Evidence map›Paper›PMID 23030605›Full record

Trial reportAIDS patient care and STDs2012

A pilot trial of integrated behavioral activation and sexual risk reduction counseling for HIV-uninfected men who have sex with men abusing crystal methamphetamine.

Matthew J Mimiaga, Sari L Reisner, David W Pantalone, Conall O'Cleirigh, Kenneth H Mayer, Steven A Safren

2 registry-linked trialsAbstract readClinical Trial
In one paragraph

Trial report in AIDS patient care and STDs, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 49 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05299515 nacompletednot on this mapstarted 2022, after this paper: background citation

Peer-Delivered Behavioral Activation Intervention to Improve Adherence to MT Among Low-Income, Minority Individuals With OUD

TypeinterventionalSponsorUniversity of Maryland, College ParkRan2022 to 2025Enrolled200ConditionsSubstance-Related Disorders, Opioid Medication Assisted Treatment, Opioid Use Disorder, Opioid UseArmsPeer-Delivered Behavioral Activation ("Peer Activate")
NCT05973838 narecruitingnot on this mapstarted 2023, after this paper: background citation

Peer-Delivered, Behavioral Activation Intervention to Improve Polysubstance Use and Retention in Mobile Telemedicine OUD Treatment in an Underserved, Rural Area

TypeinterventionalSponsorUniversity of Maryland, College ParkRan2023 to 2027Enrolled160ConditionsPolysubstance Addiction, Opioid Medication Assisted Treatment, Treatment Adherence, Retention in CareArmsPeer-Delivered Behavioral Activation ("Peer Activate")
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Matthew J MimiagaDepartment of Psychiatry, Harvard Medical School/Massachusetts General Hospital, Boston, Massachusetts 02114, USA. mmimiaga@hsph.harvard.edu
Sari L Reisner
David W Pantalone
Conall O'Cleirigh
Kenneth H Mayer
Steven A Safren

Funding

Addressing psychosocial comorbidities in HIV treatment and preventionK24MH094214 · NIMH · UNIVERSITY OF MIAMI CORAL GABLES · PI SAFREN, STEVEN A · 2011 to 2015
$858k
Behavioral Activation and HIV Risk Reduction for MSM with Crystal Meth AbuseR34DA031028 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI MIMIAGA, MATTHEW JAMES · 2011 to 2013
$736k
Behavioral activation and HIV risk reduction for MSM with crystal meth abuseR03DA023393 · NIDA · FENWAY COMMUNITY HEALTH CENTER · PI MIMIAGA, MATTHEW JAMES · 2008 to 2009
$151k
NIDA NIH HHS R03DA023393NIDA NIH HHS R34 DA031028NIMH NIH HHS K24 MH094214
6 · The paper itself

Abstract

Crystal methamphetamine use is a major driver behind high-risk sexual behavior among men who have sex with men (MSM). Prior work suggests a cycle of continued crystal methamphetamine use and high-risk sex due to loss of the ability to enjoy other activities, which appears to be a side effect of this drug. Behavioral activation (BA) is a treatment for depression that involves learning to reengage in life's activities. We evaluated a novel intervention for crystal methamphetamine abuse and high-risk sex in MSM, incorporating 10 sessions of BA with integrated HIV risk reduction counseling (RR). Forty-four subjects were screened, of whom 21 met initial entry criteria. A total of 19 participants enrolled; 16 completed an open-phase study of the intervention. Behavioral assessments were conducted at baseline, 3 months postbaseline, and 6 months postbaseline. Linear mixed effects regression models were fit to assess change over time. Mean unprotected anal intercourse (UAI) episodes decreased significantly from baseline to acute postintervention (β=-4.86; 95% confidence interval [CI]=-7.48, -2.24; p=0.0015) and from baseline to 6 months postbaseline (β=-5.07; 95% CI=-7.85, -2.29; p=0.0017; test of fixed effects χ(2)=16.59; df=2,13; p=0.0002). On average, there was a significant decrease over time in the number of crystal methamphetamine episodes in the past 3 months (χ(2)=22.43; df=2,15; p<0.0001), and the number of days of crystal methamphetamine use in the past 30 days (χ(2)=9.21; df=2,15; p=0.010). Statistically significant reductions in depressive symptoms and poly-substance use were also maintained. Adding behavioral activation to risk reduction counseling for MSM with problematic crystal methamphetamine use may augment the potency of a risk reduction intervention for this population. Due to the small sample size and time intensive intervention, future testing in a randomized design is necessary to determine efficacy, with subsequent effectiveness testing.

Indexed as

Central Nervous System StimulantsDrug UsersHomosexuality, MaleMethamphetamineRisk Reduction BehaviorSex CounselingSexual PartnersAdultConfidence IntervalsDepressionHealth Knowledge, Attitudes, PracticeHIV InfectionsHumansMaleMiddle AgedPilot ProjectsCentral Nervous System StimulantsMethamphetamine

Identifiers

PMID23030605
PMCPMC3495110

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.