Department of Public Health Sciences, Queens University, Kingston, ON, Canada.
Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
Am J Mens Health. 2021 Jan-Feb;15(1):1557988321989916. doi: 10.1177/1557988321989916.
Interventions addressing the sexual health need of HIV-positive men who have sex with men (MSM) in Latin America are scarce. We adapted and evaluated GPS, a group-based intervention led by peers, developed using the Information-Motivation-Behavioral (IMB) model and motivational interviewing (MI). We used McKleroy et al framework to culturally adapt GPS to MSM living with HIV infection in Colombia. Then, a one-armed pilot trial examined changes in depressive symptoms, loneliness, self-efficacy for engaging in sexual risk reduction behaviors, sexual sensation seeking and sexual compulsivity at pre-intervention, post-intervention, and 3-month follow-up. These results were complemented with semistructured interviews with participants 3 months after the intervention. GPS was identified to be culturally acceptable with few changes in materials and exercises. Facilitators showed high levels of adherence and fidelity to MI principles. Seven of 11 eligible participants finished the intervention; GPS positively influenced self-efficacy for condom negotiation, depressive symptoms, and condomless anal sex with partners of unknown HIV status. Exit interviews revealed that GPS was well-designed, relevant, facilitated discussion of sex in a nonjudgmental manner, and helped make positive changes in participants' sexual lives. These results provided preliminary evidence of an intervention to address sexual and mental health of MSM living with HIV in Latin America.
针对拉丁美洲艾滋病毒阳性男男性行为者（MSM）性健康需求的干预措施很少。我们改编和评估了 GPS，这是一种由同伴领导的基于小组的干预措施，是使用信息-动机-行为（IMB）模型和动机访谈（MI）开发的。我们使用 McKleroy 等人的框架将 GPS 文化适应于哥伦比亚感染艾滋病毒的 MSM。然后，一项单臂试点试验研究了抑郁症状、孤独感、参与性行为风险降低行为的自我效能、性感觉寻求和性强迫在干预前、干预后和 3 个月随访时的变化。这些结果通过对参与者在干预后 3 个月的半结构化访谈进行了补充。GPS 被认为具有文化适应性，材料和练习的变化很少。促进者表现出高度遵守和坚持 MI 原则。11 名符合条件的参与者中有 7 名完成了干预；GPS 对 condom negotiation、depressive symptoms 和 condomless anal sex 产生了积极影响，对象是 HIV 状况未知的伴侣。退出访谈显示，GPS 设计合理、相关、以非评判的方式促进了关于性的讨论，并帮助参与者的性生活发生积极变化。这些结果为在拉丁美洲针对感染艾滋病毒的 MSM 的性健康和心理健康问题提供了干预措施的初步证据。
