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  • 08/01/2015

Filetype[PDF-665.82 KB]


  • Description:
    Treatment Advocacy Program (TAP) is an individual-level, primary-care-based counseling intervention, comprised 4 modules that are delivered by peer advocates in 4 sessions (1 module each in the first three sessions and a selection of 1 of 5 “focus” modules in the final session). Session 1 uses active dialogue and cognitive -behavioral techniques to the emphasize sexual safety and medication adherence; active HIV coping in terms of drug and alcohol reduction, regulating negative affect, and social support; and self-efficacy for adherence. Session 2 helps the participant articulate his values and coping goals; assesses current adherence levels, self-efficacy, and skills; links skills building to problem areas; and provides a “coping analysis,” which is used to develop a written behavioral plan for rehearsal. Session 3 includes a motivational interview to articulate the participant’s sexual values and goals, current intimacy and sexuality satisfactions and dissatisfactions, and commitment to change areas; a cognitive-behavioral analysis of sexual risks that links problem areas to skills or coping exercises and leads to a concrete, written behavioral change plan. Session 4 starts with analysis and discussion of the behavioral plan, then accordingly progresses to 1 of 5 focus modules: (1) HIV transmission information, (2) basic safety skills, (3) HIV communication, (4) alcohol and drug use, and (5) moo ds and feelings. Two follow-up sessions that use the same structure and content as the core intervention are delivered at 6 and 12 months.
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