed the BEST assessment, and received a personalized feedback report.
干预措施: BEST assessment plus feedback report (Behavioral)
Active2: No feedback, Enhanced Counselor
Patient assigned to a Enhanced Training counselor, completed the BEST assessment, but did NOT receive a feedback report.
干预措施: BEST assessment only (Behavioral)
Active2: No feedback, Enhanced Counselor
Patient assigned to a Enhanced Training counselor, completed the BEST assessment, but did NOT receive a feedback report.
干预措施: Enhanced Counselor Training (Behavioral)
Active3: Feedback, Enhanced Counselor
Patient assigned to a Enhanced Training counselor, completed the BEST assessment, and received a personalized feedback report.
干预措施: BEST assessment plus feedback report (Behavioral)
Active3: Feedback, Enhanced Counselor
Patient assigned to a Enhanced Training counselor, completed the BEST assessment, and received a personalized feedback report.
干预措施: Enhanced Counselor Training (Behavioral)
结局指标
主要结局
Patient unprotected sexual occasions
时间窗: 6-month follow-up
Number of unprotected sexual occasions, measured via self-report on the BEST assessment for the prior 90 days
Discussions of sex during counseling session
时间窗: 3-month follow-up
Patient report of number of counseling sessions in past 90 days in which sexual risk was discussed with patients
次要结局
- Combining sex and drugs(3- and 6-month follow-up)
- Patient HIV transmission knowledge(3- and 6-month follow-up)
- Counselor HIV transmission knowledge(Baseline to 1-week post-training and 3-month follow-up)
- Patient sexual partners(3- and 6-month follow-up)
- Counselor self-efficacy for discussing sex(Baseline to 1-week post-training and 3-month follow-up)
- Patient unprotected sexual occasions with a casual partner(3- and 6-month follow-up)
- Patient attitudes toward condoms(3- and 6-month follow-up)
- Patient risk reduction activities(3- and 6-month follow-up)
- Counselor sexual attitudes(Baseline to 1-week post-training and 3-months)
- Counselor skill for discussing sexual issues in counseling sessions(1-week post-training and 3-month follow-up)
研究者
Mary Hatch-Maillette
Principal Investigator
University of Washington