HIV PREVENTION FOR SERIOUSLY MENTALLY ILL OUTPATIENTS

人类免疫缺陷病毒（艾滋病毒）的传播及其相关的 获得性免疫缺陷综合症（艾滋病）的流行已经发展到 对全球公共卫生构成最严重的威胁。电流 干预措施的重点是通过更安全的方法预防新的艾滋病毒感染， 注射毒品和性行为。目前， 经验记录的、基于理论的艾滋病毒风险降低干预措施， 严重的精神病患者，艾滋病毒风险增加的人群 感染Fisher和Fisher（1992）提出了“信息- 艾滋病毒预防行为的“动机-行为技能”模型， 它断言信息和动机通过行为 促进预防行为的技能，从而降低感染艾滋病毒的风险 感染在拟议的研究中， IMB模型（在受控实验环境中操作）将在 研究使用“处理拆除设计”在一个样本中， 精神病门诊病人受试者将被随机分配至以下之一 三种干预措施[仅信息（I）v.信息加行为 技能（IB）v.信息+动机+行为技能（IMB）]， 或等待列表控制条件。主要关注的是 这些干预措施在减少艾滋病毒相关的风险行为。的 预期结果模式如下，分数越高表明 风险行为的更大减少：全IMB模型干预> IB > 1 =对照条件。

The spread of the human immunodeficiency virus (HIV) and its associated acquired immunodeficiency syndrome (AIDS) epidemic has grown to constitute the most serious threat to worldwide public health. Current interventions focus on preventing new HIV infections through safer injection drug use and sexual behavior. There is currently a paucity of empirically documented, theory-based HIV-risk-reduction interventions for the seriously mentally ill, a population at enhanced risk for HIV infection. Fisher and Fisher (1992) have proposed the "Information- Motivation-Behavioral Skills" (IMB) model of HIV-preventive behavior, which asserts that information and motivation work through behavioral skills to promote preventive behavior, thereby decreasing risk for HIV infection. In the proposed study, each of the three key constructs of the IMB model (operationalized in a controlled experimental context) will be studied using a "treatment dismantling design" in a sample of seriously mentally ill outpatients. Subjects will be randomly assigned to one of three interventions [Information only (I) v. information plus behavioral skills (IB) v. information plus motivation plus behavioral skills (IMB)], or to a wait-list control condition. Of primary interest is the efficacy of these interventions at reducing HIV-related risk behavior. The following pattern of results is expected, with higher scores indicative of greater reduction of risk behaviors: Full IMB model intervention > IB > l = control condition.