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Interventions to Reduce Drug Use Among Methamphetamine Users at Risk for HIV.

Karen F Corsi1, Steve Shoptaw2, Musheng Alishahi3

  • 1Department of Psychiatry, University of Colorado School of Medicine, 1557 Ogden St., Denver, CO, 80218, USA. Karen.corsi@ucdenver.edu.

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Summary
This summary is machine-generated.

Contingency management plus strengths-based case management (CM/SBCM) improved methamphetamine use reduction for some individuals. Incentive-based treatments may effectively support meth users in decreasing drug use.

Keywords:
Behavioral interventionsContingency managementMethamphetamine

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Area of Science:

  • Addiction research
  • Behavioral psychology
  • Public health interventions

Background:

  • Methamphetamine use remains a significant public health concern.
  • Effective behavioral treatments are crucial for reducing methamphetamine dependence.

Purpose of the Study:

  • To compare the effectiveness of two behavioral interventions for methamphetamine users.
  • To evaluate contingency management (CM) versus CM combined with strengths-based case management (CM/SBCM).

Main Methods:

  • The study compared contingency management (CM) and CM/SBCM interventions.
  • Latent class analysis was used to identify participant subgroups.
  • Outcomes measured included session attendance and urinalysis results indicating methamphetamine use.

Main Results:

  • CM/SBCM was associated with higher session attendance among participants in relationships.
  • Higher earnings from the intervention correlated with more clean urinalysis results.
  • A specific subgroup (in a couple, no history of sexual abuse, lower baseline meth use) showed better outcomes with CM/SBCM.

Conclusions:

  • Incentive-based interventions, particularly CM/SBCM, show promise for reducing methamphetamine use.
  • Strengths-based case management may enhance the effectiveness of contingency management for certain methamphetamine-using populations.