Experimental components analysis of brief theory-based HIV/AIDS risk-reduction counseling for sexually transmitted infection patients

Health Psychol. 2005 Mar;24(2):198-208. doi: 10.1037/0278-6133.24.2.198.

Abstract

An experimental components analysis of brief HIV risk-reduction counseling based on the information-motivation-behavioral skills (IMB) model was conducted with 432 men and 193 women receiving sexually transmitted infection (STI) clinic services. Following baseline assessments, participants were randomly assigned to 1 of 4 90-min risk-reduction counseling sessions that deconstructed the IMB model within a full factorial design. Participants were followed for 9 months, with STI diagnoses monitored over 12 months. Men who received the full IMB session evidenced relatively greater use of risk-reduction behavioral skills and relatively lower rates of unprotected intercourse over 6-months follow-up and had fewer new STIs. For women, however, the motivational counseling demonstrated the most positive outcomes. Results suggest that brief single-exposure HIV prevention counseling can reduce HIV transmission risks.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Acquired Immunodeficiency Syndrome / prevention & control*
  • Adult
  • Counseling / methods*
  • Female
  • HIV Seropositivity / transmission*
  • Humans
  • Male
  • Psychological Theory*
  • Risk Reduction Behavior*
  • Sexually Transmitted Diseases / prevention & control*