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Robles et al. (2004) randomized 557 street-recruited injecting drug users (IDUs) from "semi-rural" areas of Puerto Rico to one of two conditions: "a six-session counseling intervention using motivational interviewing strategies in conjunction with case management techniques" (p. 151) or a two-session control condition based on a Centers for Disease Control and Prevention (CDC) protocol. Among the 440 participants (79%) interviewed 6 months following entry into the study, those receiving the intervention were less likely to have continued injecting whether or not they had accepted drug treatment, and were more likely to have accepted such treatment than those in the control condition. Among participants who continued to inject, those receiving the intervention were less likely to have shared needles than injectors in the control condition. With additional study, this intensive, two-facet intervention "could be another viable strategy to help arrest the HIV epidemic by preventing HIV risk behaviors, entering drug injectors in treatment, and reducing drug injection" (p. 151).
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