THINK TWICE

Abstract

Brief Description Think Twice is a single-session, individual-level intervention that promotes informed decision-making around partner selection and HIV risk reduction among men who have sex with men (MSM). The intervention focuses on preparing participants to make the safer decisions when they are in risky situations. Through the use of a graphic novel to convey messages about the risks of serosorting, development of a visual sexual network diagram depicting potential HIV exposure pathways, and guided discussion around ways to reduce HIV risk, the peer counselor addresses misconceptions about selecting sexual partners and helps participants to shape accurate beliefs and perceptions of risk about serosorting. Using their own sexual network diagram as a guide, participants reflect on occasions in which they put themselves at risk for HIV and develop a realistic plan --through weighing the risks and benefits of increased condom use, reductions in sexual partners and acts, alternatives to unprotected anal intercourse, and greater inquiry into a sexual partner’s HIV status and testing history.