Skip to main content
Top
Published in: AIDS and Behavior 11/2020

01-11-2020 | Chlamydia Trachomatis | Original Paper

Personalized Cognitive Counseling Reduces Drinking Expectancy Among Men Who Have Sex with Men and Transgender Women in Lima, Peru: A Pilot Randomized Controlled Trial

Authors: R. Colby Passaro, Susan Chávez-Gomez, Angelica Castañeda-Huaripata, Williams Gonzales-Saavedra, Matthew R. Beymer, Eddy R. Segura, Francisco Nanclares, James Dilley, Robinson Cabello, Jesse L. Clark

Published in: AIDS and Behavior | Issue 11/2020

Login to get access

Abstract

Personalized cognitive counseling (PCC) is an evidence-based intervention designed to modify HIV-related risk behavior. We assessed the impact of PCC on sexual behavior, drinking expectancy, and incidence of sexually transmitted infections (STIs) in a 6-month randomized controlled trial among 153 HIV-uninfected men who have sex with men (MSM) and transgender women (TW) in Peru. Study retention was ≥ 90%, with three HIV infections (3 Control) and 19 cases of GC/CT (10 Control, 9 PCC) at 6 months. There was a decline in condomless receptive anal intercourse in the Control (0.74, 95% CI 0.60–0.91; p < 0.01) and PCC arms (0.72, 0.55–0.94; p = 0.02) at 6-month follow-up. There was a decrease in drinking expectancy at 6 months among participants endorsing alcohol use in the PCC arm (0.89, 0.83–0.96; p < 0.01), versus no change in the Control arm (0.98, 0.92–1.04; p = 0.54). PCC was efficacious in reducing drinking expectancy and HIV risk among MSM and TW in Peru.
Literature
1.
go back to reference CDC. Compendium of Evidence-Based Interventions and Best Practices for HIV Prevention: Personalized Cognitive Counseling. Centers for Disease Control and Prevention; 2018. CDC. Compendium of Evidence-Based Interventions and Best Practices for HIV Prevention: Personalized Cognitive Counseling. Centers for Disease Control and Prevention; 2018.
2.
go back to reference Dilley JW, Woods WJ, Sabatino J, Lihatsh T, Adler B, Casey S, et al. Changing sexual behavior among gay male repeat testers for HIV: a randomized, controlled trial of a single-session intervention. J Acquir Immune Defic Syndr. 2002;30(2):177–86.PubMed Dilley JW, Woods WJ, Sabatino J, Lihatsh T, Adler B, Casey S, et al. Changing sexual behavior among gay male repeat testers for HIV: a randomized, controlled trial of a single-session intervention. J Acquir Immune Defic Syndr. 2002;30(2):177–86.PubMed
3.
go back to reference Gold RS. AIDS education for gay men: towards a more cognitive approach. AIDS Care. 2000;12(3):267–72.PubMed Gold RS. AIDS education for gay men: towards a more cognitive approach. AIDS Care. 2000;12(3):267–72.PubMed
4.
go back to reference Nelson KM, Simoni JM, Pearson CR, Walters KL. 'I've had unsafe sex so many times why bother being safe now?': the role of cognitions in sexual risk among American Indian/Alaska Native men who have sex with men. Ann Behav Med. 2011;42(3):370–80.PubMedPubMedCentral Nelson KM, Simoni JM, Pearson CR, Walters KL. 'I've had unsafe sex so many times why bother being safe now?': the role of cognitions in sexual risk among American Indian/Alaska Native men who have sex with men. Ann Behav Med. 2011;42(3):370–80.PubMedPubMedCentral
5.
go back to reference Shah D, Thornton S, Burgess AP. Sexual Risk Cognitions Questionnaire: a reliability and validity study. AIDS Care. 1997;9(4):471–80.PubMed Shah D, Thornton S, Burgess AP. Sexual Risk Cognitions Questionnaire: a reliability and validity study. AIDS Care. 1997;9(4):471–80.PubMed
6.
go back to reference Coffin PO, Santos GM, Colfax G, Das M, Matheson T, DeMicco E, et al. Adapted personalized cognitive counseling for episodic substance-using men who have sex with men: a randomized controlled trial. AIDS Behav. 2014;18(7):1390–400.PubMedPubMedCentral Coffin PO, Santos GM, Colfax G, Das M, Matheson T, DeMicco E, et al. Adapted personalized cognitive counseling for episodic substance-using men who have sex with men: a randomized controlled trial. AIDS Behav. 2014;18(7):1390–400.PubMedPubMedCentral
7.
go back to reference McPhee B, Skinta MD, Paul J, Dilley JW. Single-session personalized cognitive counseling to change HIV risk behavior among HIV-negative men who have sex with men: a two-part case study. Cognit Behav Pract. 2012;19:328–37. McPhee B, Skinta MD, Paul J, Dilley JW. Single-session personalized cognitive counseling to change HIV risk behavior among HIV-negative men who have sex with men: a two-part case study. Cognit Behav Pract. 2012;19:328–37.
8.
go back to reference Dilley JW, Woods WJ, Loeb L, Nelson K, Sheon N, Mullan J, et al. Brief cognitive counseling with HIV testing to reduce sexual risk among men who have sex with men: results from a randomized controlled trial using paraprofessional counselors. J Acquir Immune Defic Syndr. 2007;44(5):569–77.PubMed Dilley JW, Woods WJ, Loeb L, Nelson K, Sheon N, Mullan J, et al. Brief cognitive counseling with HIV testing to reduce sexual risk among men who have sex with men: results from a randomized controlled trial using paraprofessional counselors. J Acquir Immune Defic Syndr. 2007;44(5):569–77.PubMed
9.
go back to reference Santos GM, Coffin PO, Vittinghoff E, DeMicco E, Das M, Matheson T, et al. Substance use and drinking outcomes in Personalized Cognitive Counseling randomized trial for episodic substance-using men who have sex with men. Drug Alcohol Depend. 2014;138:234–9.PubMedPubMedCentral Santos GM, Coffin PO, Vittinghoff E, DeMicco E, Das M, Matheson T, et al. Substance use and drinking outcomes in Personalized Cognitive Counseling randomized trial for episodic substance-using men who have sex with men. Drug Alcohol Depend. 2014;138:234–9.PubMedPubMedCentral
10.
go back to reference Knight KR, Das M, DeMicco E, Raiford JL, Matheson T, Shook A, et al. A roadmap for adapting an evidence-based HIV prevention intervention: personal cognitive counseling (PCC) for episodic substance-using men who have sex with men. Prev Sci. 2014;15(3):364–75.PubMedPubMedCentral Knight KR, Das M, DeMicco E, Raiford JL, Matheson T, Shook A, et al. A roadmap for adapting an evidence-based HIV prevention intervention: personal cognitive counseling (PCC) for episodic substance-using men who have sex with men. Prev Sci. 2014;15(3):364–75.PubMedPubMedCentral
11.
go back to reference Herbst JH, Raiford JL, Carry MG, Wilkes AL, Ellington RD, Whittier DK. Adaptation and national dissemination of a brief, evidence-based, HIV prevention intervention for high-risk men who have sex with men. MMWR Suppl. 2016;65(1):42–50.PubMed Herbst JH, Raiford JL, Carry MG, Wilkes AL, Ellington RD, Whittier DK. Adaptation and national dissemination of a brief, evidence-based, HIV prevention intervention for high-risk men who have sex with men. MMWR Suppl. 2016;65(1):42–50.PubMed
12.
go back to reference Wiersema JJ, Santella AJ, Canady P, Jordan AO. Self-justifications for unsafe sex among incarcerated young men who have sex with men and are living with HIV: results from a New York City jail-based pilot intervention. J Commun Health. 2019;44:729–39. Wiersema JJ, Santella AJ, Canady P, Jordan AO. Self-justifications for unsafe sex among incarcerated young men who have sex with men and are living with HIV: results from a New York City jail-based pilot intervention. J Commun Health. 2019;44:729–39.
13.
go back to reference Dilley JW, Schwarcz S, Murphy J, Joseph C, Vittinghoff E, Scheer S. Efficacy of personalized cognitive counseling in men of color who have sex with men: secondary data analysis from a controlled intervention trial. AIDS Behav. 2011;15(5):970–5.PubMed Dilley JW, Schwarcz S, Murphy J, Joseph C, Vittinghoff E, Scheer S. Efficacy of personalized cognitive counseling in men of color who have sex with men: secondary data analysis from a controlled intervention trial. AIDS Behav. 2011;15(5):970–5.PubMed
14.
go back to reference Irwin TW, Morgenstern J. Drug-use patterns among men who have sex with men presenting for alcohol treatment: differences in ethnic and sexual identity. J Urban Health. 2005;82(1 Suppl 1):i127–i133133.PubMedPubMedCentral Irwin TW, Morgenstern J. Drug-use patterns among men who have sex with men presenting for alcohol treatment: differences in ethnic and sexual identity. J Urban Health. 2005;82(1 Suppl 1):i127–i133133.PubMedPubMedCentral
15.
go back to reference Stall R, Wiley J. A comparison of alcohol and drug use patterns of homosexual and heterosexual men: the San Francisco Men's Health Study. Drug Alcohol Depend. 1988;22(1–2):63–73.PubMed Stall R, Wiley J. A comparison of alcohol and drug use patterns of homosexual and heterosexual men: the San Francisco Men's Health Study. Drug Alcohol Depend. 1988;22(1–2):63–73.PubMed
16.
go back to reference Balán IC, Frasca T, Pando MA, Marone RO, Barreda V, Dolezal C, Carballo-Diéguez A, Ávila MM. High substance use and HIV risk behavior among young Argentine men who have sex with men. AIDS Behav. 2018;22(4):1373–82.PubMedPubMedCentral Balán IC, Frasca T, Pando MA, Marone RO, Barreda V, Dolezal C, Carballo-Diéguez A, Ávila MM. High substance use and HIV risk behavior among young Argentine men who have sex with men. AIDS Behav. 2018;22(4):1373–82.PubMedPubMedCentral
17.
go back to reference Tomkins A, Ahmad S, Cannon L, Higgins SP, Kliner M, Kolyva A, et al. Prevalence of recreational drug use reported by men who have sex with men attending sexual health clinics in Manchester, UK. Int J STD AIDS. 2018;29(4):350–6.PubMed Tomkins A, Ahmad S, Cannon L, Higgins SP, Kliner M, Kolyva A, et al. Prevalence of recreational drug use reported by men who have sex with men attending sexual health clinics in Manchester, UK. Int J STD AIDS. 2018;29(4):350–6.PubMed
18.
go back to reference Sabin LL, Beard J, Agyarko-Poku T, DeSilva M, Ashigbie P, Segal T, et al. "Too much sex and alcohol": beliefs, attitudes, and behaviors of male adolescents and young men who have sex with men in Ghana. Open AIDS J. 2018;12:69–80.PubMedPubMedCentral Sabin LL, Beard J, Agyarko-Poku T, DeSilva M, Ashigbie P, Segal T, et al. "Too much sex and alcohol": beliefs, attitudes, and behaviors of male adolescents and young men who have sex with men in Ghana. Open AIDS J. 2018;12:69–80.PubMedPubMedCentral
19.
go back to reference Pham QD, Nguyen TV, Nguyen PD, Le SH, Tran AT, Nguyen LT, et al. Men who have sex with men in southern Vietnam report high levels of substance use and sexual risk behaviours but underutilise HIV testing services: a cross-sectional study. Sex Transm Infect. 2015;91(3):178–82.PubMed Pham QD, Nguyen TV, Nguyen PD, Le SH, Tran AT, Nguyen LT, et al. Men who have sex with men in southern Vietnam report high levels of substance use and sexual risk behaviours but underutilise HIV testing services: a cross-sectional study. Sex Transm Infect. 2015;91(3):178–82.PubMed
20.
go back to reference Hunter LJ, Dargan PI, Benzie A, White JA, Wood DM. Recreational drug use in men who have sex with men (MSM) attending UK sexual health services is significantly higher than in non-MSM. Postgrad Med J. 2014;90(1061):133–8.PubMed Hunter LJ, Dargan PI, Benzie A, White JA, Wood DM. Recreational drug use in men who have sex with men (MSM) attending UK sexual health services is significantly higher than in non-MSM. Postgrad Med J. 2014;90(1061):133–8.PubMed
21.
go back to reference Secor AM, Wahome E, Micheni M, Rao D, Simoni JM, Sanders EJ, et al. Depression, substance abuse and stigma among men who have sex with men in coastal Kenya. AIDS (London, England). 2015;29(Suppl 3):S251–S259259. Secor AM, Wahome E, Micheni M, Rao D, Simoni JM, Sanders EJ, et al. Depression, substance abuse and stigma among men who have sex with men in coastal Kenya. AIDS (London, England). 2015;29(Suppl 3):S251–S259259.
22.
go back to reference Drumright LN, Little SJ, Strathdee SA, Slymen DJ, Araneta MR, Malcarne VL, et al. Unprotected anal intercourse and substance use among men who have sex with men with recent HIV infection. J Acquir Immune Defic Syndr. 2006;43(3):344–50.PubMed Drumright LN, Little SJ, Strathdee SA, Slymen DJ, Araneta MR, Malcarne VL, et al. Unprotected anal intercourse and substance use among men who have sex with men with recent HIV infection. J Acquir Immune Defic Syndr. 2006;43(3):344–50.PubMed
23.
go back to reference Colfax G, Coates TJ, Husnik MJ, Huang Y, Buchbinder S, Koblin B, et al. Longitudinal patterns of methamphetamine, popper (amyl nitrite), and cocaine use and high-risk sexual behavior among a cohort of san francisco men who have sex with men. J Urban Health. 2005;82(1 Suppl 1):i62–70.PubMedPubMedCentral Colfax G, Coates TJ, Husnik MJ, Huang Y, Buchbinder S, Koblin B, et al. Longitudinal patterns of methamphetamine, popper (amyl nitrite), and cocaine use and high-risk sexual behavior among a cohort of san francisco men who have sex with men. J Urban Health. 2005;82(1 Suppl 1):i62–70.PubMedPubMedCentral
24.
go back to reference Colfax G, Vittinghoff E, Husnik MJ, McKirnan D, Buchbinder S, Koblin B, et al. Substance use and sexual risk: a participant- and episode-level analysis among a cohort of men who have sex with men. Am J Epidemiol. 2004;159(10):1002–12.PubMed Colfax G, Vittinghoff E, Husnik MJ, McKirnan D, Buchbinder S, Koblin B, et al. Substance use and sexual risk: a participant- and episode-level analysis among a cohort of men who have sex with men. Am J Epidemiol. 2004;159(10):1002–12.PubMed
25.
go back to reference Deiss RG, Clark JL, Konda KA, Leon SR, Klausner JD, Caceres CF, et al. Problem drinking is associated with increased prevalence of sexual risk behaviors among men who have sex with men (MSM) in Lima. Peru Drug Alcohol Depend. 2013;132(1–2):134–9.PubMed Deiss RG, Clark JL, Konda KA, Leon SR, Klausner JD, Caceres CF, et al. Problem drinking is associated with increased prevalence of sexual risk behaviors among men who have sex with men (MSM) in Lima. Peru Drug Alcohol Depend. 2013;132(1–2):134–9.PubMed
26.
go back to reference Herrera MC, Konda KA, Leon SR, Deiss R, Brown B, Calvo GM, et al. Impact of alcohol use on sexual behavior among men who have sex with men and transgender women in Lima, Peru. Drug Alcohol Depend. 2016;161:147–54.PubMedPubMedCentral Herrera MC, Konda KA, Leon SR, Deiss R, Brown B, Calvo GM, et al. Impact of alcohol use on sexual behavior among men who have sex with men and transgender women in Lima, Peru. Drug Alcohol Depend. 2016;161:147–54.PubMedPubMedCentral
27.
go back to reference Vagenas P, Lama JR, Ludford KT, Gonzales P, Sanchez J, Altice FL. A systematic review of alcohol use and sexual risk-taking in Latin America. Rev Panam Salud Publica. 2013;34(4):267–74.PubMedPubMedCentral Vagenas P, Lama JR, Ludford KT, Gonzales P, Sanchez J, Altice FL. A systematic review of alcohol use and sexual risk-taking in Latin America. Rev Panam Salud Publica. 2013;34(4):267–74.PubMedPubMedCentral
28.
go back to reference Herrera MC, Konda KA, Leon SR, Brown B, Calvo GM, Salvatierra HJ, et al. Do subjective alcohol screening tools correlate with biomarkers among high-risk transgender women and men who have sex with men in Lima, Peru? AIDS Behav. 2017;21(Suppl 2):253–61.PubMedPubMedCentral Herrera MC, Konda KA, Leon SR, Brown B, Calvo GM, Salvatierra HJ, et al. Do subjective alcohol screening tools correlate with biomarkers among high-risk transgender women and men who have sex with men in Lima, Peru? AIDS Behav. 2017;21(Suppl 2):253–61.PubMedPubMedCentral
29.
go back to reference Deiss RG, Clark JL, Konda KA, Leon SR, Klausner JD, Caceres CF, et al. Problem drinking is associated with increased prevalence of sexual risk behaviors among men who have sex with men (MSM) in Lima, Peru. Drug Alcohol Depend. 2013;132(1–2):134–9.PubMedPubMedCentral Deiss RG, Clark JL, Konda KA, Leon SR, Klausner JD, Caceres CF, et al. Problem drinking is associated with increased prevalence of sexual risk behaviors among men who have sex with men (MSM) in Lima, Peru. Drug Alcohol Depend. 2013;132(1–2):134–9.PubMedPubMedCentral
30.
go back to reference Ludford KT, Vagenas P, Lama JR, Peinado J, Gonzales P, Leiva R, et al. Screening for drug and alcohol use disorders and their association with HIV-related sexual risk behaviors among men who have sex with men in Peru. PLoS ONE. 2013;8(8):e69966.PubMedPubMedCentral Ludford KT, Vagenas P, Lama JR, Peinado J, Gonzales P, Leiva R, et al. Screening for drug and alcohol use disorders and their association with HIV-related sexual risk behaviors among men who have sex with men in Peru. PLoS ONE. 2013;8(8):e69966.PubMedPubMedCentral
31.
go back to reference Vagenas P, Ludford K, Gonzales P. Being unaware of being HIV-infected is associated with alcohol use disorders and high-risk sexual behaviors among men who have sex with men in Peru. AIDS Behav. 2014;18:120–7.PubMed Vagenas P, Ludford K, Gonzales P. Being unaware of being HIV-infected is associated with alcohol use disorders and high-risk sexual behaviors among men who have sex with men in Peru. AIDS Behav. 2014;18:120–7.PubMed
32.
go back to reference UNAIDS. UNAIDS Data 2017: Peru Joint United Nations Programme on HIV/AIDS 2017. UNAIDS. UNAIDS Data 2017: Peru Joint United Nations Programme on HIV/AIDS 2017.
33.
go back to reference Vagenas P, Wickersham JA, Calabrese SK, Lama JR, Benites CM, Pun M, et al. Validation of the 'drinking expectancy questionnaire for men who have sex with men' in Peru. Drug Alcohol Rev. 2015;34:759. Vagenas P, Wickersham JA, Calabrese SK, Lama JR, Benites CM, Pun M, et al. Validation of the 'drinking expectancy questionnaire for men who have sex with men' in Peru. Drug Alcohol Rev. 2015;34:759.
34.
go back to reference Mullens AB, Young RM, Dunne MP, Norton G. The Drinking Expectancy Questionnaire for Men who have Sex with Men (DEQ-MSM): a measure of substance-related beliefs. Drug Alcohol Rev. 2011;30(4):372–80.PubMed Mullens AB, Young RM, Dunne MP, Norton G. The Drinking Expectancy Questionnaire for Men who have Sex with Men (DEQ-MSM): a measure of substance-related beliefs. Drug Alcohol Rev. 2011;30(4):372–80.PubMed
35.
36.
go back to reference Metcalf CA, Douglas JM Jr, Malotte CK, Cross H, Dillon BA, Paul SM, et al. Relative efficacy of prevention counseling with rapid and standard HIV testing: a randomized, controlled trial (RESPECT-2). Sex Transm Dis. 2005;32(2):130–8.PubMed Metcalf CA, Douglas JM Jr, Malotte CK, Cross H, Dillon BA, Paul SM, et al. Relative efficacy of prevention counseling with rapid and standard HIV testing: a randomized, controlled trial (RESPECT-2). Sex Transm Dis. 2005;32(2):130–8.PubMed
37.
go back to reference Berg RC, Ross MW, Tikkanen R. The effectiveness of MI4MSM: how useful is motivational interviewing as an HIV risk prevention program for men who have sex with men? A systematic review. AIDS Edu Prev. 2011;23(6):533–49. Berg RC, Ross MW, Tikkanen R. The effectiveness of MI4MSM: how useful is motivational interviewing as an HIV risk prevention program for men who have sex with men? A systematic review. AIDS Edu Prev. 2011;23(6):533–49.
38.
go back to reference Vagenas P, Wickersham JA, Calabrese SK, Lama JR, Benites CM, Pun M, et al. Validation of the 'drinking expectancy questionnaire for men who have sex with men' in Peru. Drug Alcohol Rev. 2015;34(5):559–66.PubMedPubMedCentral Vagenas P, Wickersham JA, Calabrese SK, Lama JR, Benites CM, Pun M, et al. Validation of the 'drinking expectancy questionnaire for men who have sex with men' in Peru. Drug Alcohol Rev. 2015;34(5):559–66.PubMedPubMedCentral
39.
go back to reference Leaity S, Sherr L, Wells H, Evans A, Miller R, Johnson M, et al. Repeat HIV testing: high-risk behaviour or risk reduction strategy? AIDS (London, England). 2000;14(5):547–52. Leaity S, Sherr L, Wells H, Evans A, Miller R, Johnson M, et al. Repeat HIV testing: high-risk behaviour or risk reduction strategy? AIDS (London, England). 2000;14(5):547–52.
40.
go back to reference Deiss RG, Segura ER, Clark JL, Konda KA, Leon SR, Caceres CF, et al. Testing for HIV and sexually transmitted infections among men who have sex with men (MSM) in Lima, Peru: opportunities for treatment and risk modification. San Francisco: APHA; 2012. Deiss RG, Segura ER, Clark JL, Konda KA, Leon SR, Caceres CF, et al. Testing for HIV and sexually transmitted infections among men who have sex with men (MSM) in Lima, Peru: opportunities for treatment and risk modification. San Francisco: APHA; 2012.
41.
go back to reference Eaton LA, Huedo-Medina TB, Kalichman SC, Pellowski JA, Sagherian MJ, Warren M, et al. Meta-analysis of single-session behavioral interventions to prevent sexually transmitted infections: implications for bundling prevention packages. Am J Public Health. 2012;102(11):e34–44.PubMedPubMedCentral Eaton LA, Huedo-Medina TB, Kalichman SC, Pellowski JA, Sagherian MJ, Warren M, et al. Meta-analysis of single-session behavioral interventions to prevent sexually transmitted infections: implications for bundling prevention packages. Am J Public Health. 2012;102(11):e34–44.PubMedPubMedCentral
42.
go back to reference Lin JS, Whitlock E, O'Connor E, Bauer V. Behavioral counseling to prevent sexually transmitted infections: a systematic review for the U.S. Preventive Services Task Force. Ann Intern Med. 2008;149(7):497–508.PubMed Lin JS, Whitlock E, O'Connor E, Bauer V. Behavioral counseling to prevent sexually transmitted infections: a systematic review for the U.S. Preventive Services Task Force. Ann Intern Med. 2008;149(7):497–508.PubMed
43.
go back to reference Wells BE, Starks TJ, Parsons JT, Golub S. Conflict and expectancies interact to predict sexual behavior under the influence among gay and bisexual men. J Health Psychol. 2014;19(7):821–35.PubMed Wells BE, Starks TJ, Parsons JT, Golub S. Conflict and expectancies interact to predict sexual behavior under the influence among gay and bisexual men. J Health Psychol. 2014;19(7):821–35.PubMed
44.
go back to reference Vagenas P, Ludford KT, Gonzales P, Peinado J, Cabezas C, Gonzales F, et al. Being unaware of being HIV-infected is associated with alcohol use disorders and high-risk sexual behaviors among men who have sex with men in Peru. AIDS Behav. 2014;18(1):120–7.PubMed Vagenas P, Ludford KT, Gonzales P, Peinado J, Cabezas C, Gonzales F, et al. Being unaware of being HIV-infected is associated with alcohol use disorders and high-risk sexual behaviors among men who have sex with men in Peru. AIDS Behav. 2014;18(1):120–7.PubMed
45.
go back to reference Eaton LA, Kalichman SC, Kalichman MO, Driffin DD, Baldwin R, Zohren L, et al. Randomised controlled trial of a sexual risk reduction intervention for STI prevention among men who have sex with men in the USA. Sex Transm Infect. 2018;94(1):40–5.PubMed Eaton LA, Kalichman SC, Kalichman MO, Driffin DD, Baldwin R, Zohren L, et al. Randomised controlled trial of a sexual risk reduction intervention for STI prevention among men who have sex with men in the USA. Sex Transm Infect. 2018;94(1):40–5.PubMed
Metadata
Title
Personalized Cognitive Counseling Reduces Drinking Expectancy Among Men Who Have Sex with Men and Transgender Women in Lima, Peru: A Pilot Randomized Controlled Trial
Authors
R. Colby Passaro
Susan Chávez-Gomez
Angelica Castañeda-Huaripata
Williams Gonzales-Saavedra
Matthew R. Beymer
Eddy R. Segura
Francisco Nanclares
James Dilley
Robinson Cabello
Jesse L. Clark
Publication date
01-11-2020
Publisher
Springer US
Published in
AIDS and Behavior / Issue 11/2020
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-020-02882-6

Other articles of this Issue 11/2020

AIDS and Behavior 11/2020 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine