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A randomized trial of a behavioral intervention for Black men who have sex with men: The DiSH Study
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Feb 20 2012
Source: AIDS. 26(4):483-488. -
Alternative Title:AIDS
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Description:Objective
To test a new behavioral intervention for Black men who have sex with men 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 2 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-hour 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 while self-efficacy, condom attitudes and condom intentions improved.
Conclusions
As the HIV epidemic continues to have a dramatic impact on Black MSM in the US, the urgency to design innovative interventions continues.
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Pubmed ID:22156967
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Pubmed Central ID:PMC4633031
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