title: Effectiveness of a video-based motivational skills-building HIV risk-reduction intervention for inner-city African American men.
abstract: 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.
authors.affiliation: Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee 53226, USA. sethk@mcw.edu
authors.forename: S C
authors.initials: SC
authors.lastname: Kalichman
authors.forename: C
authors.initials: C
authors.lastname: Cherry
authors.forename: F
authors.initials: F
authors.lastname: Browne-Sperling
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000517:prevention & control*; D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology*; D003268:Contraception Behavior / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D012307:Risk Factors; D012725:Sexual Behavior / Q000523:psychology; D016896:Treatment Outcome; D014505:Urban Population; D014741:Video Recording