Adapted personalized cognitive counseling for episodic substance-using men who have sex with men: a randomized controlled trial

AIDS Behav. 2014 Jul;18(7):1390-400. doi: 10.1007/s10461-014-0712-4.


Episodic drug use and binge drinking are associated with HIV risk among substance-using men who have sex with men (SUMSM), yet no evidence-based interventions exist for these men. We adapted personalized cognitive counseling (PCC) to address self-justifications for high-risk sex among HIV-negative, episodic SUMSM, then randomized men to PCC (n = 162) with HIV testing or control (n = 164) with HIV testing alone. No significant between-group differences were found in the three primary study outcomes: number of unprotected anal intercourse events (UAI), number of UAI partners, and UAI with three most recent non-primary partners. In a planned subgroup analysis of non-substance dependent men, there were significant reductions in UAI with most recent non-primary partners among PCC participants (RR = 0.56; 95 %CI 0.34-0.92; P = 0.02). We did not find evidence that PCC reduced sexual risk behaviors overall, but observed significant reductions in UAI events among non-dependent SUMSM. PCC may be beneficial among SUMSM screening negative for substance dependence.

Publication types

  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Binge Drinking* / epidemiology
  • Binge Drinking* / psychology
  • Cognition*
  • Directive Counseling*
  • Follow-Up Studies
  • HIV Infections / epidemiology
  • HIV Infections / prevention & control*
  • HIV Infections / psychology
  • Homosexuality, Male* / psychology
  • Humans
  • Male
  • Risk Reduction Behavior
  • Risk-Taking
  • Sexual Behavior / psychology*
  • Sexual Partners
  • Substance-Related Disorders* / epidemiology
  • Substance-Related Disorders* / psychology
  • Surveys and Questionnaires