COMP OF AIDS PREVEN STRATEG IN HIGH RISK INNER-CITY MEN

提出的是一个比较的四种干预措施，以减少性行为 与一组内城男性的艾滋病毒传播风险有关， 主要是黑人，他们被诊断出患有避孕套可预防的疾病， 新泽西埃塞克斯县的性传播疾病。 的漏洞 干预措施将增强人们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 艾滋病感染末期的影响。 一种技能 干预将增加调节性冲动所需的技能 与性伴侣协商安全套的使用，使用目标设定，角色， 游戏和其他技能训练技术。 A.联合干预 将包含所有这些组件。 这些干预，将 包括六次每周小组会议，将采用同伴教育模式。 最后，一个咨询控制组将接受标准诊所 咨询将包括在内。 干预措施将由以下人员进行评价： 对比各组成员的行为变化。 通过 调查/访谈评估，我们将衡量潜在的因素 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、艾滋病预期结果， 与艾滋病毒/艾滋病的经验，自我效能，使用避孕套的障碍。 将通过电话获得18个月的随访行为数据 采访 我们假设，两个减少重点干预（脆弱性和 技能）将是有效的，只有在这些科目谁，通过其他 手段，获得了他们的干预缺乏的组成部分，如反映的那样， 在干预前的脆弱性和相关量表得分中， 问卷测量（预期结果、艾滋病毒/艾滋病经验）和 与技能有关的量表（自我效能、对使用避孕套的认识障碍）。 预计联合干预的治疗效果最大， 这既为行为改变提供了增强的动力， 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.