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

  • Steven A. Safren
  • Conall O’Cleirigh
  • Margie R. Skeer
  • Jeffrey Driskell
  • Brett M. Goshe
  • Charles Covahey
  • Kenneth H. Mayer
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

Authors and Affiliations

  • Steven A. Safren
    • 1
    • 2
  • Conall O’Cleirigh
    • 1
    • 2
  • Margie R. Skeer
    • 1
    • 3
  • Jeffrey Driskell
    • 1
    • 4
  • Brett M. Goshe
    • 1
  • Charles Covahey
    • 1
  • Kenneth H. Mayer
    • 1
    • 5
  1. 1.The Fenway Institute at Fenway HealthBostonUSA
  2. 2.MGH Behavioral MedicineMassachusetts General Hospital and Harvard Medical SchoolBostonUSA
  3. 3.Department of Community HealthBrown UniversityProvidenceUSA
  4. 4.Department of Social WorkSalem State CollegeSalemUSA
  5. 5.Brown University School of MedicineProvidenceUSA