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document
A randomized trial of a behavioral intervention for black MSM : the DiSH study . OBJECTIVE To test a new behavioral intervention for black MSM 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 two 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-h 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 , whereas self-efficacy , condom attitudes and condom intentions improved . CONCLUSION As the HIV epidemic continues to have a dramatic impact on black MSM in the USA , the urgency to design innovative interventions continues .
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Intervention_Psychological
behavioral intervention
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Intervention_Psychological
social-cognitive theory-based intervention
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Intervention_Physical
or
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Intervention_Control
control comparison
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Outcome_Mental
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
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Outcome_Mental
sexual risk behaviors , social isolation and psychological distress
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Outcome_Mental
self-efficacy , condom attitudes and condom
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Participant_Sample-size
283