Publications by authors named "C M Kahler"

Background: Tobacco smoking and alcohol use contribute to a synergy of epidemics (a "syndemic") that disproportionately affects persons involved with the criminal legal system (PCLS) and their social networks. An improved understanding of the complex interrelationships among the factors of the incarceration-tobacco-alcohol syndemic is essential to develop effective reform policies and interventions. However, collecting empirical data on these interrelationships is often hampered due to logistical and ethical challenges.

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Introduction: Disseminating effective alcohol interventions for sexual minority men (SMM) with HIV remains a crucial public health endeavor. Motivational interviewing (MI) interventions are an established approach to reducing alcohol use, yet more research is needed to determine predictors of MI treatment outcomes and underlying mechanisms related to sustained behavior change among SMM with HIV. This pre-registered secondary analysis tested whether action-related stage of change mediated effects of a MI intervention on future alcohol use and problems among SMM with HIV, and whether individual differences in trait optimism moderated these associations.

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This clinical trial examined the individual and combined effects of three different approaches to reducing alcohol misuse among a sample of sexual minority men (SMM) with HIV. Specifically, we used a 2 × 2 × 2 randomized factorial design to compare: (a) behavioral intervention based in motivational interviewing (MI) vs. brief intervention (BI), (b) interactive text messaging (ITM) for alcohol use vs.

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Introduction: People with HIV (PWH) cite smoking within their social networks as a barrier to quitting. We examined the feasibility, acceptability, and preliminary efficacy of a tailored intervention, Peer Navigation Social Support for Smoking cessation (PNSS-S), designed specifically for PWH who smoke.

Methods: We randomized 64 PWH who smoked (mean age 54.

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Internet-based studies are widely used in social and behavioral health research, yet bots and fraud from "survey farming" bring significant threats to data integrity. For research centering marginalized communities, data integrity is an ethical imperative, as fraudulent data at a minimum poses a threat to scientific integrity, and worse could even promulgate false, negative stereotypes about the population of interest. Using data from two online surveys of sexual and gender minority populations (young men who have sex with men and transgender women of color), we (a) demonstrate the use of online survey techniques to identify and mitigate internet-based fraud, (b) differentiate techniques for and identify two different types of "survey farming" (i.

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