Initial feasibility and acceptability of a comprehensive intervention for methamphetamine-using pregnant women in South Africa.

The purpose of the present study was to determine the feasibility, acceptability, and initial efficacy of a women-focused intervention addressing methamphetamine use and HIV sexual risk among pregnant women in Cape Town, South Africa. A two-group randomized pilot study was conducted, comparing a wom...

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Main Authors: Jones, Hendrée E, Myers-Franchi, Bronwyn, O'Grady, Kevin E, Gebhardt, Stefan, Theron, Gerhard B, Wechsberg, Wendee M
Format: Journal Article
Language:English
Published: 2014
Online Access:http://hdl.handle.net/20.500.11937/86285
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author Jones, Hendrée E
Myers-Franchi, Bronwyn
O'Grady, Kevin E
Gebhardt, Stefan
Theron, Gerhard B
Wechsberg, Wendee M
author_facet Jones, Hendrée E
Myers-Franchi, Bronwyn
O'Grady, Kevin E
Gebhardt, Stefan
Theron, Gerhard B
Wechsberg, Wendee M
author_sort Jones, Hendrée E
building Curtin Institutional Repository
collection Online Access
description The purpose of the present study was to determine the feasibility, acceptability, and initial efficacy of a women-focused intervention addressing methamphetamine use and HIV sexual risk among pregnant women in Cape Town, South Africa. A two-group randomized pilot study was conducted, comparing a women-focused intervention for methamphetamine use and related sexual risk behaviors to a psychoeducational condition. Participants were pregnant women who used methamphetamine regularly, had unprotected sex in the prior month, and were HIV-negative. Primary maternal outcomes were methamphetamine use in the past 30 days, frequency of unprotected sexual acts in the past 30 days, and number of antenatal obstetrical appointments attended. Primary neonatal outcomes were length of hospital stay, birth weight, and gestational age at delivery. Of the 57 women initially potentially eligible, only 4 declined to participate. Of the 36 women who were eligible and enrolled, 92% completed all four intervention sessions. Women in both conditions significantly reduced their methamphetamine use and number of unprotected sex acts. Therefore, delivering comprehensive interventions to address methamphetamine use and HIV risk behaviors among methamphetamine-using pregnant women is feasible in South Africa. Further testing of these interventions is needed to address methamphetamine use in this vulnerable population.
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spelling curtin-20.500.11937-862852021-11-09T03:53:24Z Initial feasibility and acceptability of a comprehensive intervention for methamphetamine-using pregnant women in South Africa. Jones, Hendrée E Myers-Franchi, Bronwyn O'Grady, Kevin E Gebhardt, Stefan Theron, Gerhard B Wechsberg, Wendee M The purpose of the present study was to determine the feasibility, acceptability, and initial efficacy of a women-focused intervention addressing methamphetamine use and HIV sexual risk among pregnant women in Cape Town, South Africa. A two-group randomized pilot study was conducted, comparing a women-focused intervention for methamphetamine use and related sexual risk behaviors to a psychoeducational condition. Participants were pregnant women who used methamphetamine regularly, had unprotected sex in the prior month, and were HIV-negative. Primary maternal outcomes were methamphetamine use in the past 30 days, frequency of unprotected sexual acts in the past 30 days, and number of antenatal obstetrical appointments attended. Primary neonatal outcomes were length of hospital stay, birth weight, and gestational age at delivery. Of the 57 women initially potentially eligible, only 4 declined to participate. Of the 36 women who were eligible and enrolled, 92% completed all four intervention sessions. Women in both conditions significantly reduced their methamphetamine use and number of unprotected sex acts. Therefore, delivering comprehensive interventions to address methamphetamine use and HIV risk behaviors among methamphetamine-using pregnant women is feasible in South Africa. Further testing of these interventions is needed to address methamphetamine use in this vulnerable population. 2014 Journal Article http://hdl.handle.net/20.500.11937/86285 10.1155/2014/929767 eng http://creativecommons.org/licenses/by/3.0/ fulltext
spellingShingle Jones, Hendrée E
Myers-Franchi, Bronwyn
O'Grady, Kevin E
Gebhardt, Stefan
Theron, Gerhard B
Wechsberg, Wendee M
Initial feasibility and acceptability of a comprehensive intervention for methamphetamine-using pregnant women in South Africa.
title Initial feasibility and acceptability of a comprehensive intervention for methamphetamine-using pregnant women in South Africa.
title_full Initial feasibility and acceptability of a comprehensive intervention for methamphetamine-using pregnant women in South Africa.
title_fullStr Initial feasibility and acceptability of a comprehensive intervention for methamphetamine-using pregnant women in South Africa.
title_full_unstemmed Initial feasibility and acceptability of a comprehensive intervention for methamphetamine-using pregnant women in South Africa.
title_short Initial feasibility and acceptability of a comprehensive intervention for methamphetamine-using pregnant women in South Africa.
title_sort initial feasibility and acceptability of a comprehensive intervention for methamphetamine-using pregnant women in south africa.
url http://hdl.handle.net/20.500.11937/86285