%0 Journal Article %J AIDS and behavior %D 2015 %T A Remotely-Delivered CBT and Contingency Management Therapy for Substance Using People with HIV. %A Moore, Brent A %A Rosen, Marc I %A Wang, Yan %A Shen, Jie %A Ablondi, Karen %A Sullivan, Anna %A Guerrero, Mario %A Siqueiros, Lisa %A Daar, Eric S %A Liu, Hong Hu %K Adult %K Anti-Retroviral Agents %K California %K Cognitive Therapy %K Directive Counseling %K Feasibility Studies %K Female %K HIV Infections %K Humans %K Male %K Medication Adherence %K Motivation %K Patient Acceptance of Health Care %K Program Evaluation %K Substance Abuse, Intravenous %K Substance-Related Disorders %K Telephone %K Treatment Outcome %K Young Adult %P 156-62 %R 10.1007/s10461-014-0990-x %V 19 Suppl 2 %X 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. %8 2015 Jun