title: A roadmap for adapting an evidence-based HIV prevention intervention: personal cognitive counseling (PCC) for episodic substance-using men who have sex with men.
abstract: Episodic (less than weekly) drug use and binge drinking increase HIV-related sexual risk behaviors among men who have sex with men (MSM), yet no evidence-based interventions exist for these men. We describe an adaptation process of the Personalized Cognitive Counseling (PCC) intervention for utilization with high-risk, HIV-negative episodic, substance-using MSM. Participants (N = 59) were racially diverse, and reported unprotected anal intercourse and concurrent binge drinking (85%), use of poppers (36%), methamphetamine (20%) and cocaine (12%). Semi-structured interviews with 20 episodic, substance-using MSM elicited sexual narratives for engaging in unprotected anal intercourse while using alcohol or drugs. Emergent qualitative themes were translated into self-justifications and included in a revised PCC self-justification elicitation instrument (SJEI). The adapted SJEI was pretested with 19 episodic, substance-using MSM, and the final adapted PCC was pilot-tested for acceptability and feasibility with 20 episodic, substance-using MSM. This process can be used as a roadmap for adapting PCC for other high-risk populations of MSM.
authors: Department of Anthropology, History and Social Medicine, University of California, San Francisco, 3333 California Street, Suite 485, San Francisco, CA, 94143-0850, USA, kelly.knight@ucsf.edu.
authors: Kelly R
authors: KR
authors: Knight
authors: Moupali
authors: M
authors: Das
authors: Erin
authors: E
authors: DeMicco
authors: Jerris L
authors: JL
authors: Raiford
authors: Tim
authors: T
authors: Matheson
authors: Alic
authors: A
authors: Shook
authors: Erin
authors: E
authors: Antunez
authors: Glenn-Milo
authors: GM
authors: Santos
authors: Rand
authors: R
authors: Dadasovich
authors: James W
authors: JW
authors: Dilley
authors: Grant N
authors: GN
authors: Colfax
authors: Jeffrey H
authors: JH
authors: Herbst
mesh_terms: D000293:Adolescent; D000328:Adult; D015928:Cognitive Behavioral Therapy; D003075:Coitus / Q000523:psychology; D003376:Counseling; D019317:Evidence-Based Medicine; D015658:HIV Infections / Q000517:prevention & control* / Q000523:psychology; D018451:Homosexuality, Male / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D012495:San Francisco; D019966:Substance-Related Disorders / Q000523:psychology*