AIDS PREVENTION STRATEGY IN HIGH RISK INNER CITY MEN

建议对四种减少性行为的干预措施进行比较。 与市中心一群男性中艾滋病毒传播的风险有关， 主要是黑人，他们被诊断出使用了可以预防的避孕套 新泽西州埃塞克斯县的性传播疾病。一个漏洞 干预将增强个人对艾滋病毒的易感性 感染，并提高意识--同时创造突出的心理 陈述--终末期艾滋病毒感染的影响。一种技能 干预将增加调节性冲动所需的技能 与性伴侣协商避孕套的使用，使用目标设定，角色- 打球和其他技能训练技巧。联合干预 将包含所有这些组件。这些干预，将会 每周举行六次小组会议，将采用同伴教育模式。 最后，将接受标准诊所的咨询控制组 咨询将包括在内。干预措施将通过以下方式进行评估 对比小组成员所实现的行为变化。穿过 调查/面试评估，我们将潜在地衡量因素 与行为、行为改变和行为维持相关 变化。这些因素包括脆弱性、艾滋病后果预期、 艾滋病毒/艾滋病的经历、自我效能、安全套使用的感知障碍。 将通过电话获得18个月的跟踪行为数据 面试。 我们假设，两个焦点较少的干预措施(脆弱性和 技能)仅在具有以下条件的受试者中有效 手段，获得了他们的干预所缺乏的组成部分，如所反映的 在干预前的脆弱性和相关量表上的得分 问卷测量(预期结果、艾滋病毒/艾滋病经验)和 与技能相关的量表(自我效能感、安全套使用的感知障碍)。 预计联合干预的治疗效果最大， 这既为行为改变提供了更强的动力，也增加了 执行安全行为所需的技能水平。

Proposed is a comparison of four interventions to reduce sexual behavior related to risk of HIV transmission in a group of inner city males, primarily black, who have been diagnosed with a condom-preventable sexually transmitted disease in Essex County, New Jersey. A Vulnerability intervention will enhance perceived personal vulnerability to HIV infection, and increase awareness of -- while creating salient mental representations for -- the impact of end-stage HIV infection. A Skill intervention will increase skills required for regulating sexual impulses and negotiating condom use with sexual partners, using goal-setting, role- playing, and other skills-training techniques. A Combined intervention will contain all of these components. These intervention, which will involve six weekly group meetings, will utilize a peer education model. Finally, a Counseling Control group who will receive the standard clinic counseling will be included. The interventions will be evaluated by contrasting behavior change achieved by members of the groups. Through survey/interview assessment, we will measure factors potentially correlated with behavior, behavior change, and maintenance of behavior change. These factors include vulnerability, AIDS outcome expectancies, experience with HIV/AIDS, self-efficacy, perceived barriers to condom use. Follow-up behavioral data will be obtained for 18 months through telephone interview. We hypothesize that the two reduced-focus interventions (Vulnerability and Skills) will be effective only in those subjects who have, through other means, acquired the component that their intervention lacked, as reflected in pre-intervention scores on the vulnerability and related scales of the questionnaire measure (outcome expectancies, experience with HIV/AIDS) and skills-related scales (self-efficacy, perceived barriers to condom use). The largest treatment effect is predicted in the Combined intervention, which both provides enhanced motivation for behavior change and increases levels of the skills required to perform the safer behaviors.