A Systematic Review and Meta-analysis of Psychosocial Interventions to Reduce Drug and Sexual Blood Borne Virus Risk Behaviours Among People Who Inject Drugs

Gail Gilchrist, Davina Swan, Kideshini Widyaratna, Julia Elena Marquez-Arrico, Elizabeth Hughes, Noreen Dadirai Mdege, Marrissa Martyn-St James, Judit Tirado-Munoz

Research output: Contribution to journalReview article

9 Citations (Scopus)

Abstract

Opiate substitution treatment and needle exchanges have reduced blood borne virus (BBV) transmission among people who inject drugs (PWID). Psychosocial interventions could further prevent BBV. A systematic review and meta-analysis examined whether psychosocial interventions (e.g. CBT, skills training) compared to control interventions reduced BBV risk behaviours among PWID. 32 and 24 randomized control trials (2000-May 2015 in MEDLINE, PsycINFO, CINAHL, Cochrane Collaboration and Clinical trials, with an update in MEDLINE to December 2016) were included in the review and meta-analysis respectively. Psychosocial interventions appear to reduce: sharing of needles/syringes compared to education/information (SMD −0.52; 95% CI −1.02 to −0.03; I2 = 10%; p = 0.04) or HIV testing/counselling (SMD −0.24; 95% CI −0.44 to −0.03; I2 = 0%; p = 0.02); sharing of other injecting paraphernalia (SMD −0.24; 95% CI −0.42 to −0.06; I2 = 0%; p < 0.01) and unprotected sex (SMD −0.44; 95% CI −0.86 to −0.01; I2 = 79%; p = 0.04) compared to interventions of a lesser time/intensity, however, moderate to high heterogeneity was reported. Such interventions could be included with other harm reduction approaches to prevent BBV transmission among PWID.

LanguageEnglish
Pages1791-1811
Number of pages21
JournalAIDS and Behavior
Volume21
Issue number7
Early online date1 Apr 2017
DOIs
Publication statusPublished - 1 Jul 2017

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Risk-Taking
Meta-Analysis
Needle Sharing
Viruses
MEDLINE
Pharmaceutical Preparations
Opiate Substitution Treatment
Harm Reduction
Unsafe Sex
Needles
Counseling
Clinical Trials
HIV
Education

Cite this

Gilchrist, Gail ; Swan, Davina ; Widyaratna, Kideshini ; Marquez-Arrico, Julia Elena ; Hughes, Elizabeth ; Mdege, Noreen Dadirai ; Martyn-St James, Marrissa ; Tirado-Munoz, Judit. / A Systematic Review and Meta-analysis of Psychosocial Interventions to Reduce Drug and Sexual Blood Borne Virus Risk Behaviours Among People Who Inject Drugs. In: AIDS and Behavior. 2017 ; Vol. 21, No. 7. pp. 1791-1811.
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abstract = "Opiate substitution treatment and needle exchanges have reduced blood borne virus (BBV) transmission among people who inject drugs (PWID). Psychosocial interventions could further prevent BBV. A systematic review and meta-analysis examined whether psychosocial interventions (e.g. CBT, skills training) compared to control interventions reduced BBV risk behaviours among PWID. 32 and 24 randomized control trials (2000-May 2015 in MEDLINE, PsycINFO, CINAHL, Cochrane Collaboration and Clinical trials, with an update in MEDLINE to December 2016) were included in the review and meta-analysis respectively. Psychosocial interventions appear to reduce: sharing of needles/syringes compared to education/information (SMD −0.52; 95{\%} CI −1.02 to −0.03; I2 = 10{\%}; p = 0.04) or HIV testing/counselling (SMD −0.24; 95{\%} CI −0.44 to −0.03; I2 = 0{\%}; p = 0.02); sharing of other injecting paraphernalia (SMD −0.24; 95{\%} CI −0.42 to −0.06; I2 = 0{\%}; p < 0.01) and unprotected sex (SMD −0.44; 95{\%} CI −0.86 to −0.01; I2 = 79{\%}; p = 0.04) compared to interventions of a lesser time/intensity, however, moderate to high heterogeneity was reported. Such interventions could be included with other harm reduction approaches to prevent BBV transmission among PWID.",
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author = "Gail Gilchrist and Davina Swan and Kideshini Widyaratna and Marquez-Arrico, {Julia Elena} and Elizabeth Hughes and Mdege, {Noreen Dadirai} and {Martyn-St James}, Marrissa and Judit Tirado-Munoz",
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Gilchrist, G, Swan, D, Widyaratna, K, Marquez-Arrico, JE, Hughes, E, Mdege, ND, Martyn-St James, M & Tirado-Munoz, J 2017, 'A Systematic Review and Meta-analysis of Psychosocial Interventions to Reduce Drug and Sexual Blood Borne Virus Risk Behaviours Among People Who Inject Drugs', AIDS and Behavior, vol. 21, no. 7, pp. 1791-1811. https://doi.org/10.1007/s10461-017-1755-0

A Systematic Review and Meta-analysis of Psychosocial Interventions to Reduce Drug and Sexual Blood Borne Virus Risk Behaviours Among People Who Inject Drugs. / Gilchrist, Gail; Swan, Davina; Widyaratna, Kideshini; Marquez-Arrico, Julia Elena; Hughes, Elizabeth; Mdege, Noreen Dadirai; Martyn-St James, Marrissa; Tirado-Munoz, Judit.

In: AIDS and Behavior, Vol. 21, No. 7, 01.07.2017, p. 1791-1811.

Research output: Contribution to journalReview article

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AU - Marquez-Arrico, Julia Elena

AU - Hughes, Elizabeth

AU - Mdege, Noreen Dadirai

AU - Martyn-St James, Marrissa

AU - Tirado-Munoz, Judit

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