A Peer-Based Substance Abuse Intervention for HIV+ Rural Women: A Pilot Study
Abstract
Alcohol and other drug (AOD) use plays a major role in the acquisition and spread of HIV, and the majority of women living with HIV are either active or recovering drug users. Forty-six percent of women's cases of HIV infection have been attributed to injection-drug use and 18% to women's heterosexual contacts with injection-drug users. Substance abuse often contributes to noncompliance with HIV treatment. Individuals with multiple diagnoses, such as those with HIV and substance abuse, may not be able to withstand the burden of integrating the different clinical approaches used to treat their substance abuse and other comorbid disorders such as HIV. This article reports the results of an intervention pilot study testing a peer counseling intervention for substance abuse in rural women with HIV. Thirteen women completed the intervention. Although limited by sample size, results suggest that this intervention was effective in helping women to acknowledge problems with their alcohol and drug abuse and to begin taking steps to achieve sobriety.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Recruiting peer counselors was difficult, partly because of professional boundary challenges.
“It was difficult to recruit peer counselors, in part due to professional boundary challenges.64”
From Task-sharing approaches to improve mental health care in rural and other low-resource settings: a systematic review (2018) · cites this paper as [64]
In an HIV peer counselor study, counselors had difficulty setting boundaries with clients, especially in the substance abuse component.
“In a study with HIV peer counselors, counselors struggled with setting boundaries when working with clients,63 in particular in a substance abuse intervention component of this project.64”
From Task-sharing approaches to improve mental health care in rural and other low-resource settings: a systematic review (2018) · cites this paper as [64]
Cites
The CES-D Scale: A Self-Report Depression Scale for Research in the General Population
Radloff, L. S. (1977) · Applied Psychological Measurement · doi:10.1177/014662167700100306 · Cited by 53,267 · see citing works
Eysenck, H. J. (1985) · Behaviour Research and Therapy · doi:10.1016/0005-7967(85)90087-7 · Cited by 32,026 · see citing works
“Stress: appraisal and coping,”
Folkman, S. (2013) · Encyclopedia of Behavioral Medicine · doi:10.1007/978-1-4419-1005-9_215 · Cited by 27,833 · see citing works
In search of how people change: Applications to addictive behaviors.
Prochaska, J. O., DiClemente, C. C., & Norcross, J. C. (1992) · American Psychologist · doi:10.1037/0003-066x.47.9.1102 · Cited by 8,596 · see citing works
Motivational interviewing: preparing people for change.
Miller, W. R., & Rollnick, S. (2002) · Cited by 7,002 · see citing works
The Michigan Alcoholism Screening Test: The Quest for a New Diagnostic Instrument
Selzer, M. L. (1971) · American Journal of Psychiatry · doi:10.1176/ajp.127.12.1653 · Cited by 3,485 · see citing works
Skinner, H. A. (1982) · Addictive Behaviors · doi:10.1016/0306-4603(82)90005-3 · Cited by 3,134 · see citing works
Motivational Interviewing: Preparing People for Change, 2nd ed.
Miller, W., & Rollnick, S. (2003) · Journal For Healthcare Quality · doi:10.1097/01445442-200305000-00013 · Cited by 2,634 · see citing works
Miller, W. R., & Tonigan, J. S. (1996) · Psychology of Addictive Behaviors · doi:10.1037/0893-164x.10.2.81 · Cited by 863 · see citing works
Reliability of alcohol use indices. The Lifetime Drinking History and the MAST.
Skinner, H. A., & Sheu, W. J. (1982) · Journal of Studies on Alcohol · doi:10.15288/jsa.1982.43.1157 · Cited by 802 · see citing works
(1987) · Journal of Studies on Alcohol · doi:10.15288/jsa.1987.48.596 · Cited by 780 · see citing works
Textbook of Substance Abuse Treatment
Seelye, E. E. (1995) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.1995.49.2.300 · Cited by 386 · see citing works
An Evaluation of Niacinamide in the Treatment of Childhood Schizophrenia
GREENBAUM, G. H. C. (1970) · American Journal of Psychiatry · doi:10.1176/ajp.127.1.89 · Cited by 260 · see citing works
Motivation for change and alcoholism treatment.
DiClemente, C. C., Bellino, L., & Neavins, T. M. (1999) · PubMed Central · Cited by 237 · see citing works
Nelson-Zlupko, L., Kauffman, E., & Dore, M. M. (1995) · Social Work · doi:10.1093/sw/40.1.45 · Cited by 235 · see citing works
Findings in psychiatric consultations with patients with acquired immune deficiency syndrome
Dilley, J., Ochitill, H. N., Perl, M., et al. (1985) · American Journal of Psychiatry · doi:10.1176/ajp.142.1.82 · Cited by 234 · see citing works
Ross, H. E., Gavin, D. R., & Skinner, H. A. (1990) · Journal of Studies on Alcohol · doi:10.15288/jsa.1990.51.506 · Cited by 198 · see citing works
Pagel, M. D., Becker, J., & Coppel, D. B. (1985) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.94.2.169 · Cited by 152 · see citing works
Demographic and Psychosocial Characteristics of Substance-Abusing Pregnant Women
Hans, S. L. (1999) · Clinics in Perinatology · doi:10.1016/s0095-5108(18)30072-1 · Cited by 149 · see citing works
Pagel, M. D., Becker, J., & Coppel, D. B. (1985) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.94.2.169 · Cited by 113 · see citing works
Risk factors for disruption in primary caregiving among infants of substance abusing women
Nair, P., Black, M. M., Schuler, M. E., Keane, V. A., Snow, L., Rigney, B. A., & Magder, L. S. (1997) · Child Abuse & Neglect · doi:10.1016/s0145-2134(97)00064-1 · Cited by 110 · see citing works
Exposure to Environmental Risk Factors and Parenting Attitudes Among Substance-Abusing Women
Kettinger, L. A., Nair, P., & Schuler, M. E. (2000) · The American Journal of Drug and Alcohol Abuse · doi:10.1081/ada-100100586 · Cited by 87 · see citing works
Cohen, E., Navaline, H. A., & Metzger, D. S. (1994) · Journal of Psychoactive Drugs · doi:10.1080/02791072.1994.10472436 · Cited by 76 · see citing works
Brown, V. B. (2000) · Journal of Substance Abuse Treatment · doi:10.1016/s0740-5472(99)00049-5 · Cited by 72 · see citing works
Eldridge, G. D., Lawrence, J. S. S., Little, C. E., Shelby, M. C., Brasfield, T. L., Service, J. W., & Sly, K. A. (1997) · PubMed · Cited by 67 · see citing works
Level of Burden: Women with More Than One Co-Occurring Disorder
Brown, V. B., Huba, G. J., & Melchior, L. A. (1995) · Journal of Psychoactive Drugs · doi:10.1080/02791072.1995.10471699 · Cited by 63 · see citing works
Health-Related Quality of Life as an Outcome in Organizational Research
Murdaugh, C. L. (1997) · Medical Care · doi:10.1097/00005650-199711001-00005 · Cited by 45 · see citing works
Self-citationCoyle, S. L. (1998) · Women & Health · doi:10.1300/j013v27n01_01 · Cited by 40 · see citing works
Alienation from self and others: The psychosocial problem of rural alcoholic women
Boyd, M. R., & Mackey, M. C. (2000) · Archives of Psychiatric Nursing · doi:10.1053/py.2000.6383 · Cited by 39 · see citing works
Self-citationStress, Coping, and Attitudes Toward HIV Treatment in Injecting Drug Users: A Qualitative Study
Demas, P., Schoenbaum, E. E., Wills, T. A., et al. (1995) · AIDS Education and Prevention · doi:10.1521/aeap.1995.7.5.429 · Cited by 31 · see citing works
Course and Severity of Substance Abuse Among Patients With Comorbid Major Depression
Westermeyer, J. J., Kopka, S. L., & Nugent, S. M. (1997) · American Journal on Addictions · doi:10.1111/j.1521-0391.1997.tb00409.x · Cited by 30 · see citing works
Weissman, G., Melchior, L. A., Huba, G. J., et al. (1995) · Journal of Psychoactive Drugs · doi:10.1080/02791072.1995.10471704 · Cited by 27 · see citing works
HIV therapeutics: Confronting adherence
Katzenstein, D. A., Lyons, C. E., Molaghan, J. B., et al. (1997) · Journal of the Association of Nurses in AIDS Care · doi:10.1016/s1055-3290(97)80008-8 · Cited by 23 · see citing works
HIV drug adherence: Special situations
Lyons, C. E. (1997) · Journal of the Association of Nurses in AIDS Care · doi:10.1016/s1055-3290(97)80006-4 · Cited by 21 · see citing works
Research priorities for psychosocial aspects of nursing care in HIV disease.
McCain, N. L., & Zeller, J. M. (1994) · PubMed · Cited by 19 · see citing works
Running away to nowhere: Rural women's experiences of becoming alcohol dependent
Boyd, M. R., & Mackey, M. C. (2000) · Archives of Psychiatric Nursing · doi:10.1053/py.2000.6385 · Cited by 19 · see citing works
Self-citationVulnerability to alcohol and other drug disorders in rural women
Boyd, M. R. (2003) · Archives of Psychiatric Nursing · doi:10.1053/apnu.2003.2 · Cited by 18 · see citing works
Self-citationIncreasing Resiliency to Substance Abuse in Recovering Women With Comorbid Depression
Mynatt, S. (1998) · Journal of Psychosocial Nursing and Mental Health Services · doi:10.3928/0279-3695-19980101-06 · Cited by 9 · see citing works
Predicting substance abuse and comorbidity in rural women
Boyd, M. R. (2000) · Archives of Psychiatric Nursing · doi:10.1016/s0883-9417(00)80021-7 · Cited by 8 · see citing works
Self-citationAids and Social Work Treatment: A Single-System Analysis
Orgnero, M. I., & Rodway, M. R. (1991) · Health & Social Work · doi:10.1093/hsw/16.2.123 · Cited by 4 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Hoeft, T. J., Fortney, J. C., Patel, V., & Unützer, J. (2018) · The Journal of Rural Health · doi:10.1111/jrh.12229 · Cited by 619 · see citing works
Targeting the Barriers in the Substance Use Disorder Continuum of Care With Peer Recovery Support
Stanojlović, M., & Davidson, L. (2021) · Substance Abuse: Research and Treatment · doi:10.1177/1178221820976988 · Cited by 93 · see citing works
- Authors
- Boyd, M. R., Moneyham, L., Murdaugh, C., Phillips, K. D., Tavakoli, A., Jackwon, K., Jackson, N., & Vyavaharkar, M.
- Affiliations
- University of South Carolina (US)
- Corresponding author
- Boyd, Mary R.
- Venue
- Archives of Psychiatric Nursing
- Publisher
- Elsevier BV
- Published
- 2005-02
- Volume
- 19
- Issue
- 1
- Pages
- 10-17
- ISSN
- 0883-9417 (ISSN-L)
- OpenAlex
- W2128806133
- Cited by
- 38
- References
- 40
- Citations by year
- 2026: 1 · 2024: 3 · 2023: 2 · 2022: 1 · 2021: 9 · 2020: 1 · 2019: 3 · 2018: 3 · 2017: 1 · 2015: 2 · 2014: 4
- FWCI
- 1.19
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Psychiatric Nursing (publishedVersion)
- PubMed (publishedVersion)
- Scholar Commons (University of South Carolina) (submittedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Keywords
- HIV, substance abuse, peer counseling, rural women, alcohol consumption, drug use, intravenous drug use, comorbidities, alcohol abstinence, women living with HIV
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Alabama, Counseling, Female, Georgia, HIV Seropositivity, Humans, Health Knowledge, Attitudes, Practice, Middle Aged, Motivation, Patient Compliance, Patient Education as Topic, Peer Group, Pilot Projects, Surveys and Questionnaires, Self Care, South Carolina, Women's Health Services, Program Evaluation, Sample Size, Rural Health Services, Substance-Related Disorders
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review