The long-term objective of this research is to develop a feasible and effective HIV prevention strategy for use in publicly funded sexually transmitted disease (STD) clinics. Even though patients attending STD clinics are infected with HIV at alarmingly high rates, many do not know their HIV serostatus, decline HIV testing, and show limited interest in attending more intensive prevention programs. The proposed research will evaluate whether a two-step approach to HIV prevention, which is guided by behavioral science theory and features both motivational and skills components, achieves three important outcomes: (a) improved participation in HIV prevention services, (b) reduced risky sexual practices, and (c) decreased incidence of STDs. Women (n = 777) and men (n = 777) seeking care at a large, publicly-funded STD clinic will be recruited and provide informed written consent. Participants will complete a computer-administered survey at an initial clinic visit, and then will be randomly assigned to one of six intervention conditions. The six interventions will be formed by crossing a brief clinic-based component (two arms: brief motivational vs. brief informational) with a subsequent intensive component (three arms: skills-based vs. information-based vs. no treatment control). After completing both steps of the intervention, patients will be re-assessed at three, 6, and 12-month follow-ups using data obtained from observed participation in HIV prevention services, self-reported behavior, biological specimens, and medical records. Key dependent measures include short-term behavioral outcomes (agreeing to HIV testing, returning for HIV test results, and attending an intensive prevention program) and longer-term behavioral and biological outcomes (sexual risk behavior and incidence of STDs). The investigators predict that the brief motivational component will increase participation in HIV prevention services, and that the intensive skills-based component will reduce risk behavior and lead to fewer incident infections. It is also expected that patients receiving the motivational component will benefit most from the intensive component. The proposed research addresses a critical national and international HIV prevention priority, namely, motivating high-risk patients to engage in, and benefit from, HIV prevention services. The innovative use of a two-step approach, coupling motivational and behavioral skills components, will advance HIV prevention science and practice. ? ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
5R01MH068171-03
Application #
6873037
Study Section
AIDS and Related Research 8 (AARR)
Program Officer
Forsyth, Andrew D
Project Start
2003-07-01
Project End
2008-04-30
Budget Start
2005-05-01
Budget End
2006-04-30
Support Year
3
Fiscal Year
2005
Total Cost
$655,435
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
Dunne, Eugene M; Senn, Theresa E; Carey, Kate B et al. (2018) Factors related to life satisfaction among urban African American adults receiving care at a publicly-funded sexual health clinic. Psychol Health Med 23:360-368
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
McGarrity, Larissa A; Senn, Theresa E; Walsh, Jennifer L et al. (2017) Psychological Distress Moderates the Intention-Behavior Association for Sexual Partner Concurrency Among Adults. AIDS Behav 21:1567-1571
Carey, Kate B; Senn, Theresa E; Walsh, Jennifer L et al. (2016) Alcohol Use Predicts Number of Sexual Partners for Female but not Male STI Clinic Patients. AIDS Behav 20 Suppl 1:S52-9
Senn, Theresa E; Walsh, Jennifer L; Carey, Michael P (2016) Mediators of the Relation Between Community Violence and Sexual Risk Behavior Among Adults Attending a Public Sexually Transmitted Infection Clinic. Arch Sex Behav 45:1069-82
Carey, Michael P; Senn, Theresa E; Walsh, Jennifer L et al. (2015) Evaluating a Brief, Video-Based Sexual Risk Reduction Intervention and Assessment Reactivity with STI Clinic Patients: Results from a Randomized Controlled Trial. AIDS Behav 19:1228-46
Senn, Theresa E; Scott-Sheldon, Lori A J; Carey, Michael P (2014) Relationship-specific condom attitudes predict condom use among STD clinic patients with both primary and non-primary partners. AIDS Behav 18:1420-7
Senn, Theresa E; Walsh, Jennifer L; Carey, Michael P (2014) The mediating roles of perceived stress and health behaviors in the relation between objective, subjective, and neighborhood socioeconomic status and perceived health. Ann Behav Med 48:215-24
Mittal, Mona; Senn, Theresa E; Carey, Michael P (2013) Fear of violent consequences and condom use among women attending an STD clinic. Women Health 53:795-807
Walsh, Jennifer L; Senn, Theresa E; Carey, Michael P (2013) Longitudinal associations between health behaviors and mental health in low-income adults. Transl Behav Med 3:104-13

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