A randomized trial of a behavioral intervention for black MSM: the DiSH study.
| Autor: | Koblin BA; Laboratory of Infectious Disease Prevention, Lindsley F. Kimball Research Institute, New York Blood Center, NY 10065, USA. bkoblin@nybloodcenter.org, Bonner S, Powell B, Metralexis P, Egan JE, Patterson J, Xu G, Hoover DR, Goodman K, Chin J, Tieu HV, Spikes P |
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| Jazyk: | angličtina |
| Zdroj: | AIDS (London, England) [AIDS] 2012 Feb 20; Vol. 26 (4), pp. 483-8. |
| DOI: | 10.1097/QAD.0b013e32834f9833 |
| Abstrakt: | Objective: To test a new behavioral intervention for black MSM in reducing sexual risk and increasing social support and intentions to use condoms. Design: A single-site, unblinded randomized trial in New York City with 3-month follow-up. Methods: Participants (n = 283) reporting at least two sexual partners and unprotected anal intercourse with a man in the past 3 months were enrolled and randomized to a social-cognitive theory-based intervention or control comparison. Men in the intervention group participated in five 2-h group sessions focused on creating a group environment with sexual risk-reduction information and exercises woven into joint meal preparation and sharing activities, while exploring self-efficacy perceptions and outcome expectancies. Intervention (n = 142) and control (n = 141) groups received standard HIV counseling and testing at baseline. Results: No significant differences were found between study arms at 3 months in number of male partners, number of unprotected anal intercourse partners, proportion reporting unprotected sex, number of acts protected by condoms, self-efficacy, condom attitudes, condom intentions, social isolation and psychological distress. In both arms combined, declines from baseline to 3 months were observed in sexual risk behaviors, social isolation and psychological distress, whereas self-efficacy, condom attitudes and condom intentions improved. Conclusion: As the HIV epidemic continues to have a dramatic impact on black MSM in the USA, the urgency to design innovative interventions continues. |
| Databáze: | MEDLINE |
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