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A randomized trial of a behavioral intervention for black MSM: The DiSH study

Koblin, BA and Bonner, S and Powell, B and Metralexis, P and Egan, JE and Patterson, J and Xu, G and Hoover, DR and Goodman, K and Chin, J and Tieu, HV and Spikes, P (2012) A randomized trial of a behavioral intervention for black MSM: The DiSH study. AIDS, 26 (4). 483 - 488. ISSN 0269-9370

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Objective: To test a new behavioral intervention for black MSM 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 two 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-h 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, whereas self-efficacy, condom attitudes and condom intentions improved. Conclusion: As the HIV epidemic continues to have a dramatic impact on black MSM in the USA, the urgency to design innovative interventions continues. © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Koblin, BA
Bonner, S
Powell, B
Metralexis, P
Egan, JEjee48@pitt.eduJEE48
Patterson, J
Xu, G
Hoover, DR
Goodman, K
Chin, J
Tieu, HV
Spikes, P
Centers: Other Centers, Institutes, Offices, or Units > Center for LGBT Health Research
Date: 20 February 2012
Date Type: Publication
Journal or Publication Title: AIDS
Volume: 26
Number: 4
Page Range: 483 - 488
DOI or Unique Handle: 10.1097/qad.0b013e32834f9833
Schools and Programs: School of Public Health > Behavioral and Community Health Sciences
Refereed: Yes
ISSN: 0269-9370
Date Deposited: 12 Jun 2013 21:07
Last Modified: 30 Jan 2019 00:55


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