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Title

A remotely-delivered CBT and contingency management therapy for substance using people with HIV

Authors

BA Moore, MI Rosen, Y. Wang, et al.

Network Affiliation

Other

Organization

 

Journal Name

AIDS and Behavior

Publication Date

2/1/2015

PubMed Search

http://www.ncbi.nlm.nih.gov/pubmed/25645326

Link to full-text

 

PMID

25645326

Abstract

​Substance using HIV patients are at risk for non-adherence, and most prior interventions in this population have had only modest effects on adherence. Contingency management (CM) is a promising intervention. The Centralized Off-site Adherence Enhancement (CARE) program involved 12 telephone-delivered substance and adherence-targeted cognitive behavior therapy sessions coupled with CM for adherence to antiretroviral therapy (ART) and counseling participation. CM involved 6 weeks of escalating reinforcement for taking prescribed doses followed by 6 weeks of tapering variable rate reinforcement, and separate reinforcement for counseling ($806 possible). Participants' adherence was measured by devices which wirelessly provided real-time notification of device-opening. HIV infected patients on ART (N = 10) with recent stimulant or alcohol use completed 10.2 of 12 possible telephone sessions, spent 42.8 min/call, and rated the counseling 6.2 on a 1-7 scale. Medication adherence improved from 81 to 93 % (p = 0.04). CARE appears to be acceptable and engaging.

Keywords

 

Topic

Adherence; Behavior; Substance Abuse

Attachments

Created at 2/6/2015 11:16 AM by Davis, Gregory P
Last modified at 2/6/2015 11:16 AM by Davis, Gregory P