The proposed study involves conducting a larger-scale study exploring Game Plan's effects among MSM in the real-world, alongside innovative approaches for expanding HIV testing. Using a hybrid 1 effectiveness-implementation approach, the investigators will recruit up to 360 high-risk, heavy drinking MSM online from several high-incidence areas in the US to participate in a program providing home-based HIV/STI self-tests in the mail at regular intervals over a year (baseline, 6 months, 12 months). Participants will be randomly assigned to receive access to either (1) a 24-hour helpline for counseling/referrals, or (2) the helpline plus Game Plan. Investigators will test whether those who use Game Plan show lower rates of heavy drinking, any STIs, and high-risk CAS events compared to those receiving access to the helpline alone.
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Number of alcohol drinking days in the past 30 days
Timeframe: 3 months, 6 months, 9 months, 12 months
Number of heavy (5+ standard drinks) alcohol drinking days in the past 30 days
Timeframe: 3 months, 6 months, 9 months, 12 months
Average number of standard drinks consumed on a drinking day in the past 30 days
Timeframe: 3 months, 6 months, 9 months, 12 months
Any new bacterial sexually-transmitted infection diagnosis
Timeframe: 6 months, 12 months
Number of sex events that pose risk for sexually-transmitted infections in the past 30 days
Timeframe: 3 months, 6 months, 9 months, 12 months
Receiving a prescription for pre-exposure prophylaxis
Timeframe: 6 months, 12 months