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Description:PrEP Counseling Center is an individual-level intervention for HIV-negative, high-risk, young black men who have sex with men (YBMSM) living in Washington, D.C. This culturally tailored counseling intervention consists of one personalized comprehensive PrEP counseling session with a staff member who identifies as a black MSM and has extensive outreach and counseling experience related to HIV prevention and PrEP needs. In addition, intervention participants receive the following PrEP information from a physician assistant using a standardized script that is also provided to control participants: PrEP education (including how PrEP works, indications for starting PrEP, the use, dosing, efficacy, side effects, and compliance of PrEP), acute seroconversion signs and symptoms, list of local PrEP providers, Truvada copay assistant cards, pill case keychains, condoms with lubricant, and sexual risk-reduction counseling. In addition to the above, intervention participants receive help with assessing and addressing perceived barriers to PrEP initiation (e.g., medical concerns, access difficulties, health care insurance navigation, relationship/family problems, bullying/violence prevention, mental health needs, alcohol/substance abuse, housing, clothing and legal needs), as needed. With assistance, participants make an appointment with a PrEP provider, access other community resources as per their needs, and receive appointment reminders. Participants were encouraged to call or text their PrEP counselor for follow-up questions and for support or new referral needs over the study period. Participants also met with a PrEP counselor for a second session to discuss progress toward achieving PrEP-related or other goals that were set at their initial counseling appointment.
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