A Randomized Comparison Trial Testing Two Culturally Adapted HIV Prevention Approaches for Native Americans Reducing Trauma Symptoms Versus Substance Misuse.
We compared two counseling approaches aimed at preventing HIV: Narrative Exposure Therapy (NET) targeting posttraumatic stress disorder (PTSD) and Motivational Interviewing with CBT-skills training (MIST), addressing substance misuse. We recruited 125 participants aged 16 + rural American Indians. P...
| Publicado en: | AIDS & Behavior Vol. 29; no. 10; pp. 3298 - 3313 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Springer Nature
Oct2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=188353308&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 188353308 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Oct2025 vid: 29 iid: 10 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 188353308 185961650 187252538 188353308 188353308 10.1007/s10461-025-04777-w 188353308 ppf: 3298 ppct: 15 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: A Randomized Comparison Trial Testing Two Culturally Adapted HIV Prevention Approaches for Native Americans Reducing Trauma Symptoms Versus Substance Misuse. aug: au: Pearson, C. R. Huh, D. Bedard-Gilligan, M. Walker, D. Marín, R. A. Saluskin, K. Kaysen, D. affil: https://ror.org/00cvxb145 Indigenous Wellness Research Institute, School of Social Work, University of Washington, Box 354900, 98105-6299, Seattle, WA, USA sug: subj: HIV Infections Prevention and Control Native Americans Stress Disorders, Post-Traumatic Prevention and Control Stress Disorders, Post-Traumatic Therapy Substance Abuse Therapy Community Health Services HIV Infections Risk Factors Risk Assessment Treatment Outcomes Human Funding Source Male Female Adolescence Adult Middle Age Aged Aged, 80 and Over United States Randomized Controlled Trials Random Assignment Prospective Studies Sexual Partners Motivational Interviewing Counselors Behavior Therapy Methods Sexual Behavior Risk Taking Behavior HIV Infections Ethnology Descriptive Statistics Comparative Studies Checklists Curriculum Health Screening Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: We compared two counseling approaches aimed at preventing HIV: Narrative Exposure Therapy (NET) targeting posttraumatic stress disorder (PTSD) and Motivational Interviewing with CBT-skills training (MIST), addressing substance misuse. We recruited 125 participants aged 16 + rural American Indians. Participants were screened for current sexual activity, probable PTSD, and substance misuse, then randomly assigned to either NET or MIST. Interventions were culturally adapted and up to 6 sessions delivered by local counselors. Primary outcomes included PTSD severity, number of sexual partners, frequency of sex, sex while using substances, and overall substance use. Both treatments reduced PTSD severity, risky sexual behavior, number of sexual partners, sexual encounters with unknown HIV serostatus partners, and substance use symptoms at follow-up. However, NET showed greater effectiveness than MIST, specifically in reducing risky sexual behaviors and substance use. Results suggest that interventions addressing either PTSD symptoms or substance misuse can effectively reduce HIV sexual risk behaviors. Resumen: Comparamos dos enfoques de consejería dirigidos a la prevención del VIH: Terapia de Exposición Narrativa (NET), dirigida al trastorno de estrés postraumático (TEPT), y Entrevista Motivacional con Entrenamiento en Habilidades de TCC (MIST), que aborda el abuso de sustancias. Reclutamos a 125 participantes indígenas americanos rurales, mayores de 16 años. Se evaluó a los participantes en cuanto a actividad sexual actual, probable TEPT y abuso de sustancias, y luego se les asignó aleatoriamente a NET o MIST. Las intervenciones se adaptaron culturalmente y se impartieron hasta 6 sesiones por consejeros locales. Los resultados primarios incluyeron la gravedad del TEPT, el número de parejas sexuales, la frecuencia de las relaciones sexuales, las relaciones sexuales durante el consumo de sustancias y el consumo general de sustancias. Ambos tratamientos redujeron la gravedad del TEPT, la conducta sexual de riesgo, el número de parejas sexuales, los encuentros sexuales con parejas con estado serológico de VIH desconocido y los síntomas de consumo de sustancias en el seguimiento. Sin embargo, NET mostró mayor efectividad que MIST, específicamente en la reducción de las conductas sexuales de riesgo y el consumo de sustancias. Los resultados sugieren que las intervenciones que abordan los síntomas del TEPT o el abuso de sustancias pueden reducir eficazmente las conductas sexuales de riesgo relacionadas con el VIH. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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