title: Building Program Acceptability: Perceptions of Gay and Bisexual Men on Peer or Prevention Case Manager Relationships in Secondary HIV Prevention Counseling.
abstract: There is growing interest in integrating HIV prevention counseling for HIV-infected gay and bisexual men into HIV primary care. HIV-infected peers and professionally trained prevention case managers (PCMs) have been used to provide prevention counseling services. The current qualitative study seeks to examine participant perceptions of the acceptability of HIV-infected peer counselors and of trained prevention case managers from the perspective of 41 HIV-infected gay and bisexual men. Semi-structured interviews were conducted with HIV-infected men who were currently receiving primary HIV health care. Positive peer counselor themes included shared experiencesandpara-professional. Positive themes specific to the PCM relationships included were provision of resourcesandprofessional skills and knowledge. Common themes identified across both peer and PCM counselor relationships were creating a comfortable environment, non-judgmental stance,andrapport building/communication skills. Recommendations for HIV secondary prevention interventions are presented.
authors.affiliation: Fenway Institute at Fenway Community Health, Boston; Salem State College, Salem, Massachusetts.
authors.forename: Jeffrey R
authors.initials: JR
authors.lastname: Driskell
authors.forename: Conall
authors.initials: C
authors.lastname: O'Cleirigh
authors.forename: Charles
authors.initials: C
authors.lastname: Covahey
authors.forename: Jessica
authors.initials: J
authors.lastname: Ripton
authors.forename: Kenneth
authors.initials: K
authors.lastname: Mayer
authors.forename: D'Hana
authors.initials: D
authors.lastname: Perry
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Salomon
authors.forename: Steven
authors.initials: S
authors.lastname: Safren
keywords: gay and bisexual men; peers; prevention case management; secondary HIV prevention