Adaptation and pilot evaluation of an intervention addressing the sexual health needs of gay men living with HIV infection in Colombia
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Authors
Alvarado, Beatriz E.
Martinez-Cajas, Jorge Luis
Mueses, Hector F.
Sanchez, Diego Correa
Adam, Barry D.
Hart, Trevor A.
Issue Date
2021-01-29
Type
Article
Language
en_US
Keywords
HIV Prevention , People Living With HIV , MSM , Motivational Interviewing , Community-Based Intervention
Alternative Title
Abstract
Interventions addressing the sexual health need of HIV-positive men who have sex with men (MSM) in Latin America are scarce. We adapted and evaluated GPS, a group-based intervention led by peers, developed using the Information-Motivation-Behavioral (IMB) model and motivational interviewing (MI). We used McKleroy et al framework to culturally adapt GPS to MSM living with HIV infection in Colombia. Then, a one-armed pilot trial examined changes in depressive symptoms, loneliness, self-efficacy for engaging in sexual risk reduction behaviors, sexual sensation seeking and sexual compulsivity at pre-intervention, post-intervention, and 3-month follow-up. These results were complemented with semistructured interviews with participants 3 months after the intervention. GPS was identified to be culturally acceptable with few changes in materials and exercises. Facilitators showed high levels of adherence and fidelity to MI principles. Seven of 11 eligible participants finished the intervention; GPS positively influenced self-efficacy for condom negotiation, depressive symptoms, and condomless anal sex with partners of unknown HIV status. Exit interviews revealed that GPS was well-designed, relevant, facilitated discussion of sex in a nonjudgmental manner, and helped make positive changes in participants’ sexual lives. These results provided preliminary evidence of an intervention to address sexual and mental health of MSM living with HIV in Latin America.
Description
Citation
Alvarado, B. E., Martinez-Cajas, J. L., Mueses, H. F., Correa Sanchez, D., Adam, B. D., & Hart, T. A. (2021). Adaptation and Pilot Evaluation of an Intervention Addressing the Sexual Health Needs of Gay Men Living with HIV Infection in Colombia. American journal of men's health, 15(1), 1557988321989916. https://doi.org/10.1177/1557988321989916
Publisher
American Journal of Men's Health