Developing an HIV prevention intervention for a randomized trial.

Important note: Information in this article was accurate in 1993. The state of the art may have changed since the publication date.

Developing an HIV prevention intervention for a randomized trial.

Int Conf AIDS. 1993 Jun 6-11;9(1):102 (abstract no. WS-C21-1). Unique Identifier : AIDSLINE MED/93333235
Kamb M; MacGowan R; Rhodes F; Kent C; Hoxworth T; Sweet D; Spitalny K; Project RESPECT; CDC, Atlanta.

Abstract: BACKGROUND: For a randomized trial evaluating HIV prevention counseling, five urban STD clinics (Long Beach, San Francisco, Denver, Baltimore, Newark) are developing an HIV counseling intervention for STD patients. METHODS: Sites conducted a series of 4- to 6-week pilot studies to develop one acceptable clinic-based, multi-session intervention to increase condom use. RESULTS: Six pilots have been completed, and overall, 1733 (35% of eligible) patients agreed to attend from 3 to 6 extra clinic-based counseling sessions. Enrollment was highest among patients who were young (44% < or = 24 yrs v. 33% > 24 yrs), black (42% v. 33% Hispanic, 31% white), women (43% v. 35% men), unemployed (59% v. 40% employed full time), or had no previous clinic visit (42% vs. 33% with prior visit). At enrollment, 50% reported sex with > 1 partner during the previous 3 months, and 63% reported no condom use. Pilots varying the intervention format found individual, group, and a combination of individual and group sessions to be acceptable to participants at all sites. Mixed" groups of both men and women, and people of varying racial/ethnic backgrounds and sexual preference were well attended, and participants subjectively reported high satisfaction. Payment (range $40-60 total, all sessions) improved complete attendance (all sessions) substantially (64% paid v. 49% not paid, p = .004). Trials to increase complete attendance found rates were highest (up to 91%) when participants were paid and all sessions were completed within 2-3 weeks and within 3 sessions. Over 90% of those polled reported the sessions to be useful" and "enjoyable." CONCLUSION: High-risk STD clinic patients will participate in additional clinic-based counseling sessions. Based on the pilots, an intervention with one mixed group and 3 individual sessions is being considered for the randomized trial.

Keywords: *Acquired Immunodeficiency Syndrome/PREVENTION & CONTROL *Counseling *HIV Infections/PREVENTION & CONTROL
931130
M93B5813

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