The Treatment Advocacy Program: a randomized controlled trial of a peer-led safer sex intervention for HIV-infected men who have sex with men.

Abstract:

OBJECTIVE:Primary care may be an effective venue for delivering behavioral interventions for sexual safety among HIV-positive men who have sex with men (MSM); however, few studies show efficacy for such an approach. We tested the efficacy of the Treatment Advocacy Program (TAP), a 4-session, primary-care-based, individual counseling intervention led by HIV-positive MSM "peer advocates" in reducing unprotected sex with HIV-negative or unknown partners (HIV transmission risk). METHOD:We randomized 313 HIV-positive MSM to TAP or standard care. HIV transmission risk was assessed at baseline, 6 months, and 12 months (251 participants completed all study waves). We conducted intent-to-treat analyses using general estimating equations to test the interaction of group (TAP vs. standard care) by follow-up period. RESULTS:At study completion, TAP participants reported greater transmission risk reduction than did those receiving standard care, χ2(2, N = 249) = 6.6, p = .04. Transmission risk among TAP participants decreased from 34% at baseline to about 20% at both 6 and 12 months: Transmission risk ranged from 23% to 25% among comparison participants. CONCLUSIONS:TAP reduced transmission risk among HIV-positive MSM, although results are modest. Many participants and peer advocates commented favorably on the computer structure of the program. We feel that the key elements of TAP-computer-based and individually tailored session content, delivered by peers, in the primary care setting-warrant further exploration.

journal_name

J Consult Clin Psychol

authors

McKirnan DJ,Tolou-Shams M,Courtenay-Quirk C

doi

10.1037/a0020759

subject

Has Abstract

pub_date

2010-12-01 00:00:00

pages

952-63

issue

6

eissn

0022-006X

issn

1939-2117

pii

2010-20816-001

journal_volume

78

pub_type

杂志文章,随机对照试验
  • Identifying and developing empirically supported child and adolescent treatments.

    abstract::Child and adolescent therapy outcome research findings attest to the efficacy of a variety of treatments. This article illustrates promising treatments for selected internalizing (anxiety and depression), externalizing (oppositional, and antisocial behavior), and other (obesity and autism) conditions, and for other ai...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章,评审

    doi:10.1037//0022-006x.66.1.19

    authors: Kazdin AE,Weisz JR

    更新日期:1998-02-01 00:00:00

  • Cue exposure with coping skills treatment for male alcoholics: a preliminary investigation.

    abstract::Although early investigations were promising, no controlled follow-up studies have investigated the effectiveness of cue exposure treatment for alcoholics. In this study, inpatient alcoholics received either cue exposure integrated with urge coping skills training (CET, n = 22) or a contrast condition (CC) involving d...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1037//0022-006x.61.6.1011

    authors: Monti PM,Rohsenow DJ,Rubonis AV,Niaura RS,Sirota AD,Colby SM,Goddard P,Abrams DB

    更新日期:1993-12-01 00:00:00

  • Twenty years of cognitive assessment: current status and future directions.

    abstract::This commentary examines a number of methodological and conceptual issues that were raised in this special section on cognitive assessment. Although progress has been made in a number of areas since cognitive-clinical researchers first addressed the assessment of cognition almost 20 years ago, important conceptual and...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章,评审

    doi:10.1037//0022-006x.65.6.996

    authors: Clark DA

    更新日期:1997-12-01 00:00:00

  • Traumatic events: prevalence and delayed recall in the general population.

    abstract::A random sample of 724 individuals across the United States were mailed a questionnaire containing demographic information, an abridged version of the Traumatic Events Survey (D. M. Elliott, 1992), and questions regarding memory for traumatic events. Of these, 505 (70%) completed the survey. Among respondents who repo...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章

    doi:10.1037//0022-006x.65.5.811

    authors: Elliott DM

    更新日期:1997-10-01 00:00:00

  • Internalized heterosexism among HIV-positive, gay-identified men: implications for HIV prevention and care.

    abstract::Internalized heterosexism (IH), or the internalization of societal antihomosexual attitudes, has been consistently linked to depression and low self-esteem among gay men, and it has been inconclusively associated with substance use and sexual risk in gay and bisexual men. Using structural equation modeling, the author...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章

    doi:10.1037/0022-006X.76.5.829

    authors: Johnson MO,Carrico AW,Chesney MA,Morin SF

    更新日期:2008-10-01 00:00:00

  • Psychopathy and suicidality in female offenders: mediating influences of personality and abuse.

    abstract::The influence of personality and childhood abuse on suicidal behaviors and psychopathy was examined among female prisoners. Scores on the affective/interpersonal component (Factor 1; F1) and the antisocial deviance (Factor 2; F2) component of psychopathy were obtained from the Psychopathy Checklist--Revised (R. D. Har...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章

    doi:10.1037/0022-006X.73.6.1065

    authors: Verona E,Hicks BM,Patrick CJ

    更新日期:2005-12-01 00:00:00

  • Identifying critical dimensions for discriminating among rapists.

    abstract::Considerable evidence has amassed in studies of both nonoffender and offender samples that demonstrates both that sexual aggression is determined by a multiplicity of variables and that convicted sexual offenders are markedly heterogeneous (Knight, Rosenberg, & Schneider, 1985; Malamuth, 1986). Attempts both to identi...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章

    doi:10.1037//0022-006x.59.5.643

    authors: Prentky RA,Knight RA

    更新日期:1991-10-01 00:00:00

  • Correlates of improvement in multidisciplinary treatment of chronic pain.

    abstract::Although multidisciplinary pain programs have been demonstrated to be effective, the processes of improvement have yet to be clarified. Cognitive-behavioral models posit that improvement is due, in part, to changes in patient pain beliefs and coping strategies. To test the relationships between treatment outcome and c...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章

    doi:10.1037//0022-006x.62.1.172

    authors: Jensen MP,Turner JA,Romano JM

    更新日期:1994-02-01 00:00:00

  • Online programs improve relationship functioning for distressed low-income couples: Results from a nationwide randomized controlled trial.

    abstract:OBJECTIVE:Although low-income couples experience greater relationship challenges, they have limited access to effective relationship interventions. Furthermore, most previous efforts to improve low-income couples' relationships have yielded very small effects (Hawkins & Erickson, 2015). In an effort to overcome these l...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章,随机对照试验

    doi:10.1037/ccp0000479

    authors: Doss BD,Knopp K,Roddy MK,Rothman K,Hatch SG,Rhoades GK

    更新日期:2020-04-01 00:00:00

  • Cognitive processing therapy for sexual assault victims.

    abstract::Cognitive processing therapy (CPT) was developed to treat the symptoms of posttraumatic stress disorder (PTSD) in rape victims. CPT is based on an information processing theory of PTSD and includes education, exposure, and cognitive components. Nineteen sexual assault survivors received CPT, which consists of 12 weekl...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章

    doi:10.1037//0022-006x.60.5.748

    authors: Resick PA,Schnicke MK

    更新日期:1992-10-01 00:00:00

  • A prospective investigation of the impact of childhood sexual abuse on the development of sexuality.

    abstract::The sexual attitudes and activities of 77 sexually abused and 89 comparison women (mean age = 20.41, SD = 3.38) were assessed 10 years after disclosure in a longitudinal, prospective study of the long-term effects of childhood sexual abuse. Abused participants were more preoccupied with sex, younger at first voluntary...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章

    doi:10.1037/0022-006x.71.3.575

    authors: Noll JG,Trickett PK,Putnam FW

    更新日期:2003-06-01 00:00:00

  • Cognitive-behavioral therapy for insomnia: comparison of individual therapy, group therapy, and telephone consultations.

    abstract::Forty-five adults with primary insomnia received cognitive-behavioral therapy (CBT) implemented in a group therapy format, in individual face-to-face therapy or through brief individual telephone consultations. The results indicate that CBT was effective in improving sleep parameters with all 3 methods of treatment im...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1037/0022-006X.72.4.653

    authors: Bastien CH,Morin CM,Ouellet MC,Blais FC,Bouchard S

    更新日期:2004-08-01 00:00:00

  • Childhood sexual abuse and sexual risk behavior among men and women attending a sexually transmitted disease clinic.

    abstract::Childhood sexual abuse (CSA) is associated with a wide range of negative outcomes. The authors investigated the relation between CSA and sexual risk behavior in 827 patients recruited from a sexually transmitted disease (STD) clinic. Overall, CSA was reported by 53% of women and 49% of men and was associated with grea...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章,随机对照试验

    doi:10.1037/0022-006X.74.4.720

    authors: Senn TE,Carey MP,Vanable PA,Coury-Doniger P,Urban MA

    更新日期:2006-08-01 00:00:00

  • Mediators of the association of major depressive syndrome and anxiety syndrome with postpartum smoking relapse.

    abstract:OBJECTIVE:Based on conceptual models of addiction and affect regulation, this study examined the mechanisms linking current major depressive syndrome (MDS) and anxiety syndrome (AS) to postpartum smoking relapse. METHOD:Data were collected in a randomized clinical trial from 251 women who quit smoking during pregnancy...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章,随机对照试验

    doi:10.1037/a0027532

    authors: Correa-Fernández V,Ji L,Castro Y,Heppner WL,Vidrine JI,Costello TJ,Mullen PD,Cofta-Woerpel L,Velasquez MM,Greisinger A,Cinciripini PM,Wetter DW

    更新日期:2012-08-01 00:00:00

  • In cognitive therapy for depression, early focus on maladaptive beliefs may be especially efficacious for patients with personality disorders.

    abstract:OBJECTIVE:Patients with major depressive disorder (MDD) and a comorbid personality disorder (PD) have been found to exhibit relatively poor outcomes in cognitive therapy (CT) and other treatments. Adaptations of CT focusing heavily on patients' core beliefs have yielded promising findings in the treatment of PD. Howeve...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章,随机对照试验

    doi:10.1037/ccp0000071

    authors: Keefe JR,Webb CA,DeRubeis RJ

    更新日期:2016-04-01 00:00:00

  • Diagnosis, assessment, and treatment of externalizing problems in children: the role of longitudinal data.

    abstract::Prospective longitudinal studies that pertain to the stability, developmental pathways, and long-term outcome for the 2 primary forms of externalizing behavior problems (conduct problems [CP] and hyperactivity [HA]) are described. Treatment outcome studies for CP and HA with at least 1 year of follow-up data are revie...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章,评审

    doi:10.1037//0022-006x.62.5.901

    authors: McMahon RJ

    更新日期:1994-10-01 00:00:00

  • Preventing marital distress through communication and conflict management training: a 4- and 5-year follow-up.

    abstract::This article reports the 4- and 5-year follow-up results of evaluating the effects of a marital distress prevention program. The program, Prevention and Relationship Enhancement Program (PREP), is a 5-session program designed to teach couples effective communication and conflict management skills. At the 5-year follow...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章

    doi:10.1037//0022-006x.61.1.70

    authors: Markman HJ,Renick MJ,Floyd FJ,Stanley SM,Clements M

    更新日期:1993-02-01 00:00:00

  • Secondary prevention with college drinkers: evaluation of an alcohol skills training program.

    abstract::This study evaluated secondary prevention approaches for young adults (N = 36, mean age 23 years) at risk for alcohol problems. Subjects were randomly assigned to cognitive-behavioral alcohol skills training, a didactic alcohol information program, or assessment only. The skills program included training in blood alco...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1037//0022-006x.58.6.805

    authors: Kivlahan DR,Marlatt GA,Fromme K,Coppel DB,Williams E

    更新日期:1990-12-01 00:00:00

  • Depression screening in a women's clinic: using automated Spanish- and English-language voice recognition.

    abstract::Clinical depression is frequently unrecognized, even in health care settings. This study (a) reports high levels of major depressive episodes (MDEs) and depressive symptoms in a public sector women's clinic, (b) compares computerized voice recognition with live interviews, and (c) compares Spanish and English versions...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章

    doi:10.1037//0022-006x.67.4.502

    authors: Muñoz RF,McQuaid JR,González GM,Dimas J,Rosales VA

    更新日期:1999-08-01 00:00:00

  • Subtyping women with bulimia nervosa along dietary and negative affect dimensions: further evidence of reliability and validity.

    abstract::Studies have found that individuals with bulimia nervosa can be classified into dietary and dietary-negative affect subtypes and that the latter exhibit greater eating pathology, psychiatric comorbidity, and functional impairment; a more protracted clinical course; and a worse treatment response. In this report, the a...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章,随机对照试验

    doi:10.1037/a0013887

    authors: Stice E,Bohon C,Marti CN,Fischer K

    更新日期:2008-12-01 00:00:00

  • Commitment to treatment goals in prediction of group cognitive-behavioral therapy treatment outcome for women with bulimia nervosa.

    abstract::The purpose of this study was to investigate potential client variables that predict favorable response to group cognitive-behavioral therapy in a sample of women (N = 143) seeking treatment for bulimia nervosa. Similar to findings of previous studies, bulimic symptom remission at end of treatment was predicted by bas...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1037//0022-006x.68.3.432

    authors: Mussell MP,Mitchell JE,Crosby RD,Fulkerson JA,Hoberman HM,Romano JL

    更新日期:2000-06-01 00:00:00

  • Psychological distress among Mexican-American and Mexican women as related to status on the new immigration law.

    abstract::Psychological distress in relation to the 1986 Immigration Reform and Control Act was examined among 90 Mexican-American and Mexican women divided into three groups (n = 30 each): undocumented immigrants who did not qualify for amnesty, undocumented immigrants who qualified for amnesty, and legal residents of the Unit...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章

    doi:10.1037//0022-006x.58.5.548

    authors: Rodriguez R,DeWolfe A

    更新日期:1990-10-01 00:00:00

  • Cost-benefit analysis of six alternative payment incentives for child therapists.

    abstract::The outcomes and costs of 6 different methods of motivating therapists to meet service delivery goals at a community mental health center for children and adolescents were evaluated over a 5-year period. The costs and cost-savings benefits of each motivational method were compared with each other and with two baseline...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章

    doi:10.1037//0022-006x.62.3.627

    authors: Yates BT,Yokley JM,Thomas JV

    更新日期:1994-06-01 00:00:00

  • Effects of a cognitive-behavioral intervention targeting weight stigma: A randomized controlled trial.

    abstract:OBJECTIVE:To test the effects of a cognitive-behavioral intervention for weight bias internalization (WBI; i.e., self-stigma) combined with behavioral weight loss (BWL). METHOD:Adults with obesity and elevated WBI were randomly assigned to BWL alone or combined with the Weight Bias Internalization and Stigma Program (...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章,随机对照试验

    doi:10.1037/ccp0000480

    authors: Pearl RL,Wadden TA,Bach C,Gruber K,Leonard S,Walsh OA,Tronieri JS,Berkowitz RI

    更新日期:2020-05-01 00:00:00

  • "Old dogs" and new skills: how clinician characteristics relate to motivational interviewing skills before, during, and after training.

    abstract:OBJECTIVE:The relationships between the occupational, educational, and verbal-cognitive characteristics of health care professionals and their motivational interviewing (MI) skills before, during, and after training were investigated. METHOD:Fifty-eight community-based addiction clinicians (M = 42.1 years, SD = 10.0; ...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章,随机对照试验

    doi:10.1037/a0028362

    authors: Carpenter KM,Cheng WY,Smith JL,Brooks AC,Amrhein PC,Wain RM,Nunes EV

    更新日期:2012-08-01 00:00:00

  • On the importance of temporal precedence in mediational analyses.

    abstract::This response to the commentary by Gaynor (in press) (a) underscores the importance of defining terms (predictor, moderator, and mediator variables) used in psychological treatment outcome research, (b) notes the improvements in mediation analyses using treatment of youth anxiety as the illustration, and (c) encourage...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 评论,杂志文章

    doi:10.1037/ccp0000152

    authors: Kendall PC,Olino TM,Carper M,Makover H

    更新日期:2017-01-01 00:00:00

  • The epidemiology of human immunodeficiency virus infection.

    abstract::The epidemiology and natural history of infection with the human immunodeficiency virus (HIV) is reviewed. HIV is associated with a broad spectrum of disease, including AIDS. In presenting the natural history, early and late clinical manifestations, diagnosis of infection, incubation and latency periods, and survival ...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章,评审

    doi:10.1037/h0092560

    authors: Glasner PD,Kaslow RA

    更新日期:1990-02-01 00:00:00

  • How does brief motivational intervention change heavy drinking and harm among underage young adult drinkers?

    abstract:OBJECTIVE:This study tested mediating processes hypothesized to explain the therapeutic benefit of an efficacious motivational interview (MI). The constructs of interest were motivation to change, cognitive dissonance about current drinking, self-efficacy for change, perceived young adult drinking norms, future drinkin...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章,随机对照试验

    doi:10.1037/ccp0000200

    authors: Magill M,Colby SM,Orchowski L,Murphy JG,Hoadley A,Brazil LA,Barnett NP

    更新日期:2017-05-01 00:00:00

  • Effectiveness of motivational interviewing interventions for adolescent substance use behavior change: a meta-analytic review.

    abstract:OBJECTIVE:This study was designed to quantitatively evaluate the effectiveness of motivational interviewing (MI) interventions for adolescent substance use behavior change. METHOD:Literature searches of electronic databases were undertaken in addition to manual reference searches of identified review articles. Databas...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1037/a0023992

    authors: Jensen CD,Cushing CC,Aylward BS,Craig JT,Sorell DM,Steele RG

    更新日期:2011-08-01 00:00:00

  • The relation of alcohol use to HIV-risk sexual behavior among adults with a severe and persistent mental illness.

    abstract::The authors examined the relationship between alcohol use and HIV-risk sexual behavior and tested whether alcohol use immediately prior to sex is related to decreased condom use. The participants were 159 adults living with a severe and persistent mental illness. Each participated in a structured interview to assess a...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章

    doi:10.1037//0022-006x.69.1.77

    authors: Weinhardt LS,Carey MP,Carey KB,Maisto SA,Gordon CM

    更新日期:2001-02-01 00:00:00