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Description:Eban is a culturally congruent, couple-based intervention consisting of 8 weekly sessions delivered by male and female African American co-facilitators. The intervention includes 4 sessions delivered to individual couples (sessions 2, 3, 4 & 8) and 4 sessions delivered to groups of 3 to 5 couples (sessions 1, 5, 6 & 7). The African concept of Eban, or fence --a symbol of safety, security, and love within one’s family and relationships--is incorporated throughout the intervention. The principles of Nguzo Saba (unity, self-determination, collective work and responsibility, cooperative economics, purpose, creativity and faith) are emphasized in intervention sessions to motivate couples to use condoms consistently to protect each other and their community. Individual couple sessions focus on interpersonal factors associated with sexual risk reduction, including communication, problem solving, monogamy, and negotiation skills. Skills taught in the individual couple sessions are reinforced in the group sessions. Group sessions address community -level factors such as increasing positive norms for condom use, reducing stigma associated with being an African American couple affected by HIV, and increasing social support for HIV risk reduction. All sessions after the first one follow the same general format: (1) review the highlights of the previous session; (2) review homework assignments and difficulties encountered; (3) present and discuss HIV/STD topics; (4) model and role play risk reduction skills; (5) revisit weekly progress for each couple’s risk reduction goals, identify barriers, and reset goals for the upcoming week; and (6) review new homework.
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