caa a22 4500 606231315 CHVBK 20210128101219.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s10508-015-0505-5 doi (NATIONALLICENCE)springer-10.1007/s10508-015-0505-5 Pilot Randomized Controlled Trial of an Integrative Intervention with Methamphetamine-Using Men Who Have Sex with Men [Elektronische Daten] [Adam Carrico, Walter Gómez, Michael Siever, Michael Discepola, Samantha Dilworth, Judith Moskowitz] 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. Springer Science+Business Media New York, 2015 Contingency management nationallicence Men who have sex with men nationallicence Methamphetamine nationallicence HIV/AIDS nationallicence Sexual orientation nationallicence Carrico Adam University of California San Francisco School of Nursing, 2 Koret Way, N511M, 94143, San Francisco, CA, USA aut Gómez Walter University of California San Francisco School of Nursing, 2 Koret Way, N511M, 94143, San Francisco, CA, USA aut Siever Michael San Francisco AIDS Foundation, San Francisco, CA, USA aut Discepola Michael San Francisco AIDS Foundation, San Francisco, CA, USA aut Dilworth Samantha San Francisco Center for AIDS Prevention Studies, University of California, San Francisco, CA, USA aut Moskowitz Judith Department of Medical Social Sciences, Northwestern University, Chicago, IL, USA aut Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/7(2015-10-01), 1861-1867 0004-0002 44:7<1861 2015 44 10508 https://doi.org/10.1007/s10508-015-0505-5 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10508-015-0505-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Carrico Adam University of California San Francisco School of Nursing, 2 Koret Way, N511M, 94143, San Francisco, CA, USA aut NATIONALLICENCE 700 1- Gómez Walter University of California San Francisco School of Nursing, 2 Koret Way, N511M, 94143, San Francisco, CA, USA aut NATIONALLICENCE 700 1- Siever Michael San Francisco AIDS Foundation, San Francisco, CA, USA aut NATIONALLICENCE 700 1- Discepola Michael San Francisco AIDS Foundation, San Francisco, CA, USA aut NATIONALLICENCE 700 1- Dilworth Samantha San Francisco Center for AIDS Prevention Studies, University of California, San Francisco, CA, USA aut NATIONALLICENCE 700 1- Moskowitz Judith Department of Medical Social Sciences, Northwestern University, Chicago, IL, USA aut NATIONALLICENCE 773 0- Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/7(2015-10-01), 1861-1867 0004-0002 44:7<1861 2015 44 10508