| Title | A Remotely-Delivered CBT and Contingency Management Therapy for Substance Using People with HIV. |
| Publication Type | Journal Article |
| Year of Publication | 2015 |
| Authors | Moore, Brent A., Marc I. Rosen, Yan Wang, Jie Shen, Karen Ablondi, Anna Sullivan, Mario Guerrero, Lisa Siqueiros, Eric S. Daar, and Hong Hu Liu |
| Journal | AIDS and behavior |
| Volume | 19 Suppl 2 |
| Pagination | 156-62 |
| Date Published | 2015 Jun |
| ISSN | 1573-3254 |
| 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 |
| 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. |
| DOI | 10.1007/s10461-014-0990-x |
| Alternate Journal | AIDS Behav |
