Ecological momentary assessments for self-monitoring and counseling to optimize methamphetamine treatment and sexual risk reduction outcomes among gay and bisexual men

Journal of Substance Abuse Treatment
Cathy J RebackDallas Swendeman

Abstract

This pilot study evaluated the use of smartphone ecological momentary assessments (EMA) for self-monitoring to optimize treatment outcomes among gay and bisexual men enrolled in an outpatient methamphetamine abuse treatment service program. Participants (N = 34) received EMA prompts five times daily to self-monitor their methamphetamine use, cravings, sexual risk behaviors, and associated triggers and affect throughout the 8-week treatment program. Participants were randomized into either a self-directed condition with access to a web-based EMA response visualization dashboard ("EMA + Dashboard"; n = 16); or, a counselor-supported condition incorporating weekly, 30-min, one-on-one counseling sessions to review and discuss the participant's self-monitoring data on the dashboard ("EMA + Dashboard + Counselor"; n = 18). Pilot participants were compared with historical controls (n = 102) as the reference group in multiple regression analyses to assess the impact of the two study conditions on the treatment service program outcomes. Study participants with weekly counseling (EMA + Dashboard + Counselor) exhibited significantly greater reductions in the number of condomless anal intercourse episodes than historical controls (IRR = 0....Continue Reading

Citations

Jan 8, 2020·Journal of the International AIDS Society·Kevin M MaloneyPatrick S Sullivan
Feb 23, 2021·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Julie C GassStephen A Maisto
Apr 27, 2021·Addictive Behaviors·Adam J RubenisShalini Arunogiri
Aug 4, 2021·Journal of Medical Internet Research·Viktor Clark, Sunny Jung Kim

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