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Plain language: a sexual health program for gay men who are HIV-positive to help decrease risk and improve sex and sexual health.
Research: a poz prevention intervention for MSM engaging in UAI and UAR with partners of unknown or sero-discordant status.
Rick Julien, BSc, AIDS Committee of Toronto (ACT) Trevor A. Hart, Ph.D. Ryerson University; University of Toronto, Scott Simpson, BA, ACT Adina-Ioana Berindean-Coroiu, BA, Ryerson University, Barry D. Adam, Ph.D., University of Windsor and OHTN, John Maxwell, B.A., ACT; Positive Prevention Working Group (PPWG), Rob MacKay, PPWG, David Hoe, B.S.W., PPWG, Bob Leahy, PPWG, Herbert Co, B.A., B.Sc., PPWG, Eleanor Maticka-Tyndale, Ph.D., University of Windsor, James Murray, MA, AIDS Bureau Mona Loutfy, MD, MPH, Women’s College Hospital and University of Toronto.
What We Are Doing HIV Prevention for HIV+ Gay Men Community-Based Research Theoretical Model - Information, Motivation, Behavioral Skills model (IMB; Fisher & Fisher, 1992) Implementation Model – Motivational Interviewing Facilitators are Peers Program Administered at ACT
The Transtheoretical Model Called this because cuts across other models Prochaska et al.’s (1992) stage theory Precontemplation Contemplation Preparation Action Maintenance
The IMB Model Information Behavioural Skills Sexual Health Behaviour Motivation
The GPS Program Session 1 focuses on building information on advanced topics for HIV+ gay men STI transmission Viral load in the blood vs. in semen Session 2 - HIV Disclosure and the law Sessions 3-7 focus on MI Identifying each participant’s goals Resolving ambivalence Experimenting with new strategies to achieve goals Implementing strategies to achieve goals Identifying strategies to maintain progress
How My Current Sexual Activity Fits Into My Life
Health Counselling Program Research Evaluation Step 1 - identifying need for the program Step 2 – test if program is Feasible Useful to participants Step 3 – pilot data on effect size of the program (current CIHR grant) Step 4 – test program vs. standard-of-care Step 5 – test in community settings
Our Participants Tell Us GPS Is Useful Participants said they experienced: Increased social interactions both inside and outside of the program. Increased self-efficacy in sexual health risk-assessment, sexual negotiation and disclosure. Increased use of community supports. The confidence to make healthier lifestyle choices and they continuously refer their friends to GPS