RecruitingNot ApplicableNCT05729256

Alcohol and "Heat of the Moment" Sexual Decision Making

Alcohol and "Heat of the Moment" Sexual Decision Making Among MSM: Identifying Mechanisms of Sexual Risk and Promoting Behavior Change Through Brief Intervention

Sponsor

Boston University Charles River Campus

Enrollment

354 participants

Start Date

Nov 1, 2023

Study Type

INTERVENTIONAL

Conditions

Alcohol Drinking Sex, Unsafe

Summary

HIV transmission remains a significant public health concern, especially among men who have sex with men (MSM). Condomless anal intercourse (CAI) continues to be the major route of transmission for MSM. Thus, to reduce the incidence of HIV, it is critical to identify how contextual risk factors influence CAI and develop behavioral strategies that modify risk factors directly or reduce their influence on behavior. This study will examine the mechanisms through which one of the central contextual risk factors, heavy drinking, influences sexual decision processes in the natural environment and test the benefit of a brief intervention designed to reduce sexual risk behavior among those who engage in heavy drinking.

Eligibility

Sex: MALEMin Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is examining how alcohol affects sexual decision-making in gay and bisexual men who drink heavily. Researchers want to understand the "heat of the moment" decisions around condom use when alcohol is involved, to better design HIV prevention strategies. **You may be eligible if...** - You are at least 18 years old - You are a cisgender man who has had condomless anal sex with another man in the past 3 months - You drink heavily — either regularly exceeding weekly guidelines (14+ drinks/week) or having had 4+ drinks in one occasion in the past month - You own a smartphone **You may NOT be eligible if...** - You do not drink alcohol - You have not had the type of sexual contact described above - You do not have a smartphone Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALSelf-Regulation Intervention

Single session motivational intervention on reducing heavy drinking and sexual risk behavior, encouraging consideration of pre-exposure prophylaxis (PrEP), followed by 4 weeks of text messages on content relevant to drinking goals and support for healthy sexual choices

BEHAVIORALBrief Advice and Information

Psychoeducation about heavy drinking risks, discussion of barriers to safe sex, information about pre-exposure prophylaxis (PrEP)