A randomized trial of a behavioral intervention for Black men who have sex with men: The DiSH Study.

Published: December 7, 2011

Abstract
OBJECTIVE:

To test a new behavioral intervention for Black men who have sex with men in reducing sexual risk and increasing social support and intentions to use condoms.
DESIGN:

A single site, unblinded randomized trial in New York City with 3-month follow-up.
METHODS:

Participants (n?=?283) reporting at least 2 sexual partners and unprotected anal intercourse with a man in the past 3 months were enrolled and randomized to a social-cognitive theory based intervention or control comparison. Men in the intervention group participated in five 2-hour group sessions focused on creating a group environment with sexual risk-reduction information and exercises woven into joint meal preparation and sharing activities, while exploring self-efficacy perceptions and outcome expectancies. Intervention (n?=?142) and control (n?=?141) groups received standard HIV counseling and testing at baseline.
RESULTS:

No significant differences were found between study arms at 3 months in number of male partners, number of unprotected anal intercourse partners, proportion reporting unprotected sex, number of acts protected by condoms, self-efficacy, condom attitudes, condom intentions, social isolation and psychological distress. In both arms combined, declines from baseline to 3-months were observed in sexual risk behaviors, social isolation and psychological distress while self-efficacy, condom attitudes and condom intentions improved.
CONCLUSIONS:

As the HIV epidemic continues to have a dramatic impact on Black MSM in the US, the urgency to design innovative interventions continues.

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