A skills-training group intervention model to assist persons in reducing risk behaviors for HIV infection. AIDS Educ Prev 1990;2(1):24-35
Date
01/01/1990Pubmed ID
2386651Scopus ID
2-s2.0-0025675824 (requires institutional sign-in at Scopus site) 76 CitationsAbstract
Fifteen gay men with a history of recent high-risk sexual activities attended seven group sessions that provided risk education, training in self-management skills pertinent to risk reduction, sexual assertiveness training, and problem solving with respect to health consciousness, social supports, and efficacy of risk-reduction change. Before and after intervention, subjects completed measures of AIDS risk knowledge, sexual practices occurring over 4-month retrospective periods, and self-monitored records of ongoing sexual activities and participated in role plays assessing behavioral assertiveness skill for resisting high-risk coercions. Eight-month follow-up data were also collected. Subjects exhibited substantial and well-maintained change following intervention in behaviors relevant to HIV infection risk, including frequency of unprotected anal intercourse (which decreased to near-zero levels), condom use (which increased to almost 90% of intercourse occasions), and in an index that reflects the multiplicative function of risk behaviors frequency by the number of partners with whom high-risk behaviors occurs. This demonstration provides further evidence that skills-training approaches can assist individuals in implementing behavior changes to reduce risk for AIDS and identifies a model relevant to counseling efforts in AIDS prevention programs, HIV counseling and testing programs, drug abuse and STD clinics, and other applied settings.
Author List
Kelly JA, St Lawrence JS, Betts R, Brasfield TL, Hood HVAuthor
Jeffrey A. Kelly PhD Professor in the Psychiatry and Behavioral Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentAdult
Cognition
Follow-Up Studies
HIV Infections
Health Education
Homosexuality
Humans
Male
Middle Aged
Risk Factors
Sexual Behavior
Social Support
