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| ID | Type | Description | Link |
|---|---|---|---|
| R01MH097651 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute of Mental Health (NIMH) | NIH |
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The study involves delivering one of two interventions - either Promoting Action Towards Health (PATH) or Personalized Cognitive Counseling (PCC) - to 440 men who have sex with men (MSM) who have recently been diagnosed with HIV and assessing whether participants who received PATH achieve greater suppression of HIV viral load, demonstrate greater uptake of care and adherence to treatment, and engage in less sexual HIV transmission risk behavior than participants who received PCC.
Participants will complete assessments before participating in their intervention (i.e., at "baseline") and at 3, 6, 9, and 12 month follow-up points. Participants' viral loads will be measured at approximately 6 and 12 months following baseline.
Objectives:
The investigators will conduct a randomized controlled trial to test the efficacy of Promoting Action Towards Health (PATH), a brief health-enhancement and risk reduction intervention targeting newly HIV diagnosed men who have sex with men (MSM).
Specific Aims:
The investigators will establish the efficacy of PATH. The following hypotheses will be tested: Participants in the experimental condition will (1) achieve significantly greater suppression of HIV viral load; (2) demonstrate greater uptake of care and adherence to treatment; and (3) engage in less sexual HIV transmission risk behavior across the study duration than participants in the comparison condition.
Procedures:
440 newly HIV diagnosed (within 12 months) men will be randomly assigned to either: (1) the PATH experimental condition, or (2) the PCC comparison condition and followed for one year. HIV counselors will be trained to deliver the interventions within each condition. Assessments will be conducted at baseline, 3, 6, 9 and 12 months.
Significance:
Given increases in HIV incidence among MSM, advances in HIV treatment, and the demonstrated efficacy of early treatment in preventing HIV transmission, there is a critical need for effective interventions that can increase engagement and retention of MSM in care and reduce sexual HIV transmission risk behavior. PATH can be seamlessly integrated into medical care and translated into a sustainable model of care for newly diagnosed MSM to meet the urgent need for care programs that identify, treat, and prevent HIV infections.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Positive Choices | Experimental | A two-session, individually-focused intervention focusing on engagement in care, disclosure decision-making, and sexual risk reduction, with booster sessions after 1, 3 and 6 months. |
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| Personalized Cognitive Counseling | Active Comparator | A one-session, individually-focused risk reduction intervention for MSM that has been selected by the CDC as a DEBI. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Positive Choices | Behavioral | A two-session, individually-focused intervention focusing on engagement in care, disclosure decision-making, and sexual risk reduction, with booster sessions after 1, 3 and 6 months. |
| Measure | Description | Time Frame |
|---|---|---|
| Viral load | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Sexual HIV transmission risk behavior | Timeline Followback Method (Sobell et al., 1996) for Transmission Risk Behavior, Risk Reduction Behavioral Intentions (Fisher, 1992), HIV Serostatus Disclosure (Kalichman, 2001) & HIV Disclosure or Nondisclosure (Serovich & Mosack, 2003), Risk Reduction Self-Efficacy (Kalichman, 2001), Risk Reduction Skill Enactment (Kalichman, 2001), Compulsive Sexual Behavior Inventory (Minor et al., 2007), Sexual Sensation Seeking (Kalichman & Rompa, 1995) |
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Inclusion Criteria:
Exclusion Criteria:
-demonstrating cognitive impairment, acute psychosis, or suicidal intent or plans
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| Name | Affiliation | Role |
|---|---|---|
| Patrick A Wilson, PhD | Columbia University | Principal Investigator |
| Nathan B Hansen, PhD | Yale University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Yale University | New Haven | Connecticut | 06511 | United States | ||
| Callen-Lorde Community Health Center |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22228917 | Background | Sikkema KJ, Hansen NB, Kochman A, Santos J, Watt MH, Wilson PA, Delorenzo A, Laudato J, Mayer G. THE DEVELOPMENT AND FEASIBILITY OF A BRIEF RISK REDUCTION INTERVENTION FOR NEWLY HIV-DIAGNOSED MEN WHO HAVE SEX WITH MEN. J Community Psychol. 2011 Aug 1;39(6):717-732. doi: 10.1002/jcop.20463. |
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| ID | Term |
|---|---|
| D010349 | Patient Compliance |
| D018451 | Homosexuality, Male |
| ID | Term |
|---|---|
| D010342 | Patient Acceptance of Health Care |
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |
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| Personalized Cognitive Counseling | Behavioral | A one-session, individually-focused risk reduction intervention for MSM that has been selected by the CDC as a DEBI. |
|
| Baseline, post (3 months), 6, 9, and 12 months |
| Care and treatment uptake/adherence |
| Baseline, post (3 months), 6, 9, and 12 months |
| Viral load | 6 months |
| New York |
| New York |
| 10011 |
| United States |
| Harlem United Community AIDS Center, Inc. | New York | New York | 10027 | United States |
| Mailman School of Public Health, Columbia University | New York | New York | 10032 | United States |
| D006716 | Homosexuality |
| D019529 | Sexuality |
| D012725 | Sexual Behavior |