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Randomized Controlled Trial
. 2009 Aug;77(4):645-56.
doi: 10.1037/a0015588.

Randomized trial to reduce club drug use and HIV risk behaviors among men who have sex with men

Jon Morgenstern  1 , Donald A Bux Jr, Jeffrey Parsons, Brett T Hagman, Milton Wainberg, Thomas Irwin
Affiliations
Randomized Controlled Trial

Randomized trial to reduce club drug use and HIV risk behaviors among men who have sex with men

Jon Morgenstern et al. J Consult Clin Psychol. 2009 Aug.

Abstract

The authors examined the effectiveness of motivational interviewing (MI) on club drug use and risky sex in non-treatment-seeking men who have sex with men (MSM). MSM (N = 150) were assessed and randomly assigned to 4 sessions of MI or an educational control intervention. Follow-up occurred at quarterly intervals for 1 year. Primary outcomes were days of any club drug use and number of unsafe sex acts. On average, club drug use declined during follow-up. A significant interaction effect showed that MI was associated with less club drug use during follow-up compared with education but only among participants with lower severity of drug dependence (p < .02; small to medium effect size). MI did not result in a significant reduction in risky sex relative to education. The results support the use of MI targeting club drug use in at-risk or mildly dependent users not seeking treatment but not in more severely dependent users. MI does not appear effective in reducing risky sexual behavior in this population.

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Figures

Figure 1
Figure 1
Participant Recruitment and Retention
Figure 2
Figure 2
Plot of interaction between treatment condition and club drug dependence severity status for days of any club drug use across the study period.
See this image and copyright information in PMC

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