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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
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
Role-play is good
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