@article {4933, title = {A Remotely-Delivered CBT and Contingency Management Therapy for Substance Using People with HIV.}, journal = {AIDS and behavior}, volume = {19 Suppl 2}, year = {2015}, month = {2015 Jun}, pages = {156-62}, 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{\textquoteright} 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 = {Adult, Anti-Retroviral Agents, California, Cognitive Therapy, Directive Counseling, Feasibility Studies, Female, HIV Infections, Humans, Male, Medication Adherence, Motivation, Patient Acceptance of Health Care, Program Evaluation, Substance Abuse, Intravenous, Substance-Related Disorders, Telephone, Treatment Outcome, Young Adult}, issn = {1573-3254}, doi = {10.1007/s10461-014-0990-x}, author = {Moore, Brent A and Rosen, Marc I and Wang, Yan and Shen, Jie and Ablondi, Karen and Sullivan, Anna and Guerrero, Mario and Siqueiros, Lisa and Daar, Eric S and Liu, Hong Hu} }