AIDS and Behavior

, Volume 15, Issue 5, pp 949–958 | Cite as

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


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.


Secondary prevention Peer-based Prevention in treatment settings HIV transmission risk behavior 



This study was supported by HRSA grant H97HA01293 awarded to Drs. Kenneth H. Mayer and Steven A. Safren. The authors would like to thank the following individuals for their hard work that made the study possible: Daniel Aguilar, Jeremy Hobsen, Robert Knauz, Rodney VanDerwarker, Benjamin Capistrant, Jessica Ripton, Danielle Dang, Liz Salomon, Bonnie Kissler, Alex Weissman, Adam Sussman, Dhana Perry, Christopher Sterling, William O’Brien, the medical providers at Fenway Community Health, the Fenway Community Advisory Board, the staff for the HRSA-funded EPPIC site at UCSF including Carol Dawson-Rose, Stephen Morin. We also thank Drs. Margaret Chesney and Ronald Stall for their consultation about the project. Finally, and most importantly, we thank the study participants.

Supplementary material

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


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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

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