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A randomized controlled trial of a brief motivational interviewing-based group intervention for emerging adults experiencing homelessness: 12-Month effects on substance use and sexual risk behavior.
Tucker, Joan S; D'Amico, Elizabeth J; Rodriguez, Anthony; Garvey, Rick; Pedersen, Eric R; Klein, David J.
Afiliación
  • Tucker JS; RAND Corporation, 1776 Main Street, Santa Monica, CA, USA. Electronic address: jtucker@rand.org.
  • D'Amico EJ; RAND Corporation, 1776 Main Street, Santa Monica, CA, USA.
  • Rodriguez A; RAND Corporation, 20 Park Plaza, Suite 920, Boston, MA 02116, USA.
  • Garvey R; RAND Corporation, 1776 Main Street, Santa Monica, CA, USA.
  • Pedersen ER; University of Southern California, Department of Psychiatry and Behavioral Sciences, Keck School of Medicine, 250 Alcazar Street, Suite 2200, Los Angeles, CA 90033, USA.
  • Klein DJ; RAND Corporation, 1776 Main Street, Santa Monica, CA, USA.
J Subst Use Addict Treat ; 152: 209114, 2023 09.
Article en En | MEDLINE | ID: mdl-37355155
INTRODUCTION: Few brief evidence-based risk reduction programs for emerging adults experiencing homelessness focus on the interrelated problems of substance use and sexual risk behavior. This study examines outcomes from a 12-month evaluation of AWARE, a brief Motivational Interviewing (MI)-based group risk reduction intervention for this population. METHODS: In a cluster randomized crossover trial, N = 276 18-25-year-olds received AWARE or usual care at drop-in centers serving homeless youth in Los Angeles County. We evaluated intervention effects on substance use and condomless sex (primary outcomes), as well as drinking consequences and protective strategies, number of casual partners, self-efficacy, and motivation for change (secondary outcomes). RESULTS: AWARE participants self-reported reductions in their alcohol use and negative consequences from drinking, and an increase in use of drinking protective strategies. AWARE participants also reported an initial decrease in drug use other than marijuana, followed by a slight uptake later on, as well as an initial increase in importance of cutting down on other drug use followed by a decrease. Control group participants did not show change in these outcomes. Among those who reported casual sex partners at both baseline and 12-month surveys, exploratory analyses indicated that AWARE participants had a 29 % decline in condomless sex with casual partners compared to a 6 % decline for control group participants. CONCLUSIONS: Findings build on our pilot work by demonstrating that AWARE has long-term benefits on drinking among emerging adults experiencing homelessness. Further work should seek to strengthen its long-term effectiveness in reducing drug use in this population.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Personas con Mala Vivienda / Trastornos Relacionados con Sustancias / Entrevista Motivacional Tipo de estudio: Clinical_trials / Etiology_studies / Qualitative_research / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Adolescent / Adult / Humans Idioma: En Revista: J Subst Use Addict Treat Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Personas con Mala Vivienda / Trastornos Relacionados con Sustancias / Entrevista Motivacional Tipo de estudio: Clinical_trials / Etiology_studies / Qualitative_research / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Adolescent / Adult / Humans Idioma: En Revista: J Subst Use Addict Treat Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos