Relapse prevention as an interventive model for HIV risk reduction in gay and bisexual men. NLM AIDSLINE Important note: Information in this article was accurate in 1998. The state of the art may have changed since the publication date.

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Relapse prevention as an interventive model for HIV risk reduction in gay and bisexual men.

AIDS Educ Prev. 1998 Feb;10(1):1-18. Unique Identifier : AIDSLINE MED/98165993
Roffman RA; Stephen RS; Curtin L; Gordon JR; Craver JN; Stern M; Beadnell B; Downey L; School of Social Work, University of Washington, Seattle 98105-6299,; USA.

Abstract: Despite considerable self-initiated HIV risk reduction among men who have sex with men, little is known about how to design interventions that will effectively assist individuals from this population in maintaining safer sex behaviors over time. The present study evaluated the effectiveness of a 17-session group counseling intervention that incorporated components based on a cognitive-behavioral model of relapse. Differential behavioral outcomes following treatment included an increase in the percentage of sexual activities that were protected and a decrease in unprotected oral sex. However, considerable risk reduction (e.g., increased condom use, decreased unprotected sex, and decreases in the number of male partners and in the total number of sexual acts) occurred in both treated and untreated participants. Measures of mediating attitudinal variables drawn from relapse prevention theory largely predicted behavioral changes. Over time, several of the risk reduction behaviors achieved at posttreatment were not maintained, suggesting the importance of further developing effective strategies for supporting behavior change maintenance.
Keywords: *Bisexuality/PSYCHOLOGY *Counseling *Health Behavior *Homosexuality, Male/PSYCHOLOGY *HIV Infections/PREVENTION & CONTROL *Risk-TakingKWDbisexuality/psychologyKWDcounselingKWDhealthbehaviorKWDhomosexuality,male/psychologyKWDhivinfections/prevention&controlKWDrisk-taking
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Copyright © 1998 - National Library of Medicine. Reproduced under license with the National Library of Medicine, Bethesda, MD.

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