This application is in response to the Program Announcement BRIEF INTERVENTIONS TO PREVENT THE SPREAD OF AIDS (PA 95-070) and requests 3 years of support to test brief HIV risk reduction counseling intervention models for men and women at risk for HIV and other sexually transmitted infections. Based on Fisher and Fisher's (1992) Information-Motivation-Behavioral Skills model (IMB), we will systematically manipulate two independent intervention components (motivational enhancement and risk reduction skills building) within the context of a single 60-minute face to face counseling session delivered to sexually transmitted disease (STD) clinic clients. We will recruit 400 women and 400 men from a city STD clinic who meet high-risk behavior criteria. Participants will be randomly assigned to 1 of 4 brief HIV risk reduction counseling experimental conditions: (a) a single 60-minute counseling session that delivers information about HIV sexual transmission risks, motivational enhancement counseling, and cognitive-behavioral skills for HIV risk reduction; or (b) a single 60-minute counseling session that delivers HIV risk reduction information and motivational enhancement without any cognitive-behavioral skills building components; or (c) a single 60-minute counseling session delivering risk reduction information and risk reduction skills building without motivational enhancement components; or (d) a single 60-minute counseling session delivering only HIV risk reduction information without motivational enhancement and without skills building components. Using the proposed 2 (motivational enhancement / no motivational enhancement) X 2 (behavioral skills building / no behavioral skills building) X 2 gender (male/female) complete factorial design we will assess the effects of brief counseling on incident sexually transmitted diseases, sexual risk behaviors, and condom use over 1-, 3-, 6-, and 12-month follow-up periods. We hypothesize that motivational and behavioral skills components will reduce risk, but a significant interaction will show the complete IMB intervention model is most effective in reducing STD and risk behavior outcomes. In addition we will use mediation and cost-effectiveness analyses to further examine the change mechanisms and the utility of the brief interventions tested in the proposed research. Results of the proposed study will guide the allocation of HIV prevention resources in establishing brief and effective HIV risk reduction counseling services for populations vulnerable to HIV infection.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
5R01MH061672-02
Application #
6392798
Study Section
Special Emphasis Panel (ZRG1-AARR (01))
Program Officer
Pequegnat, Willo
Project Start
2000-09-30
Project End
2002-06-03
Budget Start
2001-09-01
Budget End
2002-06-03
Support Year
2
Fiscal Year
2001
Total Cost
$552,790
Indirect Cost
Name
Medical College of Wisconsin
Department
Psychiatry
Type
Schools of Medicine
DUNS #
073134603
City
Milwaukee
State
WI
Country
United States
Zip Code
53226
Walsh, Jennifer L; Weinhardt, Lance S; Kalichman, Seth C et al. (2017) Using Integrative Data Analysis to Examine Changes in Alcohol Use and Changes in Sexual Risk Behavior Across Four Samples of STI Clinic Patients. Ann Behav Med 51:39-56
Kalichman, Seth C; Cain, Demetria; Simbayi, Leickness C (2011) Multiple recent sexual partnerships and alcohol use among sexually transmitted infection clinic patients, Cape Town, South Africa. Sex Transm Dis 38:18-23
Kalichman, Seth C; Cain, Demetria; Simbayi, Leickness C (2010) Behavioral changes associated with testing HIV-positive among sexually transmitted infection clinic patients in Cape Town, South Africa. Am J Public Health 100:714-9
Kalichman, S C; Simbayi, L C; Cain, D et al. (2009) Heterosexual anal intercourse among community and clinical settings in Cape Town, South Africa. Sex Transm Infect 85:411-5
Kalichman, Seth C; Cain, Demetria (2008) Repeat HIV testing and HIV transmission risk behaviors among sexually transmitted infection clinic patients. J Clin Psychol Med Settings 15:127-33
Kalichman, Seth C; Cain, Demetria; Knetch, Joanna et al. (2005) Patterns of sexual risk behavior change among sexually transmitted infection clinic patients. Arch Sex Behav 34:307-19
Kalichman, Seth C; Cain, Demetria (2005) Perceptions of local HIV/AIDS prevalence and risks for HIV/AIDS and other sexually transmitted infections: preliminary study of intuitive epidemiology. Ann Behav Med 29:100-5
Kalichman, Seth C; Cain, Demetria; Weinhardt, Lance et al. (2005) Experimental components analysis of brief theory-based HIV/AIDS risk-reduction counseling for sexually transmitted infection patients. Health Psychol 24:198-208
Simbayi, Leickness C; Kalichman, Seth C; Jooste, Sean et al. (2005) Risk factors for HIV-AIDS among youth in Cape Town, South Africa. AIDS Behav 9:53-61
Kalichman, Seth C; Cain, Demetria (2004) A prospective study of sensation seeking and alcohol use as predictors of sexual risk behaviors among men and women receiving sexually transmitted infection clinic services. Psychol Addict Behav 18:367-73

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