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:
- 1University of California, San Francisco School of Nursing (https://nursing.ucsf.edu/), 2 Koret Way, N511 M, San Francisco, CA, 94143, USA. adam.carrico@ucsf.edu.
- 2University of California, San Francisco Center for AIDS Prevention Studies, San Francisco, CA, USA. adam.carrico@ucsf.edu.
- 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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