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Description:Project ECHO is an individual-level intervention adapted from Personalized Cognitive Counseling (PCC) for episodic substance-using MSM. The session is delivered by a trained counselor and includes participant recall of a recent risky encounter and cognitive - behavioral components to address self-justifications for risky sexual behavior and concurrent substance use. The participants also explore strategies to avoid similar high -risk situations in the future. Three months later, a booster counseling session tailored to individual risk profiles is conducted. Depending on participants’ responses to risk behavio r questions, they are provided with counseling on explicit communication or general risk reduction.
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