The use of behavioral intervention to reduce stimulant use and concurrent HIV sexual transmission risk.
Hybrid Type 2 Effectiveness-Implementation Trial of Status Neutral, Integrated Behavioral Activation and Risk Reduction Intervention for Stimulant Use Among Sexually Active Adolescents and Young Adults (Project IMPACT)
IMPACT is a status-neutral intervention that uses behavioral activation (BA) integrated with sexual health (SH) counseling to support stimulant use reduction and safer sex practices for adolescents and young adults. This study will evaluate the effectiveness of IMPACT and determine feasibility of implementing IMPACT for translation into real-world practice using a hybrid effectiveness-implementation design.
The IMPACT intervention includes 10 sessions: 2 sessions of sexual education and counseling, 1 session focused on psychoeducation and reflection around stimulants, 1 session orienting BA and harm reduction strategies, 5 sessions integrating BA, SH, and coping skills, and 1 final session on reviewing progress and planning for the future.
The enhanced Standard of Care (eSOC) group receives two SH counseling sessions only.