Using thought mapping and structured stories to decrease HIV risk behaviors among cocaine injectors and crack smokers in the South of Brazil

Braz J Psychiatry. 2007 Sep;29(3):233-40. doi: 10.1590/s1516-44462006005000056. Epub 2007 Sep 18.

Abstract

Objectives: To compare changes in AIDS knowledge and risk behaviors among Brazilian cocaine users in an intervention trial.

Method: 119 participants were randomly assigned to either a standard or a standard plus "thought mapping" intervention, and re-interviewed 2 and 8 weeks after intake using standardized data collection instruments. Intervention effects were examined using generalized estimated equation model.

Results: Significant increases in AIDS knowledge and condom use were observed in the experimental group, as well as significant changes in the subscores for sexual and drug risks. The experimental intervention was less successful in decreasing mean days of cocaine use when compared to the standard.

Conclusion: Although not robust, the findings nevertheless suggest that components of the experimental thought-mapping model might be useful in combination with other approaches.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Brazil / epidemiology
  • Case-Control Studies
  • Cocaine-Related Disorders / epidemiology*
  • Cocaine-Related Disorders / psychology
  • Cocaine-Related Disorders / therapy
  • Community Networks
  • Condoms / statistics & numerical data
  • Crack Cocaine*
  • HIV Infections / prevention & control*
  • HIV Infections / transmission
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Male
  • Risk-Taking*
  • Sex Education
  • Sexual Behavior*
  • Sexual Partners
  • Socioeconomic Factors
  • Substance Abuse, Intravenous / epidemiology*
  • Substance Abuse, Intravenous / psychology
  • Substance Abuse, Intravenous / therapy

Substances

  • Crack Cocaine