title: Adaptation of a Couple-Based HIV/STI Prevention Intervention for Latino Men Who Have Sex With Men in New York City.
abstract: Predominantly Spanish-speaking Latino men who have sex with men (MSM) and their same-sex partners continue to be at high risk for HIV and STIs. Behavioral research has identified how relationship dynamics for male couples are associated with sexual risk behavior. Connect 'n Unite (CNU), an evidence-based HIV/STI prevention intervention originally created for Black MSM and their same-sex partners, was adapted for predominantly Spanish-speaking Latino MSM and their same-sex partners on the assumption that its key elements would be translatable while its efficacy would be retained. A systematic adaptation process utilizing qualitative methods was used, including intervention adaptation sessions with 20 predominantly Spanish-speaking Latino gay couples and 10 health service providers. The process included five steps: (1) engaging community stakeholders, (2) capturing the lived experiences of Latino gay couples, (3) identifying intervention priorities, (4) integrating the original intervention's social cognitive theory into a relationship-oriented, ecological framework for Latino gay couples, and (5) adapting intervention activities and materials. The adapted intervention, which we called Latinos en Pareja or Latinos in a Relationship, incorporates elements that effective HIV prevention interventions share, including: a solid theoretical foundation; emphasis on increasing risk reduction norms, sexual communication skills and social support for protection; and guidance on how to utilize available, culturally and linguistically appropriate services. The systematic adaptation approach used for a couples-based HIV prevention intervention also can be employed by other researchers and community stakeholders to adapt evidence-based interventions that promote wellness, linkage to care, and disease prevention for populations not originally targeted.
authors.affiliation: 1 New York State Psychiatric Institute, New York, NY, USA.|2 Columbia University, New York, NY, USA.
authors.forename: Omar
authors.initials: O
authors.lastname: Martinez
authors.affiliation: 2 Columbia University, New York, NY, USA.
authors.forename: Elwin
authors.initials: E
authors.lastname: Wu
authors.affiliation: 1 New York State Psychiatric Institute, New York, NY, USA.|2 Columbia University, New York, NY, USA.
authors.forename: Timothy
authors.initials: T
authors.lastname: Frasca
authors.affiliation: 1 New York State Psychiatric Institute, New York, NY, USA.|2 Columbia University, New York, NY, USA.
authors.forename: Andrew Zach
authors.initials: AZ
authors.lastname: Shultz
authors.affiliation: 3 Nova Southeastern University, Fort Lauderdale, FL, USA.
authors.forename: M Isabel
authors.initials: MI
authors.lastname: Fernandez
authors.affiliation: 1 New York State Psychiatric Institute, New York, NY, USA.|2 Columbia University, New York, NY, USA.
authors.forename: Javier
authors.initials: J
authors.lastname: López Rios
authors.affiliation: 4 Latino Commission on AIDS, New York, NY, USA.
authors.forename: Hugo
authors.initials: H
authors.lastname: Ovejero
authors.affiliation: 5 University of Texas at El Paso, El Paso, TX, USA.
authors.forename: Eva
authors.initials: E
authors.lastname: Moya
authors.affiliation: 5 University of Texas at El Paso, El Paso, TX, USA.
authors.forename: Silvia
authors.initials: S
authors.lastname: Chavez Baray
authors.affiliation: 6 AID for AIDS International, New York, NY, USA.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Capote
authors.affiliation: 2 Columbia University, New York, NY, USA.
authors.forename: Justin
authors.initials: J
authors.lastname: Manusov
authors.affiliation: 1 New York State Psychiatric Institute, New York, NY, USA.|2 Columbia University, New York, NY, USA.
authors.forename: Chukwuemeka O
authors.initials: CO
authors.lastname: Anyamele
authors.affiliation: 7 CHEST, New York, NY, USA.
authors.forename: Jonathan
authors.initials: J
authors.lastname: López Matos
authors.affiliation: 2 Columbia University, New York, NY, USA.
authors.forename: John Satchel Horatio
authors.initials: JS
authors.lastname: Page
authors.affiliation: 1 New York State Psychiatric Institute, New York, NY, USA.|2 Columbia University, New York, NY, USA.
authors.forename: Alex
authors.initials: A
authors.lastname: Carballo-Diéguez
authors.affiliation: 1 New York State Psychiatric Institute, New York, NY, USA.|2 Columbia University, New York, NY, USA.
authors.forename: Theo G M
authors.initials: TG
authors.lastname: Sandfort
mesh_terms: D000328:Adult; D015658:HIV Infections / Q000517:prevention & control*; D006293:Health Promotion / Q000379:methods*; D006630:Hispanic or Latino / Q000523:psychology*; D018451:Homosexuality, Male / Q000523:psychology*; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D009519:New York City; D040242:Risk Reduction Behavior; D012309:Risk-Taking; D012747:Sexual Partners / Q000523:psychology*; D055815:Young Adult
keywords: Latino gay couples; Latino men who have sex with men; MSM; adaptation; couple-based HIV/STI prevention intervention
references.citation: J Sex Res. 2010 Sep;47(5):460-70
references.pmid: 19626535
references.citation: Health Educ Behav. 1998 Jun;25(3):258-78
references.pmid: 9615238
references.citation: MMWR Morb Mortal Wkly Rep. 2003 Nov 28;52(47):1145-8
references.pmid: 14647015
references.citation: J Acquir Immune Defic Syndr. 2002 Jul 1;30 Suppl 1:S30-50
references.pmid: 12107358
references.citation: J Homosex. 2005;50(1):155-73
references.pmid: 16368669
references.citation: J Acquir Immune Defic Syndr. 2002 Jul 1;30 Suppl 1:S118-29
references.pmid: 12107365
references.citation: MMWR Morb Mortal Wkly Rep. 2008 Sep 12;57(36):985-9
references.pmid: 18784639
references.citation: AIDS Behav. 2004 Dec;8(4):379-89
references.pmid: 15690111
references.citation: J Rural Health. 2012 Jan;28(1):73-83
references.pmid: 22236317
references.citation: Arch Sex Behav. 2010 Jun;39(3):774-87
references.pmid: 18686027
references.citation: Cult Health Sex. 2011 Oct;13(9):1073-89
references.pmid: 21815839
references.citation: Open AIDS J. 2010 May 14;4:123-31
references.pmid: 20657720
references.citation: AIDS Behav. 2014 Apr;18(4):767-75
references.pmid: 24419993
references.citation: J Acquir Immune Defic Syndr. 2005 Jun 1;39(2):228-41
references.pmid: 15905741
references.citation: Violence Vict. 1999 Winter;14(4):413-25
references.pmid: 10751048
references.citation: AIDS Behav. 2007 Jan;11(1):25-47
references.pmid: 16917668
references.citation: Health Promot Pract. 2013 Jul;14(4):607-16
references.pmid: 23075504
references.citation: AIDS Behav. 2011 Nov;15(8):1745-54
references.pmid: 21766193
references.citation: J Med Internet Res. 2014 Apr 24;16(4):e113
references.pmid: 24763130
references.citation: Am J Public Health. 2002 Dec;92(12):1964-9
references.pmid: 12453817
references.citation: Am J Public Health. 2009 Jun;99(6):1008-12
references.pmid: 19372517
references.citation: AIDS Behav. 2009 Aug;13(4):691-9
references.pmid: 18985447
references.citation: Infect Dis Clin North Am. 2009 Jun;23(2):309-14
references.pmid: 19393911
references.citation: AIDS Behav. 2009 Aug;13(4):700-15
references.pmid: 19030982
references.citation: Am J Public Health. 2007 Jan;97(1):133-43
references.pmid: 17138920
references.citation: AIDS Care. 2013;25(10):1298-307
references.pmid: 23384328
references.citation: AIDS Educ Prev. 2014 Feb;26(1):68-80
references.pmid: 24450279
references.citation: J LGBT Health Res. 2007;3(4):75-87
references.pmid: 19042911
references.citation: AIDS Behav. 2005 Mar;9(1):1-13
references.pmid: 15812609
references.citation: Health Educ Q. 1996 Feb;23(1):80-97
references.pmid: 8822403
references.citation: J Bisex. 2012;12(2):283-310
references.pmid: 22685383
references.citation: Cochrane Database Syst Rev. 2008 Jul 16;(3):CD001230
references.pmid: 18646068
references.citation: Sex Transm Dis. 2012 Nov;39(11):871-6
references.pmid: 23060078
references.citation: J Acquir Immune Defic Syndr. 2008 Mar 1;47 Suppl 1:S40-6
references.pmid: 18301133
references.citation: Am J Health Behav. 2013 May;37(3):404-13
references.pmid: 23985187
references.citation: Cult Health Sex. 2011 Mar;13(3):299-312
references.pmid: 21082463
references.citation: Am J Public Health. 2003 Jun;93(6):963-9
references.pmid: 12773363
references.citation: MMWR Morb Mortal Wkly Rep. 2012 Jul 27;61(29):556-60
references.pmid: 22832937
references.citation: Violence Vict. 1997 Summer;12(2):173-84
references.pmid: 9403987
references.citation: Sex Transm Dis. 2008 Mar;35(3):243-9
references.pmid: 18046263
references.citation: Cult Health Sex. 2007 Sep-Oct;9(5):505-18
references.pmid: 17687675
references.citation: J Acquir Immune Defic Syndr. 2008 Sep 1;49 Suppl 1:S15-27
references.pmid: 18724186
references.citation: AIDS Educ Prev. 2006 Aug;18(4 Suppl A):21-31
references.pmid: 16987086
references.citation: AIDS Behav. 2006 Sep;10 (5):531-9
references.pmid: 16736111