Yale University

A Remotely-Delivered CBT and Contingency Management Therapy for Substance Using People with HIV.

TitleA Remotely-Delivered CBT and Contingency Management Therapy for Substance Using People with HIV.
Publication TypeJournal Article
Year of Publication2015
AuthorsMoore, Brent A., Marc I. Rosen, Yan Wang, Jie Shen, Karen Ablondi, Anna Sullivan, Mario Guerrero, Lisa Siqueiros, Eric S. Daar, and Hong Hu Liu
JournalAIDS and behavior
Volume19 Suppl 2
Date Published2015 Jun
KeywordsAdult, 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
AbstractSubstance 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.
Alternate JournalAIDS Behav

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