Selective Exposure in HIV Prevention

• After the Informed Consent is signed, the research assistant supervises administration of the baseline questionnaire via ACASI. In ACASI, the questions are seen on the computer screen and heard through earphones simultaneously. This technique has been shown to enhance the accuracy of any reported non-normative behavior by the relative privacy and anonymity it affords. It is expected to take about 30 minutes.
• Participants are seen for one-on-one HIV counseling for approximately 20 minutes by counselors briefed to the study according to the protocol described in the attached document "Scripts Florida Study.doc" (hereinafter "the Scripts document").
• After the counseling session, participants will watch a 20-minute video delivering one of the experimental or control meta-intervention messages, which are more fully described in the Scripts document.
• The self-reporting of expectations and intentions that we need to elicit at this point may have a confounding effect on the retention that the study hopes to measure. Therefore, half of the participants will skip the next step and half will complete it, to allow us to assess the actual effect of this self-report measure on retention while studying if these measures mediate retention.
• The half of the participants reporting expectations will report their expectations and intentions for further counseling, via a 10-minute ACASI questionnaire. The questionnaire is designed to distinguish the dimensions of social/emotional, instrumental and empowering expectations.
• At the end of the first 70-80 minute session, the counselor schedules the follow-up appointments.
• Customary phone reminders are issued two days before each 20-minute follow-up session, as is routine for medical and counseling appointments.
• The study counselor does the following at each follow-up session:

• Records the participant's attendance or absence on the Counselor's Questionnaire.
• For attending participants, the study counselor rates their attention to the counseling on the Counselor's Questionnaire.
• The RA in charge of video presentation rates attention to the videos.
• At the end of the second session, the study counselor double-checks the third appointment with the participant, and reschedules if necessary.
• A detailed description of the two follow-up sessions is found in the attached document titled "Counselor Guidelines (2nd and 3rd sessions). The questions and statements therein will be delivered and answered verbally.
• At the end of the third session, participants who did not answer the questionnaire in Step 5 will answer a similar questionnaire about their reactions to the meta-intervention video.
• All participants will be fully debriefed. Non-attendees will be called and debriefed either by phone or in person based on their preferences.

Inclusion criteria

• Sexually active,
• Low condom use,
• Low intention to use condom

Exclusion criteria

• Trying to get pregnant
• HIV positive
• with contaminant knowledge about the study
• planning to leave the area