Behavioral intervention to reduce AIDS risk activities.

Kelly, Jeffrey A.; Lawrence, Janet S. St.; Hood, Harold V.; Brasfield, Ted L.

doi:10.1037/0022-006x.57.1.60

Cited by 313 publications

(183 citation statements)

References 24 publications

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“…While other interventions for HIV-positive MSM have also demonstrated promise in increasing safer sex behaviors (Kelly et al, 1990;Kelly et al, 1989;Patterson et al, 2003;Peterson et al, 1996), most of these interventions were not conducted with drug users, or users of methamphetamine in particular. Recently, however, in a Los Angeles based study of treatmentseeking MSM, Reback et al (2004) demonstrated that treatment for methamphetamine use was associated with more safer sex at one-year follow-up.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of a behavioral intervention for increasing safer sex behaviors in HIV-positive MSM methamphetamine users: Results from the EDGE study

Mausbach¹,

Semple²,

Strathdee³

et al. 2007

Drug and Alcohol Dependence

108

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Background-Methamphetamine use has been associated with rising STI/HIV transmission rates, particularly among men who have sex with men (MSM). Interventions which successfully reduce risk for HIV transmission among this population are a public health priority. This study examined the efficacy of a behavioral intervention for increasing safer sex behaviors in the context of ongoing methamphetamine use in a sample of HIV-positive, methamphetamine-using MSM.Methods-Three-hundred forty one participants from San Diego, CA were randomly assigned to receive either a safer sex behavioral intervention (EDGE) or a time-equivalent diet-and-exercise attention-control condition. Random effects regression analyses were used to evaluate change in safer sex behaviors over a 12-month period.Results-Participants in the EDGE intervention engaged in significantly more protected sex acts at the 8-month (p = .034) and 12-month assessment (p = 0.007). By 12-months post-baseline, a greater percentage of protected sex acts that was observed for EDGE (25.8%) vs. control participants (18.7%) (p = 0.038). There was a significant time-by-intervention interaction (p = .018) for self-efficacy for condom use, suggesting that EDGE participants' self-efficacy demonstrated a greater increase over time compared to control participants.Conclusions-These results suggest that it is possible to reduce high risk sexual behaviors in the context of ongoing methamphetamine use among HIV-infected MSM.

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Section: Discussionmentioning

confidence: 99%

Efficacy of a behavioral intervention for increasing safer sex behaviors in HIV-positive MSM methamphetamine users: Results from the EDGE study

Mausbach¹,

Semple²,

Strathdee³

et al. 2007

Drug and Alcohol Dependence

108

View full text Add to dashboard Cite

show abstract

“…Behavioral skills training included self-management skills and sexual assertiveness training (Kelly, 1995;Kelly et al, 1989Kelly et al, , 1994. Consistent with social-cognitive theory, this approach involves preparing clients to buy, keep, and use condoms; to identify high risk situations (e.g., negative affect, substance use); to alter cognitions related to behavior change (e.g., strengthening of efficacy beliefs, countering negative condom attitudes); and, importantly, to negotiate condom use with partners.…”

Section: Methodsmentioning

confidence: 99%

Enhancing motivation to reduce the risk of HIV infection for economically disadvantaged urban women.

Carey¹,

Maisto²,

Kalichman³

et al. 1997

Journal of Consulting and Clinical Psychology

206

170

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This research evaluated a motivation-based HIV-risk-reduction intervention for economically disadvantaged urban women. Participants completed a survey that assessed HIV-related knowledge, risk perceptions, behavioral intentions, sexual communication, substance use, and risk behavior. A total of 102 at-risk women (76% African-American) were randomly assigned to either the riskreduction intervention or to a waiting list. Women were reassessed at three and twelve weeks. Results indicated that treated women increased their knowledge and risk awareness, strengthened their intentions to adopt safer sexual practices, communicated their intentions with partners, reduced substance use proximal to sexual activities, and engaged in fewer acts of unprotected vaginal intercourse. These effects were observed immediately and most were maintained at follow-up.

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“…In addition, the effect of behavioral skills training-which was developed by psychologists in the domain of HIV prevention (Kelly, St. Lawrence, Betts, Brasfield, & Hood, 1990;Kelly, St. Lawrence, Hood, & Brasfield, 1989)-on changes in condom use permits an assessment of the viability of this model for HIV prevention and for behavioral change in general. In this regard, our meta-analysis suggests that self-management skills are essential to regulate condom use, whereas condom use skills are important for males and interpersonal skills are important for females who are strongly motivated to avoid unsafe sex with their intravenous drug use partners.…”

Section: Nih-pa Author Manuscriptmentioning

confidence: 99%

A Test of Major Assumptions About Behavior Change: A Comprehensive Look at the Effects of Passive and Active HIV-Prevention Interventions Since the Beginning of the Epidemic.

Albarracín¹,

Gillette²,

Earl³

et al. 2005

Psychological Bulletin

681

644

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This meta-analysis tested the major theoretical assumptions about behavior change by examining the outcomes and mediating mechanisms of different preventive strategies in a sample of 354 HIVprevention interventions and 99 control groups, spanning the past 17 years. There were 2 main conclusions from this extensive review. First, the most effective interventions were those that contained attitudinal arguments, educational information, behavioral skills arguments, and behavioral skills training, whereas the least effective ones were those that attempted to induce fear of HIV. Second, the impact of the interventions and the different strategies behind them was contingent on the gender, age, ethnicity, risk group, and past condom use of the target audience in ways that illuminate the direction of future preventive efforts. Keywords behavior change; active intervention; HIV; health; communicationThe development of effective health behavior interventions and adequate understanding of the processes that underlie change to risky behavior continues to top the agenda for reducing disease and death among at-risk populations. For example, infection with HIV has been diagnosed in almost 1 million people in the United States (Centers for Disease Control [CDC], 2003) as well as an estimated 40 million worldwide (UNAIDS/ WHO Working Group, 2002). In some countries, the epidemic continues to escalate, and even in nations that have successfully Copyright 2005 by the American Psychological AssociationCorrespondence concerning this article should be addressed to Dolores Albarracín, Department of Psychology, University of Florida, Gainesville, FL 32611. E-mail: E-mail: dalbarra@ufl.edu. NIH Public Access NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript curbed the spread of the disease, certain groups still show increases in infection rates (see, e.g., CDC, 2003). Given these distressing figures, it is no surprise that research on HIV prevention has become increasingly important and progressively more sophisticated. Indeed, HIV prevention presently constitutes one of the most significant paradigms for the discovery of health behavior change techniques and for the understanding of the theoretical processes that underlie such change.In fact, the HIV epidemic of the 1980s stimulated the uniting of funds and expertise from various disciplines in the development of a shared behavior-change paradigm. As a key example, in 1992, a group of behavioral researchers joined forces-upon request from the National Institutes of Health-to develop a paradigm for behavior change that would guide research and practice in the prevention of HIV (see Fishbein et al., 1992). Various models were examined, and the key assumptions were condensed into a limited number of premises that illuminated preventive efforts.Although the various models had independently received broad support, this support was derived almost entirely from behavior prediction studies. However, the formulation of these general assumptions contributed to...

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Behavioral intervention to reduce AIDS risk activities.

Cited by 313 publications

References 24 publications

Efficacy of a behavioral intervention for increasing safer sex behaviors in HIV-positive MSM methamphetamine users: Results from the EDGE study

Efficacy of a behavioral intervention for increasing safer sex behaviors in HIV-positive MSM methamphetamine users: Results from the EDGE study

Enhancing motivation to reduce the risk of HIV infection for economically disadvantaged urban women.

A Test of Major Assumptions About Behavior Change: A Comprehensive Look at the Effects of Passive and Active HIV-Prevention Interventions Since the Beginning of the Epidemic.

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