OBJECTIVE: Primary care may be an effective venue for delivering behavioral interventions for sexual safety among HIV-positive men who have sex with men (MSM); however, few studies show efficacy for such an approach. We tested the efficacy of the Treatment Advocacy Program (TAP), a 4-session, primary-care-based, individual counseling intervention led by HIV-positive MSM "peer advocates" in reducing unprotected sex with HIV-negative or unknown partners (HIV transmission risk). METHOD: We randomized 313 HIV-positive MSM to TAP or standard care. HIV transmission risk was assessed at baseline, 6 months, and 12 months (251 participants completed all study waves). We conducted intent-to-treat analyses using general estimating equations to test the interaction of group (TAP vs. standard care) by follow-up period. RESULTS: At study completion, TAP participants reported greater transmission risk reduction than did those receiving standard care, χ2(2, N = 249) = 6.6, p = .04. Transmission risk among TAP participants decreased from 34% at baseline to about 20% at both 6 and 12 months: Transmission risk ranged from 23% to 25% among comparison participants. CONCLUSIONS:TAP reduced transmission risk among HIV-positive MSM, although results are modest. Many participants and peer advocates commented favorably on the computer structure of the program. We feel that the key elements of TAP-computer-based and individually tailored session content, delivered by peers, in the primary care setting-warrant further exploration. (c) 2010 APA, all rights reserved.
RCT Entities:
OBJECTIVE: Primary care may be an effective venue for delivering behavioral interventions for sexual safety among HIV-positive men who have sex with men (MSM); however, few studies show efficacy for such an approach. We tested the efficacy of the Treatment Advocacy Program (TAP), a 4-session, primary-care-based, individual counseling intervention led by HIV-positive MSM "peer advocates" in reducing unprotected sex with HIV-negative or unknown partners (HIV transmission risk). METHOD: We randomized 313 HIV-positive MSM to TAP or standard care. HIV transmission risk was assessed at baseline, 6 months, and 12 months (251 participants completed all study waves). We conducted intent-to-treat analyses using general estimating equations to test the interaction of group (TAP vs. standard care) by follow-up period. RESULTS: At study completion, TAP participants reported greater transmission risk reduction than did those receiving standard care, χ2(2, N = 249) = 6.6, p = .04. Transmission risk among TAP participants decreased from 34% at baseline to about 20% at both 6 and 12 months: Transmission risk ranged from 23% to 25% among comparison participants. CONCLUSIONS: TAP reduced transmission risk among HIV-positive MSM, although results are modest. Many participants and peer advocates commented favorably on the computer structure of the program. We feel that the key elements of TAP-computer-based and individually tailored session content, delivered by peers, in the primary care setting-warrant further exploration. (c) 2010 APA, all rights reserved.
Authors: Nicole Crepaz; Malu V Tungol-Ashmon; Darrel H Higa; Waverly Vosburgh; Mary M Mullins; Terrika Barham; Adebukola Adegbite; Julia B DeLuca; Theresa A Sipe; Christina M White; Brittney N Baack; Cynthia M Lyles Journal: AIDS Date: 2014-03-13 Impact factor: 4.177
Authors: Bruno F Sunguya; Murallitharan Munisamy; Sathirakorn Pongpanich; Junko Yasuoka; Masamine Jimba Journal: Am J Public Health Date: 2016-06-16 Impact factor: 9.308
Authors: Cara E Rice; Courtney Maierhofer; Karen S Fields; Melissa Ervin; Stephanie T Lanza; Abigail Norris Turner Journal: J Sex Med Date: 2016-02-04 Impact factor: 3.802
Authors: Sabina Hirshfield; Martin J Downing; Mary Ann Chiasson; Irene S Yoon; Steven T Houang; Richard A Teran; Christian Grov; Patrick S Sullivan; Rachel J Gordon; Donald R Hoover; Jeffrey T Parsons Journal: AIDS Behav Date: 2019-11
Authors: Joseph P De Santis; Aubrey Florom-Smith; Amber Vermeesch; Susana Barroso; Diego A DeLeon Journal: J Am Psychiatr Nurses Assoc Date: 2013 Jan-Feb Impact factor: 2.385
Authors: Cara E Rice; Maria F Gallo; Marcia M Hobbs; Courtney D Lynch; Alison H Norris; John A Davis; Karen S Fields; Melissa Ervin; Abigail Norris Turner Journal: Sex Transm Dis Date: 2014-06 Impact factor: 2.830