The study evaluates the integration of a sexual pleasure-based approach into harm reduction services for MSM and transgender persons engaging in chemsex or substance use in Thailand, using the "Pleasuremeter" tool to improve sexual health and related outcomes.
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Willingness to engage in sexual pleasure discussions assessed using the Pleasuremeter tool
Timeframe: Baseline, Month 3, and Month 6 (over 6 months follow-up)
Sexual pleasure score assessed by the Pleasuremeter (0-10 scale)
Timeframe: Baseline, Month 3, and Month 6