About this trial
This study utilizes a randomized controlled trial design to evaluate the efficacy of couples motivational interviewing (MI) to reduce the frequency and severity of illicit drug use and frequency of HIV transmission risk behavior (TRB). Participants are randomized to one of two conditions: couples MI or standard couples HIV testing and counseling (CHTC).
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Have a main partner who is another cisgender male and have been in a relationship for 3 month or longer
Index participant must be between 18 and 55; Main partner can be any age 18 and older
One participant must be HIV negative (as confirmed by rapid test)
One participant must have used at least 1 drug in the past 30 days (cocaine/crack, opiates, misuse of prescription medication, stimulants, psychedelics, ecstasy, ketamine, GHB, amyl nitrite)
Disqualifiers
Any signs of serious mental illness or cognitive deficit
Current suicidal/homicidal ideations
History of IPV with their main partner and safety concerns in the current relationship.
Trial design
Factorial
Treatments tested in this trial
Couples Health Project
BehavioralA 3-session, couples motivational Interviewing drug use and HIV risk reduction intervention
Treatment groups
Trial outcomes
Primary outcomes
Drug use Frequency
Number of reported days of illicit drug use (amphetamines, cocaine/crack, GHB, ketamine or ecstasy) reported on quarterly timeline follow-back assessments
Urine assay for drug use
Positive urine screen for drug use assessed bi-annually
CAS with casual partners
Number of total anal sex acts (insertive and receptive) with casual partners reported on quarterly timeline follow-back assessments in the absence of adequate PrEP coverage
Secondary outcomes
Bacterial sexually transmitted infections
Any chlamydia or gonorrhea diagnosis
Binge Drinking
Number of days on which 5 or more drinks containing alcohol were reported on the quarterly timeline follow-back interview
PrEP Uptake
self-reported receipt of a PrEP-prescription
Sponsors and contacts
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Hunter College of City University of New York
Lead sponsor
National Institute on Drug Abuse (NIDA)
Collaborator