Group intervention to reduce HIV transmission risk behavior among persons living with HIV/AIDS
Group intervention to reduce HIV transmission risk behavior among persons living with HIV/AIDS
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DOI：
10.1177/0145445504272603
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发表时间：
2005-03-01
影响因子：
2.3
通讯作者：
Cage, M
中科院分区：
文献类型：
--
作者：
Kalichman, SC;Rompa, D;Cage, M
一项随机对照试验的结果表明，基于社会认知理论的行为干预减少了感染艾滋病毒的男女的无保护性行为，与艾滋病毒抗体非阳性的性伴侣发生的艾滋病毒传播风险行为减少最多。本文介绍了艾滋病病毒感染者社会认知风险降低干预的进展和干预内容。有效的五个小组会议干预措施的重点是通过自我反思和发展艾滋病毒披露决策的应对功效技能，积极倾听，自信和解决问题的披露和传播风险减少行为来增强动力。干预部分是针对性别和性取向量身定制的，综合技能练习课程使用流行电影场景中的角色扮演。这一干预措施在社区服务提供环境中被证明是有效的，并可适用于在支助团体内提供的艾滋病毒相关服务。
Results of a randomized controlled trial show that a behavioural intervention grounded in social cognitive theory reduces unprotected sexual behaviours among men and women living with HIV infection, with the greatest reductions in HIV transmission risk behaviours occurring with non-HIV-positive sex partners. In this article, the authors describe the intervention development and intervention content of the social cognitive risk reduction intervention for HIV-positive persons. The effective five group session intervention focused on enhancing motivation through self-reflection and developing coping efficacy skills for HIV disclosure decision making, active listening, assertiveness, and problem solving for disclosure and transmission risk reduction behaviours. Intervention components were tailored for gender and sexual orientation and integrated skills practice sessions used role-plays couched within scenes from popular films. This intervention was demonstrated to be effective in a community-service delivery setting and can be adapted for implementation in HIV-related services delivered within support groups.