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(Abstract for Roundtable at 1998
Prevention Summit: HIV Prevention Community Planning
Leadership Meeting)
Authors: Metcalf C, Malotte K, Douglas J, Paul
S, Kalichman S, Dillon B, Peterman T.
Objective:
To report on the design and rationale of a large
multicenter testing and counseling study, currently in
planning stage.
Project RESPECT demonstrated that
2-session HIV/STD prevention counseling was effective at
preventing STDs. Because many STD clinic clients do not
return for HIV test results and post-test counseling (in
non-study conditions), rapid HIV testing is an important
option to consider in this setting. A new study,
RESPECT-2, plans to address issues raised by Project
RESPECT and new testing technologies. It aims to (1)
develop prevention counseling to be used with rapid
tests; (2) assess the effectiveness compared to the
2-session prevention counseling (shown to be effective
in Project RESPECT); and (3) assess whether additional
'booster' counseling sessions prolong the counseling
effects.
Methods:
STD clinic clients in Long Beach, Denver, and Newark
will be asked to participate in an intervention trial.
Participants will be randomized to have either a rapid
HIV test or standard EIA, and also randomized to receive
or not receive booster counseling. Participants will
have follow-up interviews and STD screening at regular
predetermined intervals. Behavioral measures and STD
incidence will be used to assess intervention
effectiveness.
Results and
Conclusions: Research design and methodology
will be presented. Results will not be available until
completion of the study (2001).
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