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Pilot Randomized Controlled Trial of an Integrative Intervention with Methamphetamine-Using Men Who Have Sex with Men

  • Special Section: Sexual Health in Gay and Bisexual Men
  • Published:
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Abstract

Contingency management (CM) is an evidence-based intervention that provides tangible rewards as positive reinforcement for biologically confirmed abstinence from substance use. Integrative approaches targeting positive affect regulation could boost the effectiveness of CM by sensitizing individuals to non-drug-related sources of reward and assisting them with effectively managing symptoms of withdrawal. This pilot randomized controlled trial with 21 methamphetamine-using men who have sex with men (MSM) examined the feasibility and acceptability of a 5-session, positive affect intervention delivered during CM-Affect Regulation Treatment to Enhance Methamphetamine Intervention Success (ARTEMIS). After completing 4 weeks of a 12-week CM program, participants were randomized to receive ARTEMIS+CM (n = 12) or CM-only (n = 9). Those randomized to receive the ARTEMIS positive affect intervention completed 98 % of sessions and reported marginally significant increases in positive affect over the five sessions. In exit interviews with ARTEMIS+CM participants, individuals noted that the positive affect regulation skills increased self-awareness and led to greater engagement in the recovery process. ARTEMIS+CM participants reported significant increases in positive affect and CM-only participants reported significant reductions in negative affect over a 2-month follow-up. These affective changes were not maintained, and no concurrent effects on stimulant use or sexual risk taking were observed over the 6-month follow-up. More definitive clinical research is necessary to examine the efficacy of ARTEMIS+CM with methamphetamine-using MSM.

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Acknowledgments

This work was supported as a Pilot Project of the University of California, San Francisco Center for AIDS Prevention Studies, which was funded by the National Institute of Mental Health (P30MH062246; Lightfoot, PI). Additional support was provided by the National Institute of Mental Health (K24-MH093225; Moskowitz, PI) and the National Institute on Drug Abuse (R01-DA033854; Carrico & Moskowitz, PIs).

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Authors and Affiliations

  1. University of California San Francisco School of Nursing, 2 Koret Way, N511M, San Francisco, CA, 94143, USA

    Adam W. Carrico & Walter Gómez

  2. San Francisco Center for AIDS Prevention Studies, University of California, San Francisco, CA, USA

    Adam W. Carrico & Samantha E. Dilworth

  3. San Francisco AIDS Foundation, San Francisco, CA, USA

    Michael D. Siever & Michael V. Discepola

  4. Department of Medical Social Sciences, Northwestern University, Chicago, IL, USA

    Judith T. Moskowitz

Authors
  1. Adam W. Carrico
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  2. Walter Gómez
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  3. Michael D. Siever
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  4. Michael V. Discepola
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  5. Samantha E. Dilworth
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  6. Judith T. Moskowitz
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Correspondence to Adam W. Carrico.

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Carrico, A.W., Gómez, W., Siever, M.D. et al. Pilot Randomized Controlled Trial of an Integrative Intervention with Methamphetamine-Using Men Who Have Sex with Men. Arch Sex Behav 44, 1861–1867 (2015). https://doi.org/10.1007/s10508-015-0505-5

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  • DOI: https://doi.org/10.1007/s10508-015-0505-5

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