Adapting the VOICES HIV Behavioral Intervention fo

Authors: Lydia O’Donnell Ann Stueve Heather A Joseph Stephen Flores

Publish Date: 2014/01/14

Volume: 18, Issue: 4, Pages: 767-775

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Abstract

Latino men who have sex with men MSM are disproportionately impacted by HIV/AIDS but few behavioral interventions address their prevention needs Adaptation of evidencebased interventions is a pragmatic strategy that builds upon lessons learned and has the potential to fill gaps in prevention programming Yet there are few reports of how transfers are executed and whether effectiveness is achieved This research reports on the adaptation of VOICES/VOICES a singlesession intervention designed for heterosexual adults into No Excuses/Sin buscar excuses for Latino MSM To test the adapted intervention 370 atrisk Latino MSM were enrolled in a randomized trial At a threemonth followup there was a sharper decrease in unprotected intercourse in the intervention group compared to controls 59  vs 39  ANOVA p  005 F = 410 Intervention participants also reported more condom use at last intercourse AOR = 169 95  CI 102–281 p  02 Findings support use of adapted models for meeting prevention needs of highpriority populationsLos hombres latinos que tienen relaciones sexuales con hombres HSH son afectados desproporcionadamente por el VIH/SIDA pero pocas intervenciones de comportamiento se dirigen a las necesidades de prevención de este grupo La adaptación de intervenciones basadas en evidencias es una estrategia pragmática fundada en lecciones aprendidas y tiene el potencial de cubrir lo que carecen los programas de prevención Aun así existen pocos reportes de cómo adaptar las intervenciones y si estas son eficaces Esta investigación informe sobre cómo VOCES/VOICES una intervención de una sesión diseñada para adultos heterosexuales fue adaptada a la intervención Sin buscar excusas para HSH latinos Para probar la eficacia de la intervención adaptada 370 HSH latinos de alto riesgo fueron enlistados en un estudio randomizado A los tres meses de seguimiento se encontró que hubo una gran disminución de sexo anal sin protección en el grupo de intervención comparado con el grupo de control 59  versus 39  ANOVA p  005 F = 410 Los participantes del grupo de intervención reportaron también más uso del condón en la última vez que tuvieron sexo anal AOR = 169 95  CI 102–281 p  002 Estos resultados apoyan el uso de los modelos adaptados para resolver necesidades de prevención en poblaciones de prioridad de alto riesgoThis study was part of a multisite initiative funded by the Centers for Disease Control and Prevention’s Division of HIV/AIDS Prevention No Excuse/Sin Buscar Excusas Intervention to Reduce Latino Men’s HIV Risks Grant 5UR6PS0004250 The authors appreciate the efforts of staff from the Callen Lorde Community Health Center and the Hispanic AIDS Forum in New York which provided access to their facilities for study research staff and participants At EDC senior project director Alexi San Doval MPH and senior field coordinator Richard Duran MSW led field activities for the pilot study Centers for Disease Control and Prevention No Excuse/Sin buscar excusas Intervention to Reduce Latino Men’s HIV Risks Grant 5UR6PS0004250 The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention The study protocol was approved by the Institutional Review Boards of Education Development Center and the Centers for Disease Control and Prevention

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