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Description:Project nGage is a social-network, support intervention designed to improve retention in care and antiretroviral (ART) adherence among young black men who have sex with men (YBMSM) who have been successfully linked to care. This client-centered, 90-minute session consists of individual and dyadic components between an index young man and a support confidant (SC) who is identified by the index participant. In the first 20 minutes of the session, the social work interventionist (SWI) discusses the importance of HIV care and social support with the SC-index dyad. The next component consists of a 40-minute one-onone discussion between the SWI and the SC on identifying and finding solutions to overcome barriers to providing social support to the index participant. For the final 20 minutes of the session, the SWI and the SC-index dyad create a tailored “care and support plan” that identifies the barriers to retention in care and ART adherence for YBMSM while also identifying the best solutions for each barrier. Following the completion of the 90 -minute session, the SWI delivers four telephone boosters to the index participant at 2 , 5, 8, and 11 months post baseline. The booster sessions focus on the implementation of the care and support plan as well as the emotional quality of the SC and index relationship .
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