Ignite Creation Date:
2024-05-06 @ 6:37 PM
Last Modification Date:
2024-10-26 @ 2:51 PM
Study NCT ID:
NCT05729256
Status:
RECRUITING
Last Update Posted:
2023-11-07
First Post:
2023-02-06
Brief Title:
Alcohol and Heat of the Moment Sexual Decision Making
Sponsor:
Boston University Charles River Campus
Organization:
Boston University Charles River Campus
Study Overview
Official Title:
Alcohol and Heat of the Moment Sexual Decision Making Among MSM Identifying Mechanisms of Sexual Risk and Promoting Behavior Change Through Brief Intervention
Status:
RECRUITING
Status Verified Date:
2023-11
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
HIV transmission remains a significant public health concern especially among men who have sex with men MSM Condomless anal intercourse CAI continues to be the major route of transmission for MSM Thus to reduce the incidence of HIV it is critical to identify how contextual risk factors influence CAI and develop behavioral strategies that modify risk factors directly or reduce their influence on behavior This study will examine the mechanisms through which one of the central contextual risk factors heavy drinking influences sexual decision processes in the natural environment and test the benefit of a brief intervention designed to reduce sexual risk behavior among those who engage in heavy drinking
Detailed Description:
Despite prevention efforts over the past two decades HIV transmission remains a significant public health concern especially among men who have sex with men MSM Approximately 65 of new HIV diagnoses in the United States are due to male-to-male sexual contact Condomless anal intercourse CAI continues to be the major route of transmission for MSM Thus to reduce the incidence of HIV it is critical to identify risk factors that underlie HIV acquisition and transmission and develop behavioral strategies that modify them directly or reduce the influence of these factors on behavior Alcohol use particularly heavy episodic drinking is a central modifiable risk factor that may increase CAI in conjunction with other contextual variables Although there have been a limited number of HIV prevention interventions that incorporate alcohol in sexual risk reduction efforts relatively little is known about how such interventions impact sexual decision-making in heat-of the-moment particularly while intoxicated and in high arousal states that commonly are proximal to sexual behavior
The goals of this study are to 1 better understand the within-person mechanisms linking alcohol and arousal with CAI and 2 test the efficacy of an HIV prevention intervention approach that both reduces alcohol consumption and mitigate the influence of intoxication and arousal on CAI These complementary objectives are addressed through an experience sampling method study ESM that examines the impact of an HIV prevention intervention that targets sexual risk and alcohol use This study will examine whether mechanisms that underlie sexual risk in the natural environment and can be modified by intervention
In the proposed study non-monogamous adult MSM who engage in heavy drinking and CAI will be randomly assigned to an intervention condition that addresses alcohol use and sexual decision-making in heat-of-the-moment situations The intervention will be preceded and followed by 3-week ESM bursts of intensive longitudinal assessment of alcohol use arousal sexual delay discounting working memory and CAI 4-month follow-up data will be collected Results will contribute to the long-term goal of enhancing effectiveness of behavioral HIV prevention interventions that address alcohol use
The goals of this study are to 1 better understand the within-person mechanisms linking alcohol and arousal with CAI and 2 test the efficacy of an HIV prevention intervention approach that both reduces alcohol consumption and mitigate the influence of intoxication and arousal on CAI These complementary objectives are addressed through an experience sampling method study ESM that examines the impact of an HIV prevention intervention that targets sexual risk and alcohol use This study will examine whether mechanisms that underlie sexual risk in the natural environment and can be modified by intervention
In the proposed study non-monogamous adult MSM who engage in heavy drinking and CAI will be randomly assigned to an intervention condition that addresses alcohol use and sexual decision-making in heat-of-the-moment situations The intervention will be preceded and followed by 3-week ESM bursts of intensive longitudinal assessment of alcohol use arousal sexual delay discounting working memory and CAI 4-month follow-up data will be collected Results will contribute to the long-term goal of enhancing effectiveness of behavioral HIV prevention interventions that address alcohol use
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| R01AA030461-01 | NIH | None | httpsreporternihgovquickSearchR01AA030461-01 |