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Table 1 Program overview

From: Study protocol for a group-based motivational interviewing brief intervention to reduce substance use and sexual risk behavior among young adults experiencing homelessness

Session Goals
1 HIV/STIs: knowing the facts
Provide basic information on HIV/STIs through provision of personalized feedback. Discuss substance use as a risk factor for HIV/STI transmission
Discuss prevalence of HIV/STIs and why it might be higher among young adults who are homeless Discuss how substance use puts people at higher risk for HIV/STIs
Help participants better evaluate partner risk in terms of HIV/STI transmission
Provide normative feedback about HIV-related behaviors
Help participants develop skills to effectively use a condom
2 HIV/STIs: dealing with risky situations
Help participants identify people, places, situations, and feelings that may trigger their sexual risk behaviors (emphasizing the role of substance use as a trigger for sexual risk behavior). Discuss ways to avoid triggers
Help participants strategize on how to deal with triggers and plan ahead so they can make a healthier choice
Help participants develop skills to better deal with risky situations through a role playing exercise
Help participants evaluate their willingness and confidence to change their behavior
3 Substance use: weighing the pros and cons
Provide normative feedback about alcohol use (e.g., frequency, quantity)
Help participants weigh the pros and cons of substance use (including its effects on sexual behavior) so they can make thoughtful choices about their use
Help participants develop strategies for decreasing negative consequences of use, as well as reaping the positive benefits without using
Help participants evaluate their willingness and confidence to change their behavior
4 Substance use: what can happen
Provide information on the brain, and how alcohol and drug use can affect brain functioning
Discuss how alcohol and drug use can affect behavior, providing personalized feedback on negative alcohol consequences as concrete examples
Help participants develop strategies for protecting themselves while drinking in order to avoid negative consequences from use