Racial and ethnic differences in treatment outcomes among adults with stimulant use disorders after a dosed exercise intervention

Sanchez, Katherine; Greer, Tracy L.; Walker, Robrina; Carmody, Thomas; Rethorst, Chad D.; Trivedi, Madhukar H.

doi:10.1080/15332640.2017.1317310

Cited by 10 publications

(13 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Moreover, persons with addiction also diagnosed with mental health conditions (e.g., depression) are less likely to fully engage with treatment and are more likely to relapse (Weinstock et al, 2007). Because exercise can improve mental health (Chekroud et al, 2018) and is related to reduced rates of relapse in those overcoming addictions (Linke et al, 2019;Linke & Ussher, 2015;Park et al, 2016;Sanchez et al, 2017), understanding factors related to increases in exercise behaviors among people seeking recovery could be helpful in assisting their long-term recovery.…”

mentioning

confidence: 99%

Impact of social networks, mental health, and sobriety on exercise within a collegiate recovery community

Patterson¹,

Russell²,

Spadine³

et al. 2020

Health Behavior Research

View full text Add to dashboard Cite

Exercise is especially beneficial for individuals recovering from addiction. In addition to improved physical, emotional, and mental health, exercise is linked to long-term recovery for those overcoming addiction. With nearly 10% of college students in recovery, and many utilizing campus resources such as collegiate recovery communities (CRCs) to support their recovery, it is important to understand the relationship between exercise and the recovery process among college students. The purpose of this study was to use social network analysis and theory to understand exercise behaviors among a group of college students in recovery. The relationship between exercise and sobriety, mental health variables, and social connections was examined among a network of students involved in a CRC. Of the 50 students involved in this network, 40 participated in the study (80% response rate). Logistic regression analysis revealed a significant model (R 2 = .598, p < .0001) predicting whether CRC members exercised enough to yield health benefits. Length of sobriety, higher stress, lower depression, having fewer network ties, and being connected directly to others exercising regularly were significant predictor variables in the model. This study supports the relationship between sobriety and exercise, as well as an association between network connections and exercise behaviors. Incorporating exercise opportunities as part of CRC programming to help students stay sober, as well as identifying key target points for intervention within similar groups of students, could be useful in future practice.

show abstract

mentioning

confidence: 99%

Impact of social networks, mental health, and sobriety on exercise within a collegiate recovery community

Patterson¹,

Russell²,

Spadine³

et al. 2020

Health Behavior Research

View full text Add to dashboard Cite

show abstract

“…First, interventions utilized in this model have been developed for White populations and more culturally appropriate interventions among YBMSM are needed. [26][27][28][29] We use a model that was developed for a YBMSM population, and future iterations of this work will consider the development and deployment of such interventions. Better contextual data on the association between stimulant use and engagement in the HIV prevention and treatment continua will be helpful in adapting these interventions for YBMSM.…”

Section: Discussionmentioning

confidence: 99%

“…One of the major challenges of addressing the stimulant epidemic among YBMSM is the development of culturally appropriate interventions for stimulant use treatment in this population, increasingly identified as a gap in the scientific literature and current public health policies in addressing psychosocial and structural barriers faced by Black populations. [26][27][28][29] This study extends an existing agent-based network model (ABNM), 30 parameterized largely with data collected in Illinois, to address the impact of stimulant use on the ART and PrEP continua and downstream HIV incidence among YBMSM. Interventions that are designed to treat stimulant use dependency (such as residential rehabilitation and medication-assisted treatment for methamphetamine use through mirtazapine) are thus likely to improve engagement in the HIV treatment and continua and are simulated to project their impact on HIV incidence and inform next steps in the GTZ planning efforts in Illinois.…”

Section: Introductionmentioning

confidence: 99%

Stimulant Use Interventions May Strengthen ‘Getting to Zero’ Initiatives in Illinois: Insights from a Modeling Study

Lee

Sheeler

Hotton

et al. 2021

Preprint

View full text Add to dashboard Cite

Objective(s): Young Black men who have sex with men (YBMSM) are a key population identified in the Illinois Getting to Zero (GTZ) initiative who have experienced disproportionate HIV incidence. Rising stimulant use has been determined to impede the effectiveness of ART and pre-exposure prophylaxis for suppressing HIV transmission in populations. This modeling study explores the impact of stimulant use on HIV incidence among YBMSM, given the limited development of dedicated or culturally appropriate interventions for this population, and assesses the impact of these interventions on downstream HIV transmission in the context of achieving GTZ goals. Methods: A previously developed agent-based network model (ABNM), calibrated using data for YBMSM in Illinois, was extended to incorporate the impact of stimulant use (methamphetamines, crack/cocaine, and ecstasy) on sexual networks and engagement in HIV treatment and prevention continua. The model simulated the impact of a residential behavioral intervention (BI) for reducing stimulant dependency and an outpatient biomedical intervention (mirtazapine) for treating methamphetamine dependence on improved engagement in the HIV treatment and prevention continua. The downstream impact of these interventions on population-level HIV incidence was the primary intervention outcome. Results: Baseline simulated annual HIV incidence in the ABNM was 6.9(95% CI: 6.83,7.04) per 100 person years (py) and 453 (95% CI: 445.9,461.2) new infections annually. A residential targeted to 25% of stimulant users yielded a 27.1% decline in the annual number of new infections. Initiating about 50% of methamphetamine users on mirtazapine reduced the overall HIV incidence by about 11%. A 25% increase in antiretroviral treatment (ART) and preexposure prophylaxis (PrEP) uptake in the non-stimulant using YBMSM population combined with a 25% uptake of BI for stimulant users produces an HIV incidence consistent with HIV elimination targets (about 200 infections/year) identified in the GTZ initiative. Conclusions: Targeted behavioral and biomedical interventions to treat stimulant dependency are likely to provide additive benefits to expanding ART and PrEP uptake for everyone in accomplishing GTZ initiatives for HIV elimination.

show abstract

“…This inconsistent pattern was also found for other drugs. Two studies found Black participants entered treatment with lower rates of stimulant (Sanchez, Chartier, et al, 2015;Sanchez et al, 2017) and methadone use (Wu, Blazer, Stitzer, Patkar, & Blaine, 2008), whereas others showed higher rates of current opioid use (Potter et al, 2013), other drug use (Cochran, Stitzer, Nunes, Hu, & Campbell, 2014), blunt use (Montgomery et al, 2019), and lifetime heroin use (E. S. Brown et al, 2010) relative to their White, and in some cases, Hispanic, counterparts. Further, one study using data from multiple CTN trials showed higher rates of combined opiate and stimulant use among Black compared to White adults (Brooks et al, 2013).…”

Section: Baseline Characteristicsmentioning

confidence: 99%

A systematic scoping review of research on Black participants in the National Drug Abuse Treatment Clinical Trials Network.

Montgomery¹,

Burlew²,

Haeny³

et al. 2020

Psychology of Addictive Behaviors

View full text Add to dashboard Cite

Black individuals experience a disproportionate burden of substance-related disabilities and premature death relative to other racial/ethnic groups, highlighting the need for additional research. The National Drug Abuse Treatment Clinical Trials Network (CTN), a research platform for multisite behavioral, pharmacological, and integrated trials designed to evaluate the effectiveness of substance use treatments in community settings with diversified patient populations, provides a wealth of research knowledge on substance use. Although CTN trials have enrolled over 5,000 Black individuals since its inception in 2000, there has been no synthesis of the findings, discussion of the implications, or suggestions for future research for Black individuals. Members of the Minority Interest Group of the CTN conducted a scoping review of published research on Black participants in CTN trials. Studies were included if the sample was more than 75% Black and/or specific findings pertaining to Black participants were reported. The review yielded 50 articles, with studies that mostly focused on baseline characteristics, followed by substance use treatment outcomes, HIV/risky sex behaviors, retention, comorbid conditions and measurement issues. This review highlighted the importance of several issues that are critical to understanding and treating substance misuse among Black people, such as the characteristics of Black people entering treatment, measurement equivalence, and engaging/retaining adolescents and young adults in treatment. There is still a continued need to identify the most effective treatments for Black individuals who use substances. The CTN offers several untapped opportunities to further advance research on Black individuals who use substances (e.g., secondary analyses of publicly available data).

show abstract

Racial and ethnic differences in treatment outcomes among adults with stimulant use disorders after a dosed exercise intervention

Cited by 10 publications

References 36 publications

Impact of social networks, mental health, and sobriety on exercise within a collegiate recovery community

Impact of social networks, mental health, and sobriety on exercise within a collegiate recovery community

Stimulant Use Interventions May Strengthen ‘Getting to Zero’ Initiatives in Illinois: Insights from a Modeling Study

A systematic scoping review of research on Black participants in the National Drug Abuse Treatment Clinical Trials Network.

Contact Info

Product

Resources

About