GPS: Adaptation Trial of an HIV Prevention Counselling Program for HIV-positive and HIV-negative Gay and Bisexual Men
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 50
- 试验地点
- 6
- 主要终点
- Change in the number of serodiscordant condomless anal sex acts
研究概览
简要总结
GPS is a sexual health promotion and HIV prevention peer-delivered counselling program. The GPS program has 4 parts: information provision about HIV and sexually transmitted infections, motivational interviewing counselling, sexual health behavioural skills building, and linkage to care. The adaptation grant has three goals: 1) to establish a multi-region and multi-sectoral team that can deliver the revised program across a variety of settings, 2) to learn how best to deliver this program as individual counselling program and also how to adapt this program for HIV-negative MSM, and 3) to pilot the individual program in 5 settings across Ontario and British Columbia. The research team will evaluate the pilot adaptation through mixed methods, employing a quantitative questionnaire and one-on-one semi-structured interviews.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Male
- 接受健康志愿者
- 否
入选标准
- •aged 18 years or older
- •self-identify as a man
- •self-identify as gay, bisexual, queer, same-gender-loving, or a man who has sex with men
- •report having engaged in condomless anal sex in the last 3 months
- •able to speak, read, and aurally comprehend English
- •depending on the study site, report HIV-negative or HIV-positive status
排除标准
- 未提供
研究组 & 干预措施
GPS program
The individual GPS motivational interviewing counseling program has 4-6 sessions.
Week 1: information on sexually transmitted infections and HIV disclosure laws is reviewed. Participants are introduced to the sex diary, stress exercise, and stages of change model.
Week 2: a decisional balance exercise about the participant's current sexual behavior is completed and a behavioral goal is chosen.
Week 3: participants explore their greatest fears and hopes about the goal, and the importance of and their confidence in achieving it.
Week 4: the facilitator and participant identify triggers, automatic thoughts, counters, strategies, supports, and rewards pertaining to the pursuit of the goal and role play the new goal.
1-2 supplemental sessions may be added as needed.
干预措施: GPS program (Behavioral)
结局指标
主要结局
Change in the number of serodiscordant condomless anal sex acts
时间窗: Past 2 months (measured at baseline, post-treatment, and 3-month follow-up)
Participants will be asked to report the number of times they engaged in anal sex in the without a condom with a partner of opposite or unknown HIV status in the past two months as part of a self-report questionnaire. This self-report questionnaire is administered at baseline, post-treatment (which is approximately 6 weeks after baseline), and at 3-month follow-up in order to measure changes over time.
次要结局
- Change in the number of sexual partners(Past 2 months (measured at baseline, post-treatment, and 3-month follow-up))
- Change in HIV viral load status(Most recent viral load test (asked at baseline, post-treatment, and 3-month follow-up))
- Change in the number of receptive condomless anal sex acts(Past 2 months (measured at baseline, post-treatment, and 3-month follow-up))
- Change in the number of insertive condomless anal sex acts(Past 2 months (measured at baseline, post-treatment, and 3-month follow-up))
- Change in use of HIV pre-exposure prophylaxis (PrEP)(Present use (asked at baseline, post-treatment, and 3-month follow-up))
研究者
Trevor Hart
Principal Investigator
Toronto Metropolitan University