Theory-Based Text-Messaging to Reduce Methamphetamine Use and HIV Sexual Risk Behaviors Among Men Who Have Sex with Men: Automated Unidirectional Delivery Outperforms Bidirectional Peer Interactive Delivery
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Project Tech Support2 was a randomized controlled trial that tested three methods of text message delivery for reducing methamphetamine use and HIV risks among MSM. From March 2014 to January 2016, 286 methamphetamine-using MSM were randomized into: (1) interactive text conversations with Peer Health Educators, plus five-times-a-day automated theory-based messages, plus a weekly self-monitoring text-message assessment (TXT-PHE; n = 94); or, (2) the daily automated messages and weekly self-monitoring assessment (TXT-Auto; n = 99); or, (3) weekly self-monitoring assessment only (AO; n = 93). All three conditions demonstrated reductions in methamphetamine use (coef. = - 0.10), sex on methamphetamine (coef. = - 0.09), and condomless anal intercourse (CAI) with casual male partners (coef. = - 0.06). Only participants in TXT-PHE and TEXT-Auto also reduced CAI with main male partners (coef TXT-PHE = - 0.19; coef.TXT-Auto = - 0.16), and only TEXT-Auto participants reduced CAI with anonymous male partners (coef. = - 0.05). Additionally, both theory-based text-messaging interventions achieved sustained reductions in five of the six outcomes through 9 months. Overall, automated delivery outperformed peer-delivered messaging.
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Among studies reporting race (n = 34), the majority of patients were Caucasian in all but four studies.
“Among studies reporting race (n = 34), the majority of patients were Caucasian in all but four studies [23, 69, 73, 102].”
From Psychosocial and pharmacologic interventions for problematic methamphetamine use: Findings from a scoping review of the literature (2023) · cites this paper as [73]
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- Authors
- Reback, C. J., Fletcher, J. B., Swendeman, D. A., & Metzner, M.
- Affiliations
- University of California, Los Angeles (US)
- Friends Research Institute (US)
- Corresponding author
- Reback, Cathy J.
- Venue
- AIDS and Behavior
- Published
- 2018-07-13
- Volume
- 23
- Issue
- 1
- Pages
- 37-47
- ISSN
- 1090-7165 (ISSN-L)
- 1573-3254
- PMC
- PMC6330245
- OpenAlex
- W2884776544
- Cited by
- 72
- References
- 46
- Citations by year
- 2026: 8 · 2025: 5 · 2024: 7 · 2023: 11 · 2022: 9 · 2021: 14 · 2020: 12 · 2019: 6
- FWCI
- 6.25
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- AIDS and Behavior (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institute on Drug Abuse (R01DA035092)
- National Institute of Mental Health (P30MH58107)
- Topics
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- methamphetamine use, HIV sexual risk behavior, men who have sex with men, text messaging intervention, automated messaging, peer health educators, condomless anal sex, self-monitoring, harm reduction
- MeSH terms
- Adult, Health Education, Humans, Male, Methamphetamine, Middle Aged, Sexual Partners, HIV Infections, Homosexuality, Male, Substance-Related Disorders, Risk Reduction Behavior, Unsafe Sex, Young Adult, Text Messaging
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