Adaptation of the African couples HIV testing and counseling model for men who have sex with men in the United States: an application of the ADAPT-ITT framework

Sullivan, Patrick S; Stephenson, Rob; Grazter, Beau; Wingood, Gina; Diclemente, Ralph; Allen, Susan; Hoff, Colleen; Salazar, Laura; Scales, Lamont; Montgomery, Jeanne; Schwartz, Ann; Barnes, Jasper; Grabbe, Kristina

doi:10.1186/2193-1801-3-249

SpringerPlus

Table 1 Summary of results of theater testing of an adapted couples HIV testing service, by focus group participant type, Atlanta, Chicago and Seattle, October 2010

From: Adaptation of the African couples HIV testing and counseling model for men who have sex with men in the United States: an application of the ADAPT-ITT framework

Unit of analysis	Black MSM	White MSM	HIV counselors	HIV testing clinic managers
Number of FGD	2	2	2	2
Total # in FGD	18	19	17	14
Have similar services been offered?	No	No	No	No
Should couple meet 3-month history criteria?	No: MSM want to be able to come in when they’re pre-sexual, too.	No: MSM want to be able to come in when they’re pre-sexual, too.	No: No time limit should be placed on couple history so that new couples can feel protected, too.	No: They said this reinforces stigma and increases risky behavior
Opinions on sign-in process & consent process	Entry-forms and consent forms should be completed separately	Entry-forms and consent forms should be completed separately	Entry-forms and consent forms should be completed separately	Entry-forms and consent forms should be completed separately
Opinions on service overview	Opt-out clause should only be given once	Ground rules need to be made clear	Opt-out and ground rules good	Opt-out and ground rules good
Opinions on service overview	Ground rules are good	Should remind couple that they will hear each other’s results right before delivering them	Need to remind couples of confidentiality throughout session	Need to remind couples of confidentiality throughout session
Opinions on agreement counseling	Role-play is good	History of service is not relevant	Role-play is good and feel able to facilitate	Role-play is good and feel able to facilitate
Opinions on agreement counseling	Role-play is good	Role-play is good	Role-play is good and feel able to facilitate	Role-play is good and feel able to facilitate
Opinions on delivery of test results	Should be delivered verbally	Should be delivered verbally	Should be delivered verbally	Should be delivered verbally
	Positive should always be delivered first if sero-discordant	Positive should always be delivered first if sero-discordant	Positive should always be delivered first if sero-discordant	Positive should always be delivered first if sero-discordant
	Should tell people “results are the same” before delivering results	Should tell people “results are the same” before delivering results	Should tell people “results are the same” before delivering results	Should tell people “results are the same” before delivering results
Recommendations	CVCT is needed	The service is essential	CVCT is needed	CVCT is needed
	Only male counselors should be used	Need facilities where couple can have privacy	Men’s clinic or after-hours clinic would be best	Male counselors should be used
	History of service is not relevant	History of service is not relevant	Men’s clinic or after-hours clinic would be best	Male counselors should be used

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