@article{5db2a5c8cbad4f5fb033acf4b47252eb,
title = "Reducing Sexual Risk Behaviors for HIV/STDs in Women With Alcohol Use Disorders",
abstract = "Objective: A pilot randomized clinical trial (RCT) examined effectiveness of HIV/STD Safer Sex Skills Building + Alcohol (SSB+A) intervention for women with Alcohol Use Disorders (AUDs) in a residential treatment setting. Method: After randomizing thirty-six women with AUDs and reporting having intercourse with a male partner in the past 180 days to SSB+A or HE (standard HIV/STD education) groups, rates of penetrative intercourse with and without condoms at 60 day and 180 day follow-up were compared between SSB+A or HE groups. Results: There was a significant difference in mean number of sex acts with condoms between SSB+A and HE groups over time. Specifically, SSB+A and HE groups did not differ at 60 day follow-up, but at 180 day follow-up, mean sex acts with condoms among SSB+A group was significantly higher than HE. Conclusion: Pilot study findings affirm the effectiveness of the SSB+A in reducing sexual risk behaviors of AUD women and support the need for further research, testing the SSB+A intervention in a larger sample of women and across different treatment modalities. The present study also illustrates the critical link between practice and use of a step by step model of intervention research.",
keywords = "HIV/STD prevention intervention, alcohol use disorders, randomized clinical trial (RCT), sexual risk behaviors, women",
author = "Langhorst, {Diane M.} and Choi, {Y. Joon} and Lori Keyser-Marcus and Svikis, {Dace S.}",
note = "Funding Information: The authors disclosed receipt of the following financial support for the research, authorship and/or publication of this article: This research was supported by NIH/NIAAA (Grant #5R03AA016189-02), NIDA (Grant U10 DA13034), and National Center on Minority Health and Health Disparities (Grant #5P60MD002256-04). Funding Information: The purpose of the present study was to adapt the SSB intervention to fit a new population, women with alcohol use disorders (AUDs). The research was funded by National Institute on Alcohol Abuse and Alcoholism (NIAAA) (R03: Modifying SSB in Alcohol Abusing Women) and was divided into two phases, based on staged model for the development of behavioral therapies. In Phase 1, researchers from the Addiction & Women{\textquoteright}s Health: Advancing Research and Evaluation (AWHARE) program modified SSB to include alcohol-specific content. The revised manual was pilot tested, and focus groups were conducted to gather feedback from pilot study participants about the revised manual and the need for further improvements. The manual was then finalized as SSB + A based on focus group feedback and consultant recommendations. The present article will focus exclusively on Phase 2. Phase 1 procedures and results are discussed separately (). Specifically, a small randomized clinical trial (RCT) was completed comparing the five-session SSB + A intervention to a single-session standard HIV education (HE) group. To limit extraneous factors and maximize “dose” received (for both SSB + A and HE), the study was conducted in a residential substance abuse treatment setting. Women meeting Diagnostic and Statistical Manual of Mental Disorders—fourth edition (DSM-IV) criteria for AUDs and reporting having intercourse with a male partner in the 180 days prior to treatment admission were eligible. The target population of women was primarily African American, of low socioeconomic status and at high risk of HIV/AIDS. ",
year = "2012",
month = jul,
doi = "10.1177/1049731512441683",
language = "English (US)",
volume = "22",
pages = "367--379",
journal = "Research on Social Work Practice",
issn = "1049-7315",
publisher = "SAGE Publications Inc.",
number = "4",
}