A randomized control trial of personalized cognitive counseling to reduce sexual risk among HIV-infected men who have sex with men

AIDS Care
Sandra K SchwarczJames W Dilley

Abstract

The increased life expectancy and well-being of HIV-infected persons presents the need for effective prevention methods in this population. Personalized cognitive counseling (PCC) has been shown to reduce unprotected anal intercourse (UAI) with a partner of unknown or different serostatus among HIV-uninfected men who have sex with men (MSM). We adapted PCC for use among HIV-infected MSM and tested its efficacy against standard risk-reduction counseling in a randomized clinical trial in San Francisco. Between November 2006 and April 2010, a total of 374 HIV-infected MSM who reported UAI with two or more men of negative or unknown HIV serostatus in the previous 6 months were randomized to two sessions of PCC or standard counseling 6 months apart. The primary outcome was the number of episodes of UAI with a non-primary male partner of different or unknown serostatus in the past 90 days, measured at baseline, 6, and 12 months. Surveys assessed participant satisfaction with the counseling. The mean number of episodes of UAI at baseline did not differ between PCC and control groups (2.97 and 3.14, respectively; p=0.82). The mean number of UAI episodes declined in both groups at 6 months, declined further in the PCC group at 12 months...Continue Reading

References

Mar 1, 1995·International Journal of STD & AIDS·R S Gold, D A Rosenthal
Jun 5, 2002·Journal of Acquired Immune Deficiency Syndromes : JAIDS·James W DilleyWilli McFarland
Jul 20, 2011·The New England Journal of Medicine·Myron S CohenUNKNOWN HPTN 052 Study Team
Nov 22, 2011·Health Education & Behavior : the Official Publication of the Society for Public Health Education·Matthew D SkintaJames W Dilley

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Citations

Jul 28, 2015·AIDS Research and Human Retroviruses·Ann M DennisJoseph J Eron
Sep 3, 2013·Journal of the International Association of Providers of AIDS Care·Patrick S SullivanRob Stephenson
Feb 7, 2014·American Journal of Community Psychology·Matthew B FeldmanDaniel Schermele
Apr 16, 2020·BMC Medical Education·Chidozie Emmanuel MbadaFrancis Fatoye
Oct 17, 2014·Substance Use & Misuse·Eric J NehlFrank Y Wong
Sep 7, 2017·The Journal of Contemporary Dental Practice·Shrikanth MuralidharanDinraj Kulkarni

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Methods Mentioned

BETA
nucleic acid amplification assay

Software Mentioned

STATA

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