Effectiveness of a video-based motivational skills-building HIV risk-reduction intervention for inner-city African American men

J Consult Clin Psychol. 1999 Dec;67(6):959-66. doi: 10.1037//0022-006x.67.6.959.


Interventions to reduce HIV risk behavior have shown promise but have demonstrated inconsistent effects with heterosexual men. This article reports a cognitive-behavioral HIV risk reduction intervention designed for heterosexually active African American men. Men (N = 117) recruited from a public clinic were randomly assigned to either (a) a 6-hr video-based small group motivational-skills intervention or (b) a 6-hr video-based contact-matched HIV education comparison group. Results showed men in the motivational-skills intervention reported lower rates of unprotected vaginal intercourse and higher rates of condom use at the 3-month follow-up. However, because of increased condom use in the comparison condition, differences between groups dissipated 6 months following the intervention. These findings are among the first to demonstrate effects from a motivational-skills intervention for reducing HIV risk in men who have sex with women using a model designed to facilitate transferring prevention technology to community settings.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Acquired Immunodeficiency Syndrome / prevention & control*
  • Adolescent
  • Adult
  • Black or African American / psychology*
  • Contraception Behavior / psychology
  • Female
  • Follow-Up Studies
  • Health Knowledge, Attitudes, Practice*
  • Health Promotion*
  • Humans
  • Male
  • Middle Aged
  • Motivation*
  • Risk Factors
  • Sexual Behavior / psychology
  • Treatment Outcome
  • Urban Population*
  • Video Recording