Does treatment readiness shape service-design preferences of gay, bisexual, and other men who have sex with men who use crystal methamphetamine? A cross sectional study

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dc.contributor.authorCard, Kiffer G.
dc.contributor.authorMcGuire, Madison
dc.contributor.authorBerlin, Graham W.
dc.contributor.authorWells, Gordon A.
dc.contributor.authorFulcher, Karyn
dc.contributor.authorNguyen, Tribesty
dc.contributor.authorHart, Trevor A.
dc.contributor.authorSkakoon Sparling, Shayna
dc.contributor.authorLachowsky, Nathan J.
dc.date.accessioned2022-10-27T17:44:56Z
dc.date.available2022-10-27T17:44:56Z
dc.date.copyright2022en_US
dc.date.issued2022
dc.description.abstractCrystal methamphetamine (CM) disproportionately impacts gay, bisexual, and other men who have sex with men (gbMSM). However, not all gbMSM are interested in changing their substance use. The present study aimed to examine whether participant-preferred service characteristics were associated with their readiness to change. We surveyed gbMSM who used CM in the past six months, aged 18 plus years, on dating platforms. Participants rated service-design characteristics from “very unimportant” to “very important”. Multivariable regression tested service preference ratings across levels of the Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES-8D). Among 291 participants, 38.7% reported their CM use was not problematic, 19.5% were not ready to take any action to reduce or stop using CM, and 41.7% were ready to take action. On average, participants rated inclusive, culturally-appropriate, out-patient counselling-based interventions as most important. Participants with greater readiness-to-change scores rated characteristics higher than gbMSM with lesser readiness. Contingency management and non-abstinence programming were identified as characteristics that might engage those with lesser readiness. Services should account for differences in readiness-to-change. Programs that provide incentives and employ harm reduction principles are needed for individuals who may not be seeking to reduce or change their CM use.en_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipThis study is supported by the CIHR Canadian HIV Trials Network (CTNPT 030) and the Canadian Institute for Substance Use Research (CISUR). The reviews expressed herein are solely those of the authors and may not reflect the views of any sponsoring organization. KGC and NJL were supported by the Michael Smith Foundation for Health Research Scholar Awards.en_US
dc.identifier.citationCard, K., McGuire, M., Berlin, G., Wells, G., Fulcher, K., . . . Lachowsky, N. (2022). “Does treatment readiness shape service-design preferences of gay, bisexual, and other men who have sex with men who use crystal methamphetamine? A cross sectional study.” International Journal of Environmental Research and Public Health, 19(6), 3458. https://doi.org/10.3390/ijerph19063458en_US
dc.identifier.urihttps://doi.org/10.3390/ijerph19063458
dc.identifier.urihttp://hdl.handle.net/1828/14340
dc.language.isoenen_US
dc.publisherInternational Journal of Environmental Research and Public Healthen_US
dc.subjectmethamphetamine
dc.subjectgay and bisexual men
dc.subjectpatient-oriented care
dc.subjectintervention design
dc.subjectreadiness to change
dc.subject.departmentSchool of Public Health and Social Policy
dc.titleDoes treatment readiness shape service-design preferences of gay, bisexual, and other men who have sex with men who use crystal methamphetamine? A cross sectional studyen_US
dc.typeArticleen_US

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