Effectiveness of a video-based motivational skills-building HIV risk-reduction intervention for inner-city African American men

Effectiveness of a video-based motivational skills-building HIV risk-reduction intervention for inner-city African American men
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DOI:
10.1037/0022-006x.67.6.959
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发表时间:
1999-12-01
影响因子:
5.9
通讯作者:
Browne-Sperling, F
Browne-Sperling, F
中科院分区:
心理学1区
文献类型:
--
作者:
Kalichman, SC;Cherry, C;Browne-Sperling, F

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减少艾滋病毒危险行为的干预措施显示出了希望,但对异性恋男性的效果并不一致。这篇文章报道了一种针对异性活跃的非洲裔美国男性的认知行为艾滋病毒风险降低干预措施。从公共诊所招募的男性(N=117)被随机分配到(A)基于视频的6小时小组动机技能干预或(B)基于视频的6小时接触匹配的艾滋病毒教育对照组。结果显示,在3个月的随访中,接受激励技能干预的男性报告了较低的无保护阴道性交比率和较高的避孕套使用率。然而,由于在比较条件下避孕套的使用增加,干预后6个月组之间的差异消失。这些发现是第一批证明了激励技能干预的效果,该干预使用了一种旨在促进将预防技术转移到社区环境的模式,降低了男女性行为者的艾滋病毒风险。
Interventions to reduce HIV risk behavior have shown promise but have demonstrated inconsistent effects with heterosexual men. This article reports a cognitive-behavioral HIV risk reduction intervention designed for heterosexually active African American men. Men (N = 117) recruited from a public clinic were randomly assigned to either (a) a 6-hr video-based small group motivational-skills intervention or (b) a 6-hr video-based contact-matched HIV education comparison group. Results showed men in the motivational-skills intervention reported lower rates of unprotected vaginal intercourse and higher rates of condom use at the 3-month follow-up. However, because of increased condom use in the: comparison condition, differences between groups dissipated 6 months following the intervention. These findings are among the first to demonstrate effects from a motivational-skills intervention for reducing HIV risk in men who have sex with women using a model designed to facilitate transferring prevention technology to community settings.