AIDS and Behavior

, Volume 15, Issue 5, pp 949–958

Demonstration and Evaluation of a Peer-Delivered, Individually-Tailored, HIV Prevention Intervention for HIV-Infected MSM in their Primary Care Setting

Authors

    • The Fenway Institute at Fenway Health
    • MGH Behavioral MedicineMassachusetts General Hospital and Harvard Medical School
  • Conall O’Cleirigh
    • The Fenway Institute at Fenway Health
    • MGH Behavioral MedicineMassachusetts General Hospital and Harvard Medical School
  • Margie R. Skeer
    • The Fenway Institute at Fenway Health
    • Department of Community HealthBrown University
  • Jeffrey Driskell
    • The Fenway Institute at Fenway Health
    • Department of Social WorkSalem State College
  • Brett M. Goshe
    • The Fenway Institute at Fenway Health
  • Charles Covahey
    • The Fenway Institute at Fenway Health
  • Kenneth H. Mayer
    • The Fenway Institute at Fenway Health
    • Brown University School of Medicine
Original Paper

DOI: 10.1007/s10461-010-9807-8

Cite this article as:
Safren, S.A., O’Cleirigh, C., Skeer, M.R. et al. AIDS Behav (2011) 15: 949. doi:10.1007/s10461-010-9807-8

Abstract

Employing HIV-infected peer counselors in secondary prevention interventions for MSM is appealing for scalable interventions. One-hundred-seventy-six HIV-infected MSM at their primary care facility participated in a secondary HIV-prevention study delivered by HIV-infected MSM peers. Of those who entered the intervention and completed the initial intake, 62% completed all four of the intervention sessions, and 93% completed at least one. While there was no overall change in transmission risk behavior (TRB) for the whole sample, among those who reported HIV TRB at baseline (n = 29), there were significant reductions in TRB over the next year. Themes that emerged in qualitative exit interviews conducted with a subset of participants centered on peer counselor quality, intervention implications, and intervention experience. This demonstration project provides initial evidence for the ability to recruit HIV-infected MSM in care into a peer-based intervention study, and shows how a peer-based intervention can be delivered in the context of HIV care.

Keywords

Secondary preventionPeer-basedPrevention in treatment settingsHIV transmission risk behavior

Supplementary material

10461_2010_9807_MOESM1_ESM.doc (4.1 mb)
Supplementary material 1 (DOC 4226 kb)

Copyright information

© Springer Science+Business Media, LLC 2010