Developing an HIV Disclosure Intervention for Men in Uganda

Development and Assessment of an HIV Disclosure Intervention for Men in Uganda

The goal of this clinical trial is to test an HIV disclosure intervention that the investigators are developing focused on men living with HIV in Uganda. The main questions the investigators are trying to answer is whether the HIV disclosure intervention the investigators develop will help men who receive this intervention to disclose their HIV status to a greater extent than men who receive standard care.

Participants assigned to the intervention group will likely participate in the following:

• Sexual health education
• Cognitive behavioral therapy strategies
• Problem-solving skills building
• Motivational interviewing
• Developing a personalized HIV disclosure plan
• Communication skills building
• Role-playing disclosure strategies

For all 3 Aims, "index participants" inclusion criteria will include:

• men living with HIV
• with sexually transmitted infection symptoms (e.g., urethral discharge, genital lesions)
• either not accessing antiretroviral therapy (per self-report109 and/or clinic documentation) or accessing antiretroviral therapy without HIV viral suppression
• age ≥18 years,
• with at least one sexual partner in the past three months

Aims 2 and 3 have the additional inclusion criteria:

• men living with HIV without HIV disclosure to at least one partner.

In Aims 2 and 3, male participants will be encouraged to invite sexual partners for enrollment. These "partner participants" will have the following inclusion criteria:

• age ≥18 years
• partnered with an enrolled man who reports HIV disclosure or plans for HIV disclosure with study support
• referred by the male participant.

Exclusion Criteria:

• an inability to speak the local language (Runyankole) or English
• an inability to provide informed consent