NCT03575585

BEing Safe in Treatment

Maximizing the Patient-counselor Relationship to Reduce Sexual Risk

• Status: Completed
• Phase: Phase 2
• Study type: Interventional
• Enrollment: 537 (actual)
• Sponsor: University of Washington · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Accepted

Summary

Prior research has shown that many individuals with substance use disorders engage in HIV/sexual risk behaviors, and could strongly benefit from HIV prevention interventions that were delivered as part of their substance abuse treatment. However, discussions about sexual risk are not occurring at an appropriate frequency in treatment settings. This project will test the effects of counselor training and coaching, combined with a brief assessment and feedback tool, on counselor-patient communication about sex and on patient sexual risk behavior.

Conditions

• Risk Behavior
• Sex, Unsafe
• Substance Use
• Risk Reduction

Interventions

Type	Name	Description
BEHAVIORAL	BEST assessment only	Patients complete the BEST assessment, a self-report measure containing questions about patients' substance use, sexual risk behaviors, and partner risk levels.
BEHAVIORAL	BEST assessment plus feedback report	Patients complete the BEST assessment, a self-report measure containing questions about patients' substance use, sexual risk behaviors, and partner risk levels. Based on their responses they also receive a personalized feedback report that .provides individualized risk levels in five behavior domains: 1) number of partners, 2) riskiness of partners, 3) condom use, 4) riskiness of sex acts, and 5) sex under the influence of drugs or alcohol.
BEHAVIORAL	Standard Counselor Training	2 hours of training on how to use the BEST patient feedback report
BEHAVIORAL	Enhanced Counselor Training	Standard training (2 hrs) plus 8 additional hours (4 modules) of motivation/skills training on a) talking about sex with patients, b) basics of using Motivational Interviewing techniques to review a feedback report, c) teaching patients problem solving skills, and d) teaching patients relationship communication skills.

Timeline

• Start date: 2015-06-01
• Primary completion: 2017-12-01
• Completion: 2017-12-01
• First posted: 2018-07-02
• Last updated: 2018-07-02