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| General guidelines | Sample curriculum |
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| Session 1 (Scr/BL): | Session 1 (Scr/BL, 20–30 min): |
| (i) Education: | (i) Assess personal HIV risk factors |
| Modes of transmission | (ii) Education: |
| High risk behaviors | Brochure: “HIV and AIDS: are you at risk?” |
| Prevention behaviors | Review and Discuss: |
| Stop drug use | Modes of transmission |
| Do not share needles | High risk behaviors |
| Clean “works” before using | Prevention behaviors |
| Use of condoms | Stop drug use |
| Use of alcohol swipes | Do not share needles |
| Use of bleach kits | Clean “works” before using |
| (ii) HIV testing information: | Use of condoms |
| What test is for | Demonstrate use of bleach kits |
| Confidential versus anonymous | handout: “Cleaning Your Works” |
| Optional | Demonstrate use of alcohol swipes |
| What +/− test results mean | (iii) Develop personal risk reduction plan: |
| Anxiety related to waiting for results | Exercise: “Personal Risk Reduction Strategies” |
| (iii) Subject wishes to be tested? | (iv) HIV Pretest Counseling |
| If yes, talk through the consent | Present HIV testing information: |
| Obtain signature | Test name, meaning, sensitivity, and specificity |
| (iv) Offer outside referrals | What test is looking for |
| | How test will be performed |
| | What +/− results mean |
| | Confidential versus anonymous |
| | Other confidentiality issues |
| | Where test results will be filed |
| | Optional, will not affect study participation |
| | Discuss potential impact of test results |
| | Handling anxiety related to waiting for results |
| | How results might affect the participant |
| | To whom the participant might tell the results |
| | Worries related to the potential results |
| | Offer test |
| | If yes, consent and arrange for test |
| | If no, provide list of local testing options |
| | Note: Posttest counseling to occur per local
standards at a later date |
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| Session 2 (end TX phase): | Session 2 (End TX Phase, 13–25 min): |
| (i) No guidelines provided | (i) Assess risk reduction behavior changes |
| | Identify new strategies employed since session 1 |
| | Retrain strategies if needed |
| | (ii) Assess continuing high risk behaviors |
| | (iii) Develop new plan for reducing 1 continuing high
risk behavior |
| | Provide new plan to participant on index card |
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| Session 3 (follow-up): | Session 3 (follow-up, 15–30 min): |
| (i) No guidelines provided | (i) Assess risk reduction behavior changes |
| | Identify new strategies employed since session 1 |
| | Retrain strategies if needed |
| | (ii) Assess continuing high risk behaviors |
| | (iii) Wrap up |
| | Review positive risk reduction behavior changes |
| | Review 1–3 continuing high risk behaviors |
| | (iv) Provide written list of local HIV resources |
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