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Men in methadone maintenance versus psychosocial outpatient treatment: differences in sexual risk behaviors and intervention effectiveness from a multisite HIV prevention intervention trial.

The effectiveness of the Real Men Are Safe (REMAS) HIV prevention intervention was examined as a function of treatment program modality. REMAS was associated with significantly larger decreases in unprotected sexual occasions than an HIV education control condition in both treatment modalities. REMAS had superior effectiveness for reducing unprotected sexual occasions in the psychosocial outpatient compared to methadone. At the 6-month follow-up, the adjusted mean change for REMAS completers in psychosocial outpatient (M=6.4, d=0.38) was greater than for REMAS completers in methadone programs (M=2.3, d=0.25). Reasons for why REMAS appears to be especially effective in psychosocial outpatient programs are explored.

Pubmed ID: 20635286

Authors

  • Calsyn DA
  • Campbell AN
  • Crits-Christoph P
  • Doyle SR
  • Tross S
  • Hatch-Maillette MA
  • Mandler R

Journal

Journal of addictive diseases

Publication Data

July 16, 2010

Associated Grants

  • Agency: NIDA NIH HHS, Id: R33 DA027521
  • Agency: NIDA NIH HHS, Id: U10 DA013035
  • Agency: NIDA NIH HHS, Id: U10 DA013035-08
  • Agency: NIDA NIH HHS, Id: U10 DA013038
  • Agency: NIDA NIH HHS, Id: U10 DA013038-10
  • Agency: NIDA NIH HHS, Id: U10 DA013043
  • Agency: NIDA NIH HHS, Id: U10 DA013043-10
  • Agency: NIDA NIH HHS, Id: U10 DA013045
  • Agency: NIDA NIH HHS, Id: U10 DA013045-10
  • Agency: NIDA NIH HHS, Id: U10 DA013711-05
  • Agency: NIDA NIH HHS, Id: U10 DA013714
  • Agency: NIDA NIH HHS, Id: U10 DA013714-08
  • Agency: NIDA NIH HHS, Id: U10 DA013727
  • Agency: NIDA NIH HHS, Id: U10 DA013727-10
  • Agency: NIDA NIH HHS, Id: U10 DA013732-10
  • Agency: NIDA NIH HHS, Id: U10 DA015815
  • Agency: NIDA NIH HHS, Id: U10 DA015815-08
  • Agency: NIDA NIH HHS, Id: U10 DA015833-03
  • Agency: NIDA NIH HHS, Id: U10 DA13035
  • Agency: NIDA NIH HHS, Id: U10 DA13038
  • Agency: NIDA NIH HHS, Id: U10 DA13043
  • Agency: NIDA NIH HHS, Id: U10 DA13045
  • Agency: NIDA NIH HHS, Id: U10 DA13711
  • Agency: NIDA NIH HHS, Id: U10 DA13714
  • Agency: NIDA NIH HHS, Id: U10 DA13727
  • Agency: NIDA NIH HHS, Id: U10 DA13732
  • Agency: NIDA NIH HHS, Id: U10 DA15815
  • Agency: NIDA NIH HHS, Id: U10 DA15833

Mesh Terms

  • Adult
  • Ambulatory Care
  • Comorbidity
  • Condoms
  • Education
  • Follow-Up Studies
  • HIV Infections
  • Health Education
  • Humans
  • Male
  • Middle Aged
  • Opioid-Related Disorders
  • Patient Compliance
  • Program Development
  • Risk Factors
  • Street Drugs
  • Substance Abuse Treatment Centers
  • Substance-Related Disorders
  • Treatment Outcome
  • Unsafe Sex