Conditional cash transfer (CCT) and cognitive-behavioral treatments are evidence-based approaches to reduce stimulant use and sexual risk taking. We describe the adaptation and implementation of sequential behavioral interventions for Cambodian female entertainment and sex workers (FESW) who use amphetamine-type stimulants (ATS): (1) a 12-week CCT intervention; and (2) a 4-week cognitive-behavioral aftercare (AC) group.
An ongoing cluster randomized stepped wedge trial in 10 Cambodian provinces is enrolling FESW with confirmed recent ATS use to examine the effectiveness of CCT + AC. In the first six provinces, 138 of the 183 eligible FESW (75 %) enrolled in CCT and completed a median of 25 (interquartile range 9-32) of the 36 urine screening visits.
Of the 84 participants who were eligible for AC, 79 completed at least one session (94 %) and 57 completed three or more sessions (68 %). Culturally tailored behavioral interventions to reduce ATS use and optimize HIV prevention are feasible in resource-limited settings.
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By: Carrico AW1,2, Nil E3, Sophal C4, Stein E5, Sokunny M3, Yuthea N6, Evans JL4, Ngak S3, Maher L7, Page K8.
- 1University of California, San Francisco School of Nursing (https://nursing.ucsf.edu/), 2 Koret Way, N511 M, San Francisco, CA, 94143, USA. firstname.lastname@example.org.
- 2University of California, San Francisco Center for AIDS Prevention Studies, San Francisco, CA, USA. email@example.com.
- 3Family Health International 360 (FHI 360), Phnom Penh, Cambodia.
- 4Department of Mental Health and Substance Abuse, Ministry of Health, Phnom Penh, Cambodia.
- 5University of California, San Francisco Global Health Sciences, San Francisco, CA, USA.
- 6National Authority for Combatting Drugs, Phnom Penh, Cambodia.
- 7Kirby Institute for Infection and Immunity, UNSW Australia, Sydney, Australia.
- 8University of New Mexico Health Sciences Center, Albuquerque, NM, USA.
- J Behav Med. 2016 Jan 18.
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