Outcomes and lessons from a pilot RCT of a community-based HIV prevention multi-session group intervention for gay men

AIDS Care
R HardingJ Warner

Abstract

This paper presents the first outcome evaluation of multi-session groupwork for HIV prevention among gay men in the UK. This community-based RCT recruited 50 men, of whom 42% were HIV-positive or untested, and 32% reported status unknown or serodiscordant UAI in the previous 12 months. No knowledge, skills, attitudinal or behavioural differences were detected between intervention and control at baseline. At eight weeks, those attending the group reported significant gains over their control in making sexual choices, physical safety, HIV and STI transmission knowledge, and sexual negotiation skills. At 20 weeks, significant differences remained for HIV and STI transmission knowledge and comfort with sexual choices. Although no behavioural differences were detected, the aims of the National Prevention Strategy were met. This pilot RCT is appraised in the light of modest sample size and attrition, and recommendations for establishing behavioural outcomes are presented. This study has demonstrated that high-risk community samples can be recruited to multi-session interventions, and has provided feasibility data for future rigorous evaluation designs.

References

May 1, 1995·AIDS·A OakleyJ Holland
Jan 1, 1996·International Journal of STD & AIDS·S O Aral, T A Peterman
Jul 4, 1998·Lancet·S O Aral, T A Peterman
Jun 16, 2001·BMJ : British Medical Journal·J ImrieUNKNOWN Behavioural Intervention in Gay Men Project Study Group
Mar 1, 1996·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·S C KalichmanB T Johnson

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Citations

Jan 10, 2006·AIDS Education and Prevention : Official Publication of the International Society for AIDS Education·Wayne D JohnsonMichael Goodman
Mar 28, 2007·American Journal of Preventive Medicine·Jeffrey H HerbstUNKNOWN Task Force on Community Preventive Services
Apr 23, 2015·PloS One·Fumiyo NakagawaAndrew N Phillips
Jul 23, 2008·The Cochrane Database of Systematic Reviews·Wayne D JohnsonWilliam M McClellan

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