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Description:CARE+ is an individual-level, interactive, computer-based counseling intervention. During each HIV clinic visit, patients first complete an assessment of their sex behavior, substance use, mental health, and medication adherence risks via a tablet computer. Bas ed on the riskassessment responses, the computer program provides participants with tailored feedback and loads videos, with separate versions for heterosexuals and men who have sex with men (MSM), which showcase skills around HIV disclosure, medication a dherence, safer sex, substance abuse, male/female condoms, condom use negotiation, working with providers, HIV natural history and antiretroviral treatment mechanisms. The intervention content consists of consequence-framed messages, social-cognitive role modeling, with actorportrayed peers demonstrating healthy behavior in the videos, and messages emphasizing commitment to behavior change. After viewing the videos, participants develop plans for medication adherence and safer sex. At the end of each se ssion, participants receive a personalized printout that summarizes feedback and provides the health plan and referral phone numbers.
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