title: The potential of alcohol "heat-of-the-moment" scenarios in HIV prevention: A qualitative study exploring intervention implications.
abstract: Scenarios simulating real-world risk situations have proven effective for substance use intervention methods and could potentially prove useful as an HIV-prevention method. This study explored qualitatively the development and use of such "in-the-moment" methods. We interviewed 97 moderate-drinking women (50 % Caucasian) after participation in an experiment requiring that they project themselves into a risky-sex scenario. Most participants (58 %) reported experiencing the scenario as a reflective tool characterized by two primary themes: (1) increased awareness of risk and (2) contemplation of behavior change. Findings suggest that "in-the-moment" methods depicting real-world risk situations and providing opportunities to reflect about behavioral choices and subsequent outcomes could prove a useful adjunct to HIV/AIDS-prevention interventions. Such methods could potentially augment existing prevention protocols.
authors.affiliation: Department of Psychiatry, School of Medicine, University of Washington, 1100 Fairview Avenue N, LE-500, Box 358080, Seattle, WA, 98109-1024, USA, mpeake@u.washington.edu.
authors.forename: Michele Peake
authors.initials: MP
authors.lastname: Andrasik
authors.forename: Jacqueline M
authors.initials: JM
authors.lastname: Otto
authors.forename: Hong V
authors.initials: HV
authors.lastname: Nguyen
authors.forename: Lauren D
authors.initials: LD
authors.lastname: Burris
authors.forename: Amanda K
authors.initials: AK
authors.lastname: Gilmore
authors.forename: William H
authors.initials: WH
authors.lastname: George
authors.forename: Kelly F
authors.initials: KF
authors.lastname: Kajumulo
authors.forename: Tatiana
authors.initials: T
authors.lastname: Masters
mesh_terms: D000328:Adult; D000428:Alcohol Drinking / Q000523:psychology*; D000435:Alcoholic Intoxication / Q000523:psychology*; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D006801:Humans; D007407:Interviews as Topic; D036301:Qualitative Research; D012309:Risk-Taking; D012725:Sexual Behavior; D012959:Socioeconomic Factors; D047568:Unsafe Sex / Q000523:psychology; D055815:Young Adult