Trial Outcomes & Findings for Addressing Substance Use Through CVCT (NCT NCT03125915)

NCT ID: NCT03125915

Last Updated: 2021-04-15

Results Overview

The outcome measure is a dichotomous variable indicating whether or not each participant reported any drug use in the in the 30 days prior to each follow-up assessment. The table below displays the number (and percentage) of participants who indicated the use of any drugs at each assessment wave. Assessments were conducted at 1, 3, and 6 month post intervention.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

140 participants

Primary outcome timeframe

30 days prior to assessment

Results posted on

2021-04-15

Participant Flow

Participant milestones

Participant milestones
Measure
CHTC as Usual
Participants receive couples HIV testing and counseling following the CDC approved protocol. Couples HIV Testing and Counseling: CHTC delivered as per the CDC protocol.
CHTC + Communication Skills Videos
The couple views communication skills training videos together prior to participating in a CHTC session following the CDC approved protocol. Communication skills training video: This video includes 4 scenes of gay couples discussing issues related to HIV prevention, testing, sexual agreements, and drug use. Each scene is viewed twice. The first viewing includes common communication errors. The second viewing portrays more skillful interpersonal communication and a more adaptive resolution to the conversation. Couples HIV Testing and Counseling: CHTC delivered as per the CDC protocol.
CHTC + Substance Use Module
The couple completes a CHTC session which includes the substance use calendar and structured debriefing activity. This is administered following Step 5 in the standard CDC protocol, just prior to delivery of HIV test results. substance use module: This activity involves completion of a calendar detailing partners' substance use in the past month and a structured debriefing activity designed to facilitate the formation of couples' goals and limits around substance use. Couples HIV Testing and Counseling: CHTC delivered as per the CDC protocol.
CHTC + Video + Substance Use Module
The couple views communication skills training videos together prior to participating in a CHTC session which includes administration of the substance use calendar and structured debriefing activity. Communication skills training video: This video includes 4 scenes of gay couples discussing issues related to HIV prevention, testing, sexual agreements, and drug use. Each scene is viewed twice. The first viewing includes common communication errors. The second viewing portrays more skillful interpersonal communication and a more adaptive resolution to the conversation. substance use module: This activity involves completion of a calendar detailing partners' substance use in the past month and a structured debriefing activity designed to facilitate the formation of couples' goals and limits around substance use. Couples HIV Testing and Counseling: CHTC delivered as per the CDC protocol.
Baseline and Intervention
STARTED
32
40
34
34
Baseline and Intervention
COMPLETED
32
40
34
34
Baseline and Intervention
NOT COMPLETED
0
0
0
0
1 Month Follow up
STARTED
32
40
34
34
1 Month Follow up
COMPLETED
29
37
32
31
1 Month Follow up
NOT COMPLETED
3
3
2
3
3 Month Follow-up
STARTED
32
40
34
34
3 Month Follow-up
COMPLETED
26
36
30
32
3 Month Follow-up
NOT COMPLETED
6
4
4
2
6 Month Follow-up
STARTED
32
40
34
34
6 Month Follow-up
COMPLETED
25
37
28
31
6 Month Follow-up
NOT COMPLETED
7
3
6
3

Reasons for withdrawal

Reasons for withdrawal
Measure
CHTC as Usual
Participants receive couples HIV testing and counseling following the CDC approved protocol. Couples HIV Testing and Counseling: CHTC delivered as per the CDC protocol.
CHTC + Communication Skills Videos
The couple views communication skills training videos together prior to participating in a CHTC session following the CDC approved protocol. Communication skills training video: This video includes 4 scenes of gay couples discussing issues related to HIV prevention, testing, sexual agreements, and drug use. Each scene is viewed twice. The first viewing includes common communication errors. The second viewing portrays more skillful interpersonal communication and a more adaptive resolution to the conversation. Couples HIV Testing and Counseling: CHTC delivered as per the CDC protocol.
CHTC + Substance Use Module
The couple completes a CHTC session which includes the substance use calendar and structured debriefing activity. This is administered following Step 5 in the standard CDC protocol, just prior to delivery of HIV test results. substance use module: This activity involves completion of a calendar detailing partners' substance use in the past month and a structured debriefing activity designed to facilitate the formation of couples' goals and limits around substance use. Couples HIV Testing and Counseling: CHTC delivered as per the CDC protocol.
CHTC + Video + Substance Use Module
The couple views communication skills training videos together prior to participating in a CHTC session which includes administration of the substance use calendar and structured debriefing activity. Communication skills training video: This video includes 4 scenes of gay couples discussing issues related to HIV prevention, testing, sexual agreements, and drug use. Each scene is viewed twice. The first viewing includes common communication errors. The second viewing portrays more skillful interpersonal communication and a more adaptive resolution to the conversation. substance use module: This activity involves completion of a calendar detailing partners' substance use in the past month and a structured debriefing activity designed to facilitate the formation of couples' goals and limits around substance use. Couples HIV Testing and Counseling: CHTC delivered as per the CDC protocol.
1 Month Follow up
Lost to Follow-up
3
3
2
3
3 Month Follow-up
Lost to Follow-up
6
4
4
2
6 Month Follow-up
Lost to Follow-up
7
3
6
3

Baseline Characteristics

Addressing Substance Use Through CVCT

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
CHTC as Usual
n=32 Participants
Participants receive couples HIV testing and counseling following the CDC approved protocol. Couples HIV Testing and Counseling: CHTC delivered as per the CDC protocol.
CHTC + Communication Skills Videos
n=40 Participants
The couple views communication skills training videos together prior to participating in a CHTC session following the CDC approved protocol. Communication skills training video: This video includes 4 scenes of gay couples discussing issues related to HIV prevention, testing, sexual agreements, and drug use. Each scene is viewed twice. The first viewing includes common communication errors. The second viewing portrays more skillful interpersonal communication and a more adaptive resolution to the conversation. Couples HIV Testing and Counseling: CHTC delivered as per the CDC protocol.
CHTC + Substance Use Module
n=34 Participants
The couple completes a CHTC session which includes the substance use calendar and structured debriefing activity. This is administered following Step 5 in the standard CDC protocol, just prior to delivery of HIV test results. substance use module: This activity involves completion of a calendar detailing partners' substance use in the past month and a structured debriefing activity designed to facilitate the formation of couples' goals and limits around substance use. Couples HIV Testing and Counseling: CHTC delivered as per the CDC protocol.
CHTC + Video + Substance Use Module
n=34 Participants
The couple views communication skills training videos together prior to participating in a CHTC session which includes administration of the substance use calendar and structured debriefing activity. Communication skills training video: This video includes 4 scenes of gay couples discussing issues related to HIV prevention, testing, sexual agreements, and drug use. Each scene is viewed twice. The first viewing includes common communication errors. The second viewing portrays more skillful interpersonal communication and a more adaptive resolution to the conversation. substance use module: This activity involves completion of a calendar detailing partners' substance use in the past month and a structured debriefing activity designed to facilitate the formation of couples' goals and limits around substance use. Couples HIV Testing and Counseling: CHTC delivered as per the CDC protocol.
Total
n=140 Participants
Total of all reporting groups
Age, Continuous
25.75 Years
STANDARD_DEVIATION 4.89 • n=5 Participants
27.83 Years
STANDARD_DEVIATION 7.70 • n=7 Participants
26.50 Years
STANDARD_DEVIATION 2.99 • n=5 Participants
27.76 Years
STANDARD_DEVIATION 6.07 • n=4 Participants
27.01 Years
STANDARD_DEVIATION 5.80 • n=21 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Sex: Female, Male
Male
32 Participants
n=5 Participants
40 Participants
n=7 Participants
34 Participants
n=5 Participants
34 Participants
n=4 Participants
140 Participants
n=21 Participants
Race/Ethnicity, Customized
Black (non-Hispanic/Latino)
6 Participants
n=5 Participants
9 Participants
n=7 Participants
4 Participants
n=5 Participants
4 Participants
n=4 Participants
23 Participants
n=21 Participants
Race/Ethnicity, Customized
Latino/Hispanic
8 Participants
n=5 Participants
7 Participants
n=7 Participants
13 Participants
n=5 Participants
7 Participants
n=4 Participants
35 Participants
n=21 Participants
Race/Ethnicity, Customized
White (non-Hispanic/Latino)
15 Participants
n=5 Participants
19 Participants
n=7 Participants
13 Participants
n=5 Participants
17 Participants
n=4 Participants
64 Participants
n=21 Participants
Race/Ethnicity, Customized
Multi-racial or Other
3 Participants
n=5 Participants
5 Participants
n=7 Participants
4 Participants
n=5 Participants
6 Participants
n=4 Participants
18 Participants
n=21 Participants
Region of Enrollment
United States
32 participants
n=5 Participants
40 participants
n=7 Participants
34 participants
n=5 Participants
34 participants
n=4 Participants
140 participants
n=21 Participants
Reported any drug use
25 Participants
n=5 Participants
34 Participants
n=7 Participants
24 Participants
n=5 Participants
29 Participants
n=4 Participants
112 Participants
n=21 Participants
Condomless sex with casual partners
9 Participants
n=5 Participants
8 Participants
n=7 Participants
8 Participants
n=5 Participants
4 Participants
n=4 Participants
29 Participants
n=21 Participants
Drug Abuse Screening Test-10
2.25 units on a scale
STANDARD_DEVIATION 2.06 • n=5 Participants
1.58 units on a scale
STANDARD_DEVIATION 1.15 • n=7 Participants
1.47 units on a scale
STANDARD_DEVIATION 1.52 • n=5 Participants
1.71 units on a scale
STANDARD_DEVIATION 1.24 • n=4 Participants
1.74 units on a scale
STANDARD_DEVIATION 1.52 • n=21 Participants
HIV status
HIV negative
29 Participants
n=5 Participants
37 Participants
n=7 Participants
32 Participants
n=5 Participants
31 Participants
n=4 Participants
129 Participants
n=21 Participants
HIV status
HIV positive
3 Participants
n=5 Participants
3 Participants
n=7 Participants
2 Participants
n=5 Participants
3 Participants
n=4 Participants
11 Participants
n=21 Participants

PRIMARY outcome

Timeframe: 30 days prior to assessment

Population: Intent to treat analysis conducted using latent growth curve modeling to examine between-group differences in follow-up rates of drug use and trajectories of use over the follow-up period.

The outcome measure is a dichotomous variable indicating whether or not each participant reported any drug use in the in the 30 days prior to each follow-up assessment. The table below displays the number (and percentage) of participants who indicated the use of any drugs at each assessment wave. Assessments were conducted at 1, 3, and 6 month post intervention.

Outcome measures

Outcome measures
Measure
CHTC as Usual
n=32 Participants
Participants receive couples HIV testing and counseling following the CDC approved protocol. Couples HIV Testing and Counseling: CHTC delivered as per the CDC protocol.
CHTC + Communication Skills Videos
n=40 Participants
The couple views communication skills training videos together prior to participating in a CHTC session following the CDC approved protocol. Communication skills training video: This video includes 4 scenes of gay couples discussing issues related to HIV prevention, testing, sexual agreements, and drug use. Each scene is viewed twice. The first viewing includes common communication errors. The second viewing portrays more skillful interpersonal communication and a more adaptive resolution to the conversation. Couples HIV Testing and Counseling: CHTC delivered as per the CDC protocol.
CHTC + Substance Use Module
n=34 Participants
The couple completes a CHTC session which includes the substance use calendar and structured debriefing activity. This is administered following Step 5 in the standard CDC protocol, just prior to delivery of HIV test results. substance use module: This activity involves completion of a calendar detailing partners' substance use in the past month and a structured debriefing activity designed to facilitate the formation of couples' goals and limits around substance use. Couples HIV Testing and Counseling: CHTC delivered as per the CDC protocol.
CHTC + Video + Substance Use Module
n=34 Participants
The couple views communication skills training videos together prior to participating in a CHTC session which includes administration of the substance use calendar and structured debriefing activity. Communication skills training video: This video includes 4 scenes of gay couples discussing issues related to HIV prevention, testing, sexual agreements, and drug use. Each scene is viewed twice. The first viewing includes common communication errors. The second viewing portrays more skillful interpersonal communication and a more adaptive resolution to the conversation. substance use module: This activity involves completion of a calendar detailing partners' substance use in the past month and a structured debriefing activity designed to facilitate the formation of couples' goals and limits around substance use. Couples HIV Testing and Counseling: CHTC delivered as per the CDC protocol.
Proportion of Respondents Reporting Any Drug Use
1 month follow-up
25 Participants
26 Participants
18 Participants
17 Participants
Proportion of Respondents Reporting Any Drug Use
3 month follow-up
20 Participants
17 Participants
28 Participants
15 Participants
Proportion of Respondents Reporting Any Drug Use
6 month follow-up
15 Participants
31 Participants
15 Participants
17 Participants

PRIMARY outcome

Timeframe: 30 days prior to assessment

Population: n reported is number retained at each wave

The outcome measure is a dichotomous variable indicating whether or not each participant indicated the occurrence of any insertive or receptive condomless anal sex (CAS) with a casual partner in the 30 days prior to each follow-up assessment. The table below displays the number (and percentage) of participants who indicated any CAS with a casual partner at each assessment wave. Assessments were conducted at 1, 3, and 6 month post intervention.

Outcome measures

Outcome measures
Measure
CHTC as Usual
n=32 Participants
Participants receive couples HIV testing and counseling following the CDC approved protocol. Couples HIV Testing and Counseling: CHTC delivered as per the CDC protocol.
CHTC + Communication Skills Videos
n=40 Participants
The couple views communication skills training videos together prior to participating in a CHTC session following the CDC approved protocol. Communication skills training video: This video includes 4 scenes of gay couples discussing issues related to HIV prevention, testing, sexual agreements, and drug use. Each scene is viewed twice. The first viewing includes common communication errors. The second viewing portrays more skillful interpersonal communication and a more adaptive resolution to the conversation. Couples HIV Testing and Counseling: CHTC delivered as per the CDC protocol.
CHTC + Substance Use Module
n=34 Participants
The couple completes a CHTC session which includes the substance use calendar and structured debriefing activity. This is administered following Step 5 in the standard CDC protocol, just prior to delivery of HIV test results. substance use module: This activity involves completion of a calendar detailing partners' substance use in the past month and a structured debriefing activity designed to facilitate the formation of couples' goals and limits around substance use. Couples HIV Testing and Counseling: CHTC delivered as per the CDC protocol.
CHTC + Video + Substance Use Module
n=34 Participants
The couple views communication skills training videos together prior to participating in a CHTC session which includes administration of the substance use calendar and structured debriefing activity. Communication skills training video: This video includes 4 scenes of gay couples discussing issues related to HIV prevention, testing, sexual agreements, and drug use. Each scene is viewed twice. The first viewing includes common communication errors. The second viewing portrays more skillful interpersonal communication and a more adaptive resolution to the conversation. substance use module: This activity involves completion of a calendar detailing partners' substance use in the past month and a structured debriefing activity designed to facilitate the formation of couples' goals and limits around substance use. Couples HIV Testing and Counseling: CHTC delivered as per the CDC protocol.
Condomless Anal Sex With Casual Partners
1 month follow-up
3 Participants
3 Participants
3 Participants
1 Participants
Condomless Anal Sex With Casual Partners
3 month follow-up
0 Participants
5 Participants
6 Participants
2 Participants
Condomless Anal Sex With Casual Partners
6 month follow-up
3 Participants
4 Participants
10 Participants
3 Participants

PRIMARY outcome

Timeframe: 30 days prior to assessment

Population: n reported is the number retained at each follow-up wave.

The scale assesses the number of drug use related problems experienced by the participant in the 30 days prior to the assessment. Higher scores indicate a greater number of drug use related problems. Note, assessments were conducted at 1, 3, and 6 months post intervention.

Outcome measures

Outcome measures
Measure
CHTC as Usual
n=32 Participants
Participants receive couples HIV testing and counseling following the CDC approved protocol. Couples HIV Testing and Counseling: CHTC delivered as per the CDC protocol.
CHTC + Communication Skills Videos
n=40 Participants
The couple views communication skills training videos together prior to participating in a CHTC session following the CDC approved protocol. Communication skills training video: This video includes 4 scenes of gay couples discussing issues related to HIV prevention, testing, sexual agreements, and drug use. Each scene is viewed twice. The first viewing includes common communication errors. The second viewing portrays more skillful interpersonal communication and a more adaptive resolution to the conversation. Couples HIV Testing and Counseling: CHTC delivered as per the CDC protocol.
CHTC + Substance Use Module
n=34 Participants
The couple completes a CHTC session which includes the substance use calendar and structured debriefing activity. This is administered following Step 5 in the standard CDC protocol, just prior to delivery of HIV test results. substance use module: This activity involves completion of a calendar detailing partners' substance use in the past month and a structured debriefing activity designed to facilitate the formation of couples' goals and limits around substance use. Couples HIV Testing and Counseling: CHTC delivered as per the CDC protocol.
CHTC + Video + Substance Use Module
n=34 Participants
The couple views communication skills training videos together prior to participating in a CHTC session which includes administration of the substance use calendar and structured debriefing activity. Communication skills training video: This video includes 4 scenes of gay couples discussing issues related to HIV prevention, testing, sexual agreements, and drug use. Each scene is viewed twice. The first viewing includes common communication errors. The second viewing portrays more skillful interpersonal communication and a more adaptive resolution to the conversation. substance use module: This activity involves completion of a calendar detailing partners' substance use in the past month and a structured debriefing activity designed to facilitate the formation of couples' goals and limits around substance use. Couples HIV Testing and Counseling: CHTC delivered as per the CDC protocol.
Drug Abuse Screening Test-10 Total Scores
6 month follow-up
1.76 score on a scale
Standard Deviation 2.12
1.70 score on a scale
Standard Deviation 1.56
1.25 score on a scale
Standard Deviation 1.73
0.84 score on a scale
Standard Deviation 1.00
Drug Abuse Screening Test-10 Total Scores
1 month follow-up
2.52 score on a scale
Standard Deviation 2.04
1.70 score on a scale
Standard Deviation 1.75
1.16 score on a scale
Standard Deviation 1.39
1.06 score on a scale
Standard Deviation 1.18
Drug Abuse Screening Test-10 Total Scores
3 month follow-up
1.98 score on a scale
Standard Deviation 2.01
1.53 score on a scale
Standard Deviation 1.42
1.40 score on a scale
Standard Deviation 1.85
0.71 score on a scale
Standard Deviation 0.90

Adverse Events

CHTC as Usual

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

CHTC + Communication Skills Videos

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

CHTC + Substance Use Module

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

CHTC + Video + Substance Use Module

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Tyrel Starks, Associate Professor

Hunter College, CUNY

Phone: 212-206-7919

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place