Reback CJ, Grant DL, Fletcher JB, Branson CM, Shoptaw S, Bowers JR, Charania M, Mansergh G. AIDS and Behavior. 2012. 16(7):2003. doi: 10.1007/s10461-012-0200-7
Summary: In this pilot feasibility study, 52 methamphetamine-using men who have sex with men (MSM) were recruited in Los Angeles county. All participants reported both methamphetamine use and unprotected sex during the previous two months, and were not currently enrolled in any treatment programs. Using a before-and-after study design, participants were assessed and then given access to the text messaging intervention for two weeks. Participants were assessed again 12 weeks post-baseline. At 12 weeks, 96% of participants completed the program and returned for the follow-up assessment. The frequency of methamphetamine use and unprotected sex with a non-partner decreased significantly from baseline to 12 weeks. While 21% of participants reported injecting methamphetamine at baseline, only 8% reported injection after completion of the program. Despite these decreases, there were no significant changes in the percent of methamphetamine positive toxicology tests or the frequency of unprotected sex with a partner.
Take Away: A text messaging intervention to reduce HIV risk behaviors among MSM appears to be feasible. While results provide initial evidence for the potential efficacy of this intervention for self-reported injection methamphetamine use among MSM, the intervention did not impact use biomarkers or risky sexual behaviors. Larger controlled studies are needed.