AIDS and Behavior

, Volume 17, Issue 9, pp 2902–2913 | Cite as

A Randomized Controlled Trial of the Community-Friendly Health Recovery Program (CHRP) Among High-Risk Drug Users in Treatment

  • Michael M. Copenhaver
  • I-Ching Lee
  • Patrick Baldwin
Original Paper


Existing evidence-based HIV risk reduction interventions have not been designed for implementation within clinical settings, such as methadone maintenance programs, where many high-risk drug users seek treatment services. We therefore systematically developed an adapted, significantly shortened, version of a comprehensive evidence-based intervention called the Community-friendly Health Recovery Program (CHRP) which has demonstrated preliminary evidence of efficacy in a feasibility/acceptability study already published. In a randomized controlled trial reported here, we tested the efficacy of the CHRP intervention among high-risk drug users newly enrolled in drug treatment at an inner-city methadone maintenance program. The CHRP intervention produced improvements in drug risk reduction knowledge as well as demonstrated sex- and drug-risk reduction skills. Support was found for the IMB model of health behavior change. Implications for future intervention research and practice are considered.


HIV risk reduction Behavioral intervention Drug use Intervention adaptation 


Intervenciones riesgo del VIH existentes reducción del basada en la evidencia no han sido diseñadas para aplicación en contextos clínicos, tales como programas de mantenimiento con metadona, donde muchos usuarios de drogas de alto riesgo buscan servicios de tratamiento. Por lo tanto desarrollamos sistemáticamente una versión adaptada, acortada significativamente, de una intervención integral basada en la evidencia llamada la comunidad ambiente salud recuperación programa (CHRP) que ha demostrado la evidencia preliminar de eficacia en un estudio de viabilidad/aceptabilidad ya publicado. En un ensayo controlado aleatorio (ECA) divulgado aquí, hemos probado la eficacia de la intervención CHRP entre usuarios de drogas de altoriesgo recién matriculados en el tratamiento de drogas en un programa de mantenimiento con metadona del centro de la ciudad. La intervención CHRP produjeron mejorías en el conocimiento de reducción de riesgo de drogas así como había demostrado capacidades de reducción de riesgo de sexo y drogas. Apoyo encontró para el modelo IMB de cambio de comportamiento de salud. Implicaciones para futuras intervenciones investigación y la práctica se consideran.



Funding to support the design and conduct of this research and the preparation of this manuscript was provided by a National Institute on Drug Abuse (NIDA) Grants (R01-DA022122; K02DA033139) to Michael M. Copenhaver.


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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Michael M. Copenhaver
    • 1
  • I-Ching Lee
    • 2
    • 3
  • Patrick Baldwin
    • 4
  1. 1.Department of Allied Health SciencesUniversity of ConnecticutStorrsUSA
  2. 2.Department of PsychologyNational Chengchi UniversityTaipeiTaiwan
  3. 3.Center for Mind, Brain, & LearningNational Chengchi UniversityTaipeiTaiwan
  4. 4.APT Foundation, Inc.New HavenUSA

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