Development
Assessment included in-depth qualitative interviews with 30 FESW who reported using ATS. Participants were recruited using convenience sampling from five Cambodian provinces (i.e., Phnom Penh, Battambang, Banteay Meanchey, Siem Reap, and Kandal). Participants described
possible barriers and facilitators to engagement in CCT as well as perceptions of potential AC components (Dixon et al. in press). A description of the detailed thematic analysis of these qualitative data is in progress, but some findings directly informed efforts to develop CCT and AC.With respect to CCT, participants highlighted that a $1 USD incentive would not be sufficient, particularly given the possibility of lost income when abstaining from ATS.Thus, the incentive was increased to $2 USD per urine sample and a weekly bonus was included to positively
reinforce continuous abstinence from ATS. Participants also noted that transportation would be a key structural barrier to participating in CCT + AC, which prompted our team to provide transportation to CCT and AC visits. With respect to the content of AC, women were interested in
participating in enjoyable group activities. However, some concerns about the feasibility of the proposed meditation and relaxation exercises were raised, which led our team to prioritize brief approaches that would be more easily accessible for this population.