Concept Elicitation Interviews

We used content areas from these items to develop an interview guide that elicited concepts of patient SRB. We consulted content area experts to maximize relevance across sexual orientation and gender identity.

We invited patients for hour-long interviews, offering $25 compensation. We presented patients with items from the modified RAB that assessed frequency of condom use.³⁵ We invited patients to provide comment/critique on the items; this familiarized patients with typical domain content. We asked patients what they understood about HIV/STI transmission and prevention, and explored attitudes about “risky” versus “safe” sex, before querying their own sexual behaviors. Typical prompts included what behaviors they had heard put individuals at risk for contracting HIV, whether and which sexual behavior(s) are relevant for discussions with providers, past experiences attempting to reduce HIV/STI transmission risk, and perceived situations in which avoiding risky sexual behavior could be difficult.