Table 1.
Fidelity index: survey items
| Component | Items | Points |
|---|---|---|
| Rapport Building and Risk Assessmenta,b | 3 | |
| Did you feel that the counselor listened to you? | ||
| Did the counselor give you a chance to talk as much as you needed about your concerns and questions? | ||
| Did the counselor understand what you had to say? | ||
| Did you talk about your health goals? For example, health goals might include eating better, drinking less alcohol, or not catching diseases in the next month? | ||
| In your session today, did you discuss your sexual behavior? | ||
| Did you discuss the sexual things you have done recently that may have put you at risk for getting the AIDS virus or other sexual diseases? | ||
| Did you discuss your drug use? | ||
| Did you discuss how your drug use might put you at risk for getting the AIDS virus? | ||
| Risk Prevention Analysisc | 2 | |
| Did you discuss the reasons why you sometimes have sex without a condom? | ||
| Did you discuss how bigger things in life might influence your sexual behavior?4 | ||
| Did you discuss how bigger things in life might influence your drug use?d | ||
| Did you talk about how to change things that might make it difficult for you to reach your health goals? | ||
| Negotiated Risk Reductionc | 1 | |
| Did you agree on something about your sexual behavior that you can do in the next few weeks that would help lower your risk for getting the AIDS virus or other sexual diseases? | ||
| Did you and the counselor agree on something that you can do in the next few weeks that would help lower your risk for getting the AIDS virus from drugs? | ||
We took as positive evidence any discussions of sex or drugs in the context of the various components
aScoring: to reflect a high standard for counselor skills, a "yes" response to all three items was required to receive 1 point
bScoring: one point for discussing either sex or drug risk behaviors or both
cScoring: Risk Prevention — 1 point if any one of first three items received a "yes" response, and 1 point if "yes" to health goals item; Negotiated Risk – 1 point if either item received a "yes" response
dDefinition provided: “Bigger things might include losing a job, family problems, your friends, your lifestyle, or what you do for fun.”