Kelly, J.A., Murphy, DA, Washington, C.D., Wilson, T.S., et al., (1994). American Journal of Public Health, 84 (12), 1918 - 1922
Description of Intervention: Cognitive-Behavioral Skills Training Group
The intervention incorporated cognitive-behavioral and risk-reduction skills training principles and peer support elements. It consisted of 4 weekly group sessions, 90 minutes each. There were 8 to 10 women in each group. The sessions were conducted in Milwaukee, Wisconsin by 2 female group leaders.
The sessions provided detailed information about HIV risk and focused on behaviors that increase risk, common misconceptions about AIDS, and steps to reduce the risk of contracting the disease. National and local HIV seroprevalence and epidemiology statistics were summarized to personalize risk situations for the women, including the possibility of encountering an infected partner.
Exercises emphasized cognitive-attitudinal areas, behavioral skills, and social factors. Participants role-played initiating discussion of concerns about AIDS and condom use with potential sex partners and resisting sexual pressure from a man whose risk history was unknown or with whom the woman did not want to have sex.
Skills-building was a critical component of this intervention. Condom demonstration and practice were provided to desensitize participants to condom use. Also, attention was directed toward recognizing, understanding, and managing one's personal triggers for high-risk behavior. |
Intervention Goal(s): To determine the effects of a small group intervention on high-risk behaviors.
Intervention Setting: Inner-city health clinic.
Population: Of the 197 women who were enrolled in the study, 87% were African American, 3% were Hispanic, 4% were American Indian, and 6% were white. The average age of participants was 29 years, and 97% of the whole group was unemployed. Average education level was some high school.
Comparison Condition: Family and child nutrition intervention.
Behavioral Findings: Women who participated in the intervention reported a significantly greater increase in condom use with their partners and a significantly greater decrease in their frequency of engaging in unprotected sex than women in the comparison condition. Contact:
Jeffrey A. Kelly, PhD
Medical College of Wisconsin
2071 North Summit Avenue
Milwaukee, WI 53202Phone: 414 456 7700
Fax: 414 287 4209
E-mail:
jsherman@post.its.mcw.edu
Go to Women and Infants Demonstration Projects
(WIDP)
This study meets CDC's HIV/AIDS Prevention Research Synthesis project criteria for relevance and methodological rigor and also has the positive and significant behavioral/health findings required for the Compendium. Date added 1/99
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