caa a22 4500 606154094 CHVBK 20210128100557.0 cr unu---uuuuu 210128e20150201xx s 000 0 eng 10.1007/s11121-014-0540-9 doi (NATIONALLICENCE)springer-10.1007/s11121-014-0540-9 Couple-Based HIV Counseling and Testing: a Risk Reduction Intervention for US Drug-Involved Women and Their Primary Male Partners [Elektronische Daten] [James McMahon, Enrique Pouget, Stephanie Tortu, Ellen Volpe, Leilani Torres, William Rodriguez] To help reduce the elevated risk of acquiring HIV for African-American and Latina women drug users in primary heterosexual relationships, we developed a brief couple-based HIV counseling and testing prevention intervention. The intervention was based on an integrated HIV risk behavior theory that incorporated elements of social exchange theory, the theory of gender and power, the stages-of-change model, and the information-motivation-behavior skills model. In this article, we describe the development, content, and format of the couple-based HIV testing and counseling intervention, and its delivery to 110 couples (220 individuals) in a randomized effectiveness trial, the Harlem River Couples Project, conducted in New York City from 2005 to 2007. Components of the couple-based intervention included a personalized dyadic action plan based on the couple's risk profile and interactive exercises designed to help build interpersonal communication skills, and facilitated discussion of social norms regarding gender roles. The couple-based HIV testing and counseling intervention significantly reduced women's overall HIV risk compared to a standard-of-care individual HIV testing and counseling intervention. Experiences and perceptions of the intervention were positive among both clients and interventionists. The study was the first to demonstrate the effectiveness and feasibility of delivering a brief couple-based HIV counseling and testing intervention to reduce risk among drug-using heterosexual couples in high HIV prevalent urban communities in the USA. The intervention can be expanded to include new HIV prevention strategies, such as pre-exposure prophylaxis. Further research is needed to evaluate cost-effectiveness and implementation of the intervention in clinical settings. Society for Prevention Research, 2014 HIV prevention nationallicence Voluntary HIV testing and counseling nationallicence Women's health nationallicence Substance use nationallicence McMahon James School of Nursing, University of Rochester Medical Center, 14642, Rochester, NY, USA aut Pouget Enrique National Development and Research Institutes, New York, NY, USA aut Tortu Stephanie School of Public Health Louisiana State University Health Sciences Center, New Orleans, LA, USA aut Volpe Ellen School of Nursing, University of Buffalo, Buffalo, NY, USA aut Torres Leilani School of Nursing, University of Rochester Medical Center, 14642, Rochester, NY, USA aut Rodriguez William National Development and Research Institutes, New York, NY, USA aut Prevention Science Springer US; http://www.springer-ny.com 16/2(2015-02-01), 341-351 1389-4986 16:2<341 2015 16 11121 https://doi.org/10.1007/s11121-014-0540-9 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s11121-014-0540-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- McMahon James School of Nursing, University of Rochester Medical Center, 14642, Rochester, NY, USA aut NATIONALLICENCE 700 1- Pouget Enrique National Development and Research Institutes, New York, NY, USA aut NATIONALLICENCE 700 1- Tortu Stephanie School of Public Health Louisiana State University Health Sciences Center, New Orleans, LA, USA aut NATIONALLICENCE 700 1- Volpe Ellen School of Nursing, University of Buffalo, Buffalo, NY, USA aut NATIONALLICENCE 700 1- Torres Leilani School of Nursing, University of Rochester Medical Center, 14642, Rochester, NY, USA aut NATIONALLICENCE 700 1- Rodriguez William National Development and Research Institutes, New York, NY, USA aut NATIONALLICENCE 773 0- Prevention Science Springer US; http://www.springer-ny.com 16/2(2015-02-01), 341-351 1389-4986 16:2<341 2015 16 11121