Expanding the Potential of Couples HIV Testing: Adjunct Modules to Reduce Drug Use Among Vulnerable Male Couples

Expanding the Potential of Couples HIV Testing: Adjunct Modules to Reduce Drug Use Among Vulnerable Male Couples

This study utilizes a randomized controlled trial design to evaluate the efficacy of two intervention components for couples HIV testing and counseling (CHTC): a communication skills training video and a substance use module. Participants are randomized in a full-factorial design to one of 4 conditions: CHTC as usual; CHTC + communication skills training videos; CHTC + substance use module; or CHTC plus both adjunct components.

Inclusion Criteria:

• · Have a main partner who is another male and have been in a relationship for 3 month or longer

  • One participant must be between 17 and 29; Main partner can be any age above 17.

  • One participant must be HIV negative (as confirmed by rapid test)

  • One participant must have used at least 1 drug in the past 90 days (cocaine/crack, opiates, misuse of prescription medication, stimulants, psychedelics, ecstasy, ketamine, GHB)

  • One participant must have engaged in Transmission Risk Behavior (TRB) in the past 90 days

    o Defined as Condom-less Anal Sex (CAS) with a casual partner and/or CAS with a non-monogamous or serodiscordant main partner

  • Live in the NYC or Detroit metropolitan area

  • Speak English

Exclusion Criteria:

• · Any signs of serious mental illness or cognitive deficit

  • History of IPV with their main partner and safety concerns in the current relationship.