Christian Thurstone1, Paula D Riggs2, Constance Klein2, Susan K Mikulich-Gilbertson2. 1. Dr. Thurstone is affiliated with Denver Health and Hospital Authority and the University of Colorado at Denver and Health Sciences Center. All of the other authors are affiliated with the University of Colorado at Denver and Health Sciences Center.. Electronic address: Christian.Thurstone@dhha.org. 2. Dr. Thurstone is affiliated with Denver Health and Hospital Authority and the University of Colorado at Denver and Health Sciences Center. All of the other authors are affiliated with the University of Colorado at Denver and Health Sciences Center.
Abstract
OBJECTIVE: To explore change in human immunodeficiency virus (HIV) risk among teens in outpatient treatment for substance use disorders (SUDs). METHOD:From December 2002 to August 2004, 50 adolescents (13-19 years) with major depressive disorder, conduct disorder, and one or more non-nicotine SUD completed the Teen Health Survey (THS) at the beginning and end of 16 weeks of outpatient cognitive behavioral SUD treatment, which included a one-session HIV intervention. Changes in THS scale scores and specific item responses targeted by the intervention were assessed with paired t tests and Wilcoxon signed rank tests. RESULTS:Pre/post mean THS scores significantly improved for two subscales: Measures of HIV Information (14.8-17.6; p < .001) and Beliefs about Condom Use (17.6-18.5; p < .05). Analyses of specific items showed trends for improvement in intentions to carry condoms and in the number of teens who obtained condoms. Not all of the risks targeted by the intervention showed significant change, but no change was observed in any area that was not specifically targeted. CONCLUSIONS: Results from this preliminary study are consistent with the need for specific assessment and targeted intervention to reduce HIV risk in outpatient adolescent SUD treatment.
RCT Entities:
OBJECTIVE: To explore change in human immunodeficiency virus (HIV) risk among teens in outpatient treatment for substance use disorders (SUDs). METHOD: From December 2002 to August 2004, 50 adolescents (13-19 years) with major depressive disorder, conduct disorder, and one or more non-nicotine SUD completed the Teen Health Survey (THS) at the beginning and end of 16 weeks of outpatient cognitive behavioral SUD treatment, which included a one-session HIV intervention. Changes in THS scale scores and specific item responses targeted by the intervention were assessed with paired t tests and Wilcoxon signed rank tests. RESULTS: Pre/post mean THS scores significantly improved for two subscales: Measures of HIV Information (14.8-17.6; p < .001) and Beliefs about Condom Use (17.6-18.5; p < .05). Analyses of specific items showed trends for improvement in intentions to carry condoms and in the number of teens who obtained condoms. Not all of the risks targeted by the intervention showed significant change, but no change was observed in any area that was not specifically targeted. CONCLUSIONS: Results from this preliminary study are consistent with the need for specific assessment and targeted intervention to reduce HIV risk in outpatient adolescent SUD treatment.
Authors: Karlene Cunningham; David A Martinez; Lori A J Scott-Sheldon; Kate B Carey; Michael P Carey Journal: J Child Adolesc Subst Abuse Date: 2017-06-15
Authors: Christian Thurstone; Stacy Salomonsen-Sautel; Susan K Mikulich-Gilbertson; Christie A Hartman; Joseph T Sakai; Analice S Hoffenberg; Matt B McQueen; Sung-Joon Min; Thomas J Crowley; Robin P Corley; John K Hewitt; Christian J Hopfer Journal: Am J Addict Date: 2013-08-31
Authors: Larry K Brown; Wendy Hadley; Geri R Donenberg; Ralph J DiClemente; Celia Lescano; Delia M Lang; Richard Crosby; David Barker; Danielle Oster Journal: Psychiatr Serv Date: 2014-03-01 Impact factor: 4.157