Methods
Procedures
Adaptation of CCT and cognitive-behavioral AC was informed by the Assessment, Decision, Administration, Production, Topical experts, Integration, Training, and Testing (ADAPT-ITT) model for tailoring evidence-based HIV interventions for new target populations (Wingood & DiClemente ,2008). Cultural tailoring of CCT and AC proceeded in three distinct phases: development, training, and implementation. Consistent with the ADAPT-ITTmodel, the process of adaptation was iterative and the development phase was informed by qualitative feedback from FESW who use ATS, interviews with stakeholders such as service providers, and ongoing consultation with our non-governmental organization partners (FHI 360) who oversee the implementation of the SMARTGirl prevention program with this population (FHI 360, 2011). The protocol for the study was reviewed and approved by the National Ethics Committee for Health Research, Ministry
of Health, Cambodia; the University of California, San Francisco; UNSW Australia; and FHI 360.