Evidence map›Paper›PMID 31026713›Full record

Trial reportDrug and alcohol dependence2019

Increasing substance use disorder counselors' self-efficacy and skills in talking to patients about sex and HIV risk: A randomized training trial.

Mary A Hatch-Maillette, Robin Harwick, John S Baer, Elizabeth A Wells, Tatiana Masters, Audra Robinson, Kasie Cloud, Michelle Peavy, Katharina Wiest, Lynette Wright and 2 more

Open access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Drug and alcohol dependence, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 34% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. Article
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

12 authors at 5 institutions in 1 country.

Mary A Hatch-MailletteAlcohol and Drug Abuse Institute, University of Washington, 1107 NE 45th St., Suite 120, Seattle, WA, 98105, USA; Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, 1959 NE Pacific St., Seattle, WA, 98105, USA. Electronic address: hatchm@uw.edu.
Robin HarwickAlcohol and Drug Abuse Institute, University of Washington, 1107 NE 45th St., Suite 120, Seattle, WA, 98105, USA.
John S BaerAlcohol and Drug Abuse Institute, University of Washington, 1107 NE 45th St., Suite 120, Seattle, WA, 98105, USA; VA Puget Sound Healthcare System-Seattle Division, 1660 S. Columbian Way, Seattle, WA, 98108, USA.
Elizabeth A WellsAlcohol and Drug Abuse Institute, University of Washington, 1107 NE 45th St., Suite 120, Seattle, WA, 98105, USA; Emeritus, University of Washington School of Social Work, 4101 15th Ave NE, Seattle, WA, 98105, USA.
Tatiana MastersAlcohol and Drug Abuse Institute, University of Washington, 1107 NE 45th St., Suite 120, Seattle, WA, 98105, USA.
Audra RobinsonDepartment of Psychology, University of Washington, 119A Guthrie Hall Box 351525, Seattle, WA, 98195, USA.
Kasie CloudCODA, Inc., 1027 E. Burnside St., Portland, OR, 97214, USA.
Michelle PeavyEvergreen Treatment Services, 1700 Airport Way South, Seattle, WA, 98134, USA.
Katharina WiestCODA, Inc., 1027 E. Burnside St., Portland, OR, 97214, USA.
Lynette WrightAlcohol and Drug Abuse Institute, University of Washington, 1107 NE 45th St., Suite 120, Seattle, WA, 98105, USA.
Kathleen DillonCODA, Inc., 1027 E. Burnside St., Portland, OR, 97214, USA.
Blair BeadnellAlcohol and Drug Abuse Institute, University of Washington, 1107 NE 45th St., Suite 120, Seattle, WA, 98105, USA.
Seattle Indian Health Board · USCoDa Therapeutics (United States) · USUniversity of Washington · USPerinatal Treatment Services · USVA Puget Sound Health Care System · US

Funding

Clinical Trials Network: Pacific Northwest Node (CTN-0082, -0131, -0139 and dissemination library)UG1DA013714 · NIDA · UNIVERSITY OF WASHINGTON · PI Mary Akiko Hatch, John M. Roll · 2015 to 2026
$19.8M
Maximizing the Patient-counselor Relationship to Reduce Sexual Risk BehaviorR01HD078163 · NICHD · UNIVERSITY OF WASHINGTON · PI HATCH, MARY AKIKO, WELLS, ELIZABETH A · 2014 to 2017
$1.4M
NICHD NIH HHS R01 HD078163NIDA NIH HHS UG1 DA013714
6 · The paper itself

Abstract

backgroundPeople with substance use disorder (SUD) experience increased risk for HIV, Hepatitis C, and sexually transmitted illnesses via risky sex. This high-risk population would benefit from sexual risk reduction interventions integrated into SUD treatment. However, many SUD counselors report lack of skill or confidence in addressing sexual risk with patients.

methodsThis study was part of a larger nested 2 × 2 factorial repeated measures design, which compared two levels of counselor training (Basic-2 h versus Enhanced-10 h plus ongoing coaching). We determined whether counselors receiving Enhanced training addressing their motivation, confidence and skills (a) increased knowledge about sexual issues; (b) increased self-efficacy to discuss sex with patients; and (c) improved skills in discussing sex as part of SUD treatment, compared with those receiving shorter information-based training. Counselors providing individual therapy at two opioid treatment programs (OTP) and two psychosocial outpatient programs in the United States were eligible. Randomization occurred after Basic training. Measures included self-report (self-efficacy and knowledge) and blinded coding of standardized patient interviews (skill).

resultsCounselors receiving Enhanced training (n = 28) showed significant improvements compared to their Basic training counterparts (n = 32) in self-efficacy, use of reflections, and use of decision-making and communication strategies with standardized patients. These improvements were maintained from post-training to 3-month follow-up. No adverse effects of study participation were reported.

conclusionsResults suggest that counselors can improve their knowledge, self-efficacy and skill related to sexual risk conversations with patients based on modest skills-based training.

Indexed as

Self EfficacyAdultAgedAnalgesics, OpioidCounselorsFemaleHIV InfectionsHumansMaleMiddle AgedRisk Reduction BehaviorRisk-TakingSexual BehaviorSubstance Abuse Treatment CentersSubstance-Related DisordersAnalgesics, OpioidCounselor trainingHIV sexual riskSelf-efficacySkills

Identifiers

PMID31026713
PMCPMC6759210
OpenAlexW2937477089

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.