The spread of the human immunodeficiency virus (HIV) and its associated acquired immunodeficiency syndrome (AIDS) epidemic has grown to constitute the most serious threat to worldwide public health. Current interventions focus on preventing new HIV infections through safer injection drug use and sexual behavior. There is currently a paucity of empirically documented, theory-based HIV-risk-reduction interventions for the seriously mentally ill, a population at enhanced risk for HIV infection. Fisher and Fisher (1992) have proposed the """"""""Information- Motivation-Behavioral Skills"""""""" (IMB) model of HIV-preventive behavior, which asserts that information and motivation work through behavioral skills to promote preventive behavior, thereby decreasing risk for HIV infection. In the proposed study, each of the three key constructs of the IMB model (operationalized in a controlled experimental context) will be studied using a """"""""treatment dismantling design"""""""" in a sample of seriously mentally ill outpatients. Subjects will be randomly assigned to one of three interventions [Information only (I) v. information plus behavioral skills (IB) v. information plus motivation plus behavioral skills (IMB)], or to a wait-list control condition. Of primary interest is the efficacy of these interventions at reducing HIV-related risk behavior. The following pattern of results is expected, with higher scores indicative of greater reduction of risk behaviors: Full IMB model intervention > IB > l = control condition.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Predoctoral Individual National Research Service Award (F31)
Project #
1F31MH011125-01
Application #
2242645
Study Section
Psychobiological, Biological, and Neurosciences Subcommittee (MHAI)
Project Start
1996-01-07
Project End
Budget Start
1995-08-01
Budget End
1996-07-31
Support Year
1
Fiscal Year
1995
Total Cost
Indirect Cost
Name
Syracuse University
Department
Psychology
Type
Schools of Arts and Sciences
DUNS #
002257350
City
Syracuse
State
NY
Country
United States
Zip Code
13244
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Weinhardt, L S; Carey, K B; Carey, M P (2000) HIV risk sensitization following a detailed sexual behavior interview: a preliminary investigation. J Behav Med 23:393-8
Weinhardt, L S; Carey, M P; Johnson, B T et al. (1999) Effects of HIV counseling and testing on sexual risk behavior: a meta-analytic review of published research, 1985-1997. Am J Public Health 89:1397-405
Weinhardt, L S; Carey, M P; Carey, K B (1998) HIV-risk behavior and the public health context of HIV/AIDS among women living with a severe and persistent mental illness. J Nerv Ment Dis 186:276-82
Weinhardt, L S; Carey, M P; Carey, K B et al. (1998) Increasing assertiveness skills to reduce HIV risk among women living with a severe and persistent mental illness. J Consult Clin Psychol 66:680-4
Weinhardt, L S; Carey, M P; Maisto, S A et al. (1998) Reliability of the timeline follow-back sexual behavior interview. Ann Behav Med 20:25-30