Poster Abstract for the 2000 APHA Conference

Authors: Malotte K, Dillon B, Iatesta M, Douglas J, Cross H, Metcalf C, Peterman T, and the RESPECT-2 Study Group.

RESPECT-2 is a multi-site randomized trial evaluating the effectiveness of two types of HIV prevention counseling among patients seeking examinations in STD clinics. Participants are given either a standard HIV test and two-session counseling, or a rapid HIV test with two sessions of counseling and HIV result compressed into a single visit. Both types of counseling focus on the participant’s risk behaviors, and assist the participant in developing a realistic risk-reduction plan. A computer-assisted self-interview on recent risk behavior is completed at four quarterly followup visits. The 3-month interview includes questions customized for each participant, assessing recall of the risk-reduction plan, success at achieving it, and barriers making it difficult to achieve. Of the 639 participants (54% men; mean age 26 years, range 15-39; 43% African American, 27% white, 22% Latino) who have completed the 3-month interview to date, 71% correctly identified their plan. Those who do not correctly identify their plan are then reminded what it is. Most (92%) reported having tried to achieve the plan. Of the 587 participants who tried, 68% reported being somewhat (33%) or very (35%) successful. Of the 398 participants who reported some success, most also felt that their actions were very likely (67%) or likely (25%) to have reduced their risk. The most common barriers making achieving the plan difficult were concern about partner’s reaction (13%), partner unsupportive (9%), participant discomfort (7%), and difficulty remembering the plan (6%). A majority of participants receiving both types of counseling were successful.