کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
6801410 | 1433353 | 2018 | 10 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Ecological momentary assessments for self-monitoring and counseling to optimize methamphetamine treatment and sexual risk reduction outcomes among gay and bisexual men
ترجمه فارسی عنوان
ارزیابی های موقت زیست محیطی برای خود نظارت و مشاوره برای بهینه سازی درمان متامفتامین و پیامدهای کاهش خطر ابتلا به سرطان در بین مردان همجنس گرا و همجنس گرا
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کلمات کلیدی
موضوعات مرتبط
علوم زیستی و بیوفناوری
علم عصب شناسی
روانپزشکی بیولوژیکی
چکیده انگلیسی
This pilot study evaluated the use of smartphone ecological momentary assessments (EMA) for self-monitoring to optimize treatment outcomes among gay and bisexual men enrolled in an outpatient methamphetamine abuse treatment service program. Participants (Nâ¯=â¯34) received EMA prompts five times daily to self-monitor their methamphetamine use, cravings, sexual risk behaviors, and associated triggers and affect throughout the 8-week treatment program. Participants were randomized into either a self-directed condition with access to a web-based EMA response visualization dashboard (“EMAâ¯+â¯Dashboard”; nâ¯=â¯16); or, a counselor-supported condition incorporating weekly, 30-min, one-on-one counseling sessions to review and discuss the participant's self-monitoring data on the dashboard (“EMAâ¯+â¯Dashboardâ¯+â¯Counselor”; nâ¯=â¯18). Pilot participants were compared with historical controls (nâ¯=â¯102) as the reference group in multiple regression analyses to assess the impact of the two study conditions on the treatment service program outcomes. Study participants with weekly counseling (EMAâ¯+â¯Dashboardâ¯+â¯Counselor) exhibited significantly greater reductions in the number of condomless anal intercourse episodes than historical controls (IRRâ¯=â¯0.02, 95% CI [0.00, 0.30]), whereas the reduction was of similar magnitude as controls in the EMAâ¯+â¯Dashboard self-directed condition (IRRâ¯=â¯0.23, 95% CI [0.02, 3.56]). Treatment effects were not significant for comparisons between the two study conditions and historical controls for self-reported methamphetamine use (EMAâ¯+â¯Dashboard: IRRâ¯=â¯1.06, 95% CI [0.32, 3.49]; EMAâ¯+â¯Dashboard+Counselor: IRRâ¯=â¯0.46, 95% CI [0.14, 1.49]), number of male partners (EMAâ¯+â¯Dashboard: IRRâ¯=â¯1.02, 95% CI [0.39, 2.61]; EMAâ¯+â¯Dashboard+Counselor: IRRâ¯=â¯0.54, 95% CI [0.20, 1.45]), and the likelihood of providing a urine sample that tested positive for methamphetamine metabolites (EMAâ¯+â¯Dashboard: ORâ¯=â¯1.00, 95% CI [0.79, 1.25]; EMAâ¯+â¯Dashboardâ¯+â¯Counselor: ORâ¯=â¯0.93, 95% CI [0.74, 1.16]). The pilot study provides preliminary evidence that the treatment outcome for condomless anal intercourse can be improved through a combination of smartphone- and counselor-assisted self-monitoring.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Substance Abuse Treatment - Volume 92, September 2018, Pages 17-26
Journal: Journal of Substance Abuse Treatment - Volume 92, September 2018, Pages 17-26
نویسندگان
Cathy J. Reback, Dennis Rünger, Jesse B. Fletcher, Dallas Swendeman,