The Fenway Institute at Fenway Health, 1340 Boylston Street, Boston, MA 02215, USA.
AIDS Behav. 2011 Jul;15(5):949-58. doi: 10.1007/s10461-010-9807-8.
Employing HIV-infected peer counselors in secondary prevention interventions for MSM is appealing for scalable interventions. One-hundred-seventy-six HIV-infected MSM at their primary care facility participated in a secondary HIV-prevention study delivered by HIV-infected MSM peers. Of those who entered the intervention and completed the initial intake, 62% completed all four of the intervention sessions, and 93% completed at least one. While there was no overall change in transmission risk behavior (TRB) for the whole sample, among those who reported HIV TRB at baseline (n = 29), there were significant reductions in TRB over the next year. Themes that emerged in qualitative exit interviews conducted with a subset of participants centered on peer counselor quality, intervention implications, and intervention experience. This demonstration project provides initial evidence for the ability to recruit HIV-infected MSM in care into a peer-based intervention study, and shows how a peer-based intervention can be delivered in the context of HIV care.
招募感染 HIV 的男男性行为者（MSM）同伴顾问参与针对 MSM 的二级预防干预措施具有吸引力，因为这种措施具有可扩展性。176 名在其初级保健机构的感染 HIV 的 MSM 参与了由感染 HIV 的 MSM 同伴提供的二级 HIV 预防研究。在那些参与并完成初始摄入的人中，有 62%完成了所有四个干预课程，93%至少完成了一个。虽然整个样本的传播风险行为（TRB）没有总体变化，但在基线时报告 HIV TRB 的人中（n=29），在接下来的一年中，TRB 显著减少。在对一部分参与者进行的定性退出访谈中出现的主题集中在同伴顾问的质量、干预意义和干预经验上。这个示范项目为在护理中招募感染 HIV 的 MSM 参与基于同伴的干预研究的能力提供了初步证据，并展示了如何在 HIV 护理的背景下提供基于同伴的干预。
