Skip to main content
Erschienen in: AIDS and Behavior 1/2019

23.07.2018 | Original Paper

A Pilot Intervention Trial to Promote Sexual Health and Stress Management Among HIV-Infected Men Who Have Sex with Men

verfasst von: Jennifer L. Brown, Peter A. Vanable, Rebecca A. Bostwick, Michael P. Carey

Erschienen in: AIDS and Behavior | Ausgabe 1/2019

Einloggen, um Zugang zu erhalten

Abstract

Men who have sex with men (MSM) experience HIV disparities. This study pilot-tested a two session, group-delivered intervention to promote sexual health and stress management skills for HIV-infected MSM. Participants (N = 80) were randomized to an immediate or delayed intervention condition. Analyses of covariance examined intervention efficacy. Compared to the delayed condition, intervention condition participants reported: greater HIV transmission knowledge (p < .001), higher HIV disclosure self-efficacy (p = .004), stronger intentions to refuse unprotected sex (p = .05), decreased frequency of unprotected anal or oral sex (p = .03), decreased perceived stress levels (p = .03), and higher coping self-efficacy (p = .003). Differences in the number of unprotected anal sex episodes, condom attitudes, and level of social support did not differ between conditions. Findings provide evidence of intervention acceptability and suggest the brief intervention may enhance stress management skills and modify sexual risk behavior antecedents for HIV-infected MSM.
Literatur
1.
Zurück zum Zitat CDC. Prevalence of diagnosed and undiagnosed HIV infection–United States. Morb Mortal Wkly Rep. 2015;64:657–62. CDC. Prevalence of diagnosed and undiagnosed HIV infection–United States. Morb Mortal Wkly Rep. 2015;64:657–62.
2.
Zurück zum Zitat CDC. HIV surveillance report, 2014. 2015;26. CDC. HIV surveillance report, 2014. 2015;26.
3.
Zurück zum Zitat Grant RM, Lama JR, Anderson PL, McMahan V, Liu AY, Vargas L, et al. Preexposure chemoprophylaxis for HIV prevention in men who have sex with men. N Engl J Med. 2010;363(27):2587–99.PubMedPubMedCentralCrossRef Grant RM, Lama JR, Anderson PL, McMahan V, Liu AY, Vargas L, et al. Preexposure chemoprophylaxis for HIV prevention in men who have sex with men. N Engl J Med. 2010;363(27):2587–99.PubMedPubMedCentralCrossRef
4.
Zurück zum Zitat Brown JL, Sales JM, DiClemente RJ. Combination HIV prevention interventions: the potential of integrated behavioral and biomedical approaches. Curr HIV/AIDS Rep. 2014;11(4):363–75.PubMedPubMedCentralCrossRef Brown JL, Sales JM, DiClemente RJ. Combination HIV prevention interventions: the potential of integrated behavioral and biomedical approaches. Curr HIV/AIDS Rep. 2014;11(4):363–75.PubMedPubMedCentralCrossRef
5.
Zurück zum Zitat Kurth AE, Celum C, Baeten JM, Vermund SH, Wasserheit JN. Combination HIV prevention: significance, challenges, and opportunities. Curr HIV/AIDS Rep. 2011;8(1):62–72.PubMedPubMedCentralCrossRef Kurth AE, Celum C, Baeten JM, Vermund SH, Wasserheit JN. Combination HIV prevention: significance, challenges, and opportunities. Curr HIV/AIDS Rep. 2011;8(1):62–72.PubMedPubMedCentralCrossRef
6.
Zurück zum Zitat Fisher JD, Smith L. Secondary prevention of HIV infection: the current state of prevention for positives. Curr Opin HIV AIDS. 2009;4(4):279–87.PubMedPubMedCentralCrossRef Fisher JD, Smith L. Secondary prevention of HIV infection: the current state of prevention for positives. Curr Opin HIV AIDS. 2009;4(4):279–87.PubMedPubMedCentralCrossRef
7.
Zurück zum Zitat Johnson BT, Carey MP, Chaudoir SR, Reid AE. Sexual risk reduction for persons living with HIV: research synthesis of randomized controlled trials, 1993 to 2004. J Acquir Immune Defic Syndr. 2006;41(5):642–50.PubMedPubMedCentralCrossRef Johnson BT, Carey MP, Chaudoir SR, Reid AE. Sexual risk reduction for persons living with HIV: research synthesis of randomized controlled trials, 1993 to 2004. J Acquir Immune Defic Syndr. 2006;41(5):642–50.PubMedPubMedCentralCrossRef
8.
9.
Zurück zum Zitat Safren SA, Perry NS, Blashill AJ, O’Cleirigh C, Mayer KH. The cost and intensity of behavioral interventions to promote HIV treatment for prevention among HIV-positive men who have sex with men. Arch Sex Behav. 2015;44:1833–41.PubMedPubMedCentralCrossRef Safren SA, Perry NS, Blashill AJ, O’Cleirigh C, Mayer KH. The cost and intensity of behavioral interventions to promote HIV treatment for prevention among HIV-positive men who have sex with men. Arch Sex Behav. 2015;44:1833–41.PubMedPubMedCentralCrossRef
10.
Zurück zum Zitat Yin L, Wang N, Vermund SH, Shepherd BE, Ruan Y, Shao Y, et al. Sexual risk reduction for HIV-infected persons: a meta-analytic review of “positive prevention” randomized clinical trials. Plos ONE. 2014;9(9):e107652.PubMedPubMedCentralCrossRef Yin L, Wang N, Vermund SH, Shepherd BE, Ruan Y, Shao Y, et al. Sexual risk reduction for HIV-infected persons: a meta-analytic review of “positive prevention” randomized clinical trials. Plos ONE. 2014;9(9):e107652.PubMedPubMedCentralCrossRef
11.
Zurück zum Zitat Crepaz N, Lyles CM, Wolitski RJ, Passin WF, Rama SM, Herbst JH, et al. Do prevention interventions reduce HIV risk behaviours among people living with HIV? A meta-analytic review of controlled trials. AIDS. 2006;20(2):143–57.PubMedCrossRef Crepaz N, Lyles CM, Wolitski RJ, Passin WF, Rama SM, Herbst JH, et al. Do prevention interventions reduce HIV risk behaviours among people living with HIV? A meta-analytic review of controlled trials. AIDS. 2006;20(2):143–57.PubMedCrossRef
12.
Zurück zum Zitat Johnson WD, Diaz RM, Flanders WD, Goodman M, Hill AN, Holtgrave D, et al. Behavioral interventions to reduce risk for sexual transmission of HIV among men who have sex with men. Cochrane Database Syst Rev. 2008;2008(3):CD001230. Johnson WD, Diaz RM, Flanders WD, Goodman M, Hill AN, Holtgrave D, et al. Behavioral interventions to reduce risk for sexual transmission of HIV among men who have sex with men. Cochrane Database Syst Rev. 2008;2008(3):CD001230.
13.
Zurück zum Zitat Bachmann LH, Grimley DM, Gao H, Aban I, Chen H, Raper JL, et al. Impact of a computer-assisted, provider-delivered intervention on sexual risk behaviors in HIV-positive men who have sex with men (MSM) in a primary care setting. AIDS Educ Prev. 2013;25(2):87–101.PubMedCrossRef Bachmann LH, Grimley DM, Gao H, Aban I, Chen H, Raper JL, et al. Impact of a computer-assisted, provider-delivered intervention on sexual risk behaviors in HIV-positive men who have sex with men (MSM) in a primary care setting. AIDS Educ Prev. 2013;25(2):87–101.PubMedCrossRef
14.
Zurück zum Zitat Jones KT, Gray P, Whiteside YO, Wang T, Bost D, Dunbar E, et al. Evaluation of an HIV prevention intervention adapted for black men who have sex with men. Am J Public Health. 2008;98(6):1043–50.PubMedPubMedCentralCrossRef Jones KT, Gray P, Whiteside YO, Wang T, Bost D, Dunbar E, et al. Evaluation of an HIV prevention intervention adapted for black men who have sex with men. Am J Public Health. 2008;98(6):1043–50.PubMedPubMedCentralCrossRef
15.
Zurück zum Zitat Rosser SB, Hatfield L, Miner M, Ghiselli M, Lee B, Welles S. Effects of a behavioral intervention to reduce serodiscordant unsafe sex among HIV positive men who have sex with men: the Positive Connections randomized controlled trial study. J Behav Med. 2010;33(2):147–58.PubMedCrossRef Rosser SB, Hatfield L, Miner M, Ghiselli M, Lee B, Welles S. Effects of a behavioral intervention to reduce serodiscordant unsafe sex among HIV positive men who have sex with men: the Positive Connections randomized controlled trial study. J Behav Med. 2010;33(2):147–58.PubMedCrossRef
16.
Zurück zum Zitat Safren SA, O’Cleirigh CM, Skeer M, Elsesser SA, Mayer KH. Project Enhance: a randomized controlled trial of an individualized HIV prevention intervention for HIV-infected men who have sex with men conducted in a primary care setting. Health Psychol. 2013;32(2):171–9.PubMedCrossRef Safren SA, O’Cleirigh CM, Skeer M, Elsesser SA, Mayer KH. Project Enhance: a randomized controlled trial of an individualized HIV prevention intervention for HIV-infected men who have sex with men conducted in a primary care setting. Health Psychol. 2013;32(2):171–9.PubMedCrossRef
17.
Zurück zum Zitat Sikkema KJ, Abler L, Hansen NB, Wilson PA, Drabkin AS, Kochman A, et al. Positive choices: outcomes of a brief risk reduction intervention for newly HIV-diagnosed men who have sex with men. AIDS Behav. 2014;18(9):1808–19.PubMedPubMedCentralCrossRef Sikkema KJ, Abler L, Hansen NB, Wilson PA, Drabkin AS, Kochman A, et al. Positive choices: outcomes of a brief risk reduction intervention for newly HIV-diagnosed men who have sex with men. AIDS Behav. 2014;18(9):1808–19.PubMedPubMedCentralCrossRef
18.
Zurück zum Zitat Wolitski RJ, Parsons JT, Gomez CA. Prevention with HIV-seropositive men who have sex with men: lessons from the Seropositive Urban Men’s Study (SUMS) and the Seropositive Urban Men’s Intervention Trial (SUMIT). J Acquir Immune Defic Syndr. 2004;37(Supplement):S101–9.PubMedCrossRef Wolitski RJ, Parsons JT, Gomez CA. Prevention with HIV-seropositive men who have sex with men: lessons from the Seropositive Urban Men’s Study (SUMS) and the Seropositive Urban Men’s Intervention Trial (SUMIT). J Acquir Immune Defic Syndr. 2004;37(Supplement):S101–9.PubMedCrossRef
19.
Zurück zum Zitat Wolitski RJ, Parsons JT, Gomez CA. Prevention with HIV-seropositive men who have sex with men: lessons from the Seropositive Urban Men’s Study (SUMS) and the Seropositive Urban Men’s Intervention Trial (SUMIT). J Acquir Immune Defic Syndr. 2004;37(Suppl 2):S101–9.PubMedCrossRef Wolitski RJ, Parsons JT, Gomez CA. Prevention with HIV-seropositive men who have sex with men: lessons from the Seropositive Urban Men’s Study (SUMS) and the Seropositive Urban Men’s Intervention Trial (SUMIT). J Acquir Immune Defic Syndr. 2004;37(Suppl 2):S101–9.PubMedCrossRef
20.
Zurück zum Zitat Vanable PA, Carey MP, Brown JL, Littlewood RA, Bostwick R, Blair D. What HIV-positive MSM want from sexual risk reduction interventions: findings from a qualitative study. AIDS Behav. 2012;16(3):554–63.PubMedPubMedCentralCrossRef Vanable PA, Carey MP, Brown JL, Littlewood RA, Bostwick R, Blair D. What HIV-positive MSM want from sexual risk reduction interventions: findings from a qualitative study. AIDS Behav. 2012;16(3):554–63.PubMedPubMedCentralCrossRef
21.
Zurück zum Zitat Courtenay-Quirk C, Wolitski RJ, Hoff C, Parsons JT. Interests in HIV prevention topics of HIV-seropositive men who have sex with men. AIDS Educ Prev. 2003;15(5):401–12.PubMedCrossRef Courtenay-Quirk C, Wolitski RJ, Hoff C, Parsons JT. Interests in HIV prevention topics of HIV-seropositive men who have sex with men. AIDS Educ Prev. 2003;15(5):401–12.PubMedCrossRef
22.
Zurück zum Zitat Collins CB Jr, Hearn KD, Whittier DN, Freeman A, Stallworth JD, Phields M. Implementing packaged HIV-prevention interventions for HIV-positive individuals: considerations for clinic-based and community-based interventions. Public Health Rep. 2010;125(Suppl 1):55–63.PubMedPubMedCentralCrossRef Collins CB Jr, Hearn KD, Whittier DN, Freeman A, Stallworth JD, Phields M. Implementing packaged HIV-prevention interventions for HIV-positive individuals: considerations for clinic-based and community-based interventions. Public Health Rep. 2010;125(Suppl 1):55–63.PubMedPubMedCentralCrossRef
23.
Zurück zum Zitat Lyons T, Johnson AK, Garofalo R. “What could have been different”: a qualitative study of syndemic theory and HIV prevention among young men who have sex with men. J HIV/AIDS Soc Serv. 2013;12(3/4):368–83.CrossRef Lyons T, Johnson AK, Garofalo R. “What could have been different”: a qualitative study of syndemic theory and HIV prevention among young men who have sex with men. J HIV/AIDS Soc Serv. 2013;12(3/4):368–83.CrossRef
24.
Zurück zum Zitat Parsons JT, Rendina HJ, Moody RL, Gurung S, Starks TJ, Pachankis JE. Feasibility of an emotion regulation intervention to improve mental health and reduce HIV transmission risk behaviors for HIV-positive gay and bisexual men with sexual compulsivity. AIDS Behav. 2017;21(6):1540–9.PubMedPubMedCentralCrossRef Parsons JT, Rendina HJ, Moody RL, Gurung S, Starks TJ, Pachankis JE. Feasibility of an emotion regulation intervention to improve mental health and reduce HIV transmission risk behaviors for HIV-positive gay and bisexual men with sexual compulsivity. AIDS Behav. 2017;21(6):1540–9.PubMedPubMedCentralCrossRef
25.
Zurück zum Zitat Gore-Felton C, Koopman C, Spiegel D, Vosvick M, Brondino M, Winningham A. Effects of quality of life and coping on depression among adults living with HIV/AIDS. J Health Psychol. 2006;11(5):711–29.PubMedCrossRef Gore-Felton C, Koopman C, Spiegel D, Vosvick M, Brondino M, Winningham A. Effects of quality of life and coping on depression among adults living with HIV/AIDS. J Health Psychol. 2006;11(5):711–29.PubMedCrossRef
26.
Zurück zum Zitat Catz S, Gore-Felton C, McClure JB. Psychological distress among minority and low-income women living with HIV. Behav Med. 2002;28:53–60.PubMedCrossRef Catz S, Gore-Felton C, McClure JB. Psychological distress among minority and low-income women living with HIV. Behav Med. 2002;28:53–60.PubMedCrossRef
27.
Zurück zum Zitat Griffin KW, Rabkin JG. Psychological distress in people with HIV/AIDS: prevalence rates and methodological issues. AIDS Behav. 1997;1(1):29–42.CrossRef Griffin KW, Rabkin JG. Psychological distress in people with HIV/AIDS: prevalence rates and methodological issues. AIDS Behav. 1997;1(1):29–42.CrossRef
28.
Zurück zum Zitat Moneyham L, Hennessy M, Sowell R, Demi A, Seals B, Mizuno Y. The effectiveness of coping strategies used by HIV-seropositive women. Res Nurs Health. 1998;21(4):351–62.PubMedCrossRef Moneyham L, Hennessy M, Sowell R, Demi A, Seals B, Mizuno Y. The effectiveness of coping strategies used by HIV-seropositive women. Res Nurs Health. 1998;21(4):351–62.PubMedCrossRef
29.
Zurück zum Zitat Morrison MF, Petitto JM, Ten Have T, Gettes DR, Chiappini MS, Weber AL, et al. Depressive and anxiety disorders in women with HIV infection. Am J Psychiatry. 2002;159(5):789–96.PubMedCrossRef Morrison MF, Petitto JM, Ten Have T, Gettes DR, Chiappini MS, Weber AL, et al. Depressive and anxiety disorders in women with HIV infection. Am J Psychiatry. 2002;159(5):789–96.PubMedCrossRef
30.
Zurück zum Zitat Bogart LM, Catz SL, Kelly JA, Gray-Bernhardt ML, Hartmann BR, Otto-Salaj LL, et al. Psychosocial issues in the era of new AIDS treatments from the perspective of persons living with HIV. J Health Psychol. 2000;5(4):500–16.PubMedCrossRef Bogart LM, Catz SL, Kelly JA, Gray-Bernhardt ML, Hartmann BR, Otto-Salaj LL, et al. Psychosocial issues in the era of new AIDS treatments from the perspective of persons living with HIV. J Health Psychol. 2000;5(4):500–16.PubMedCrossRef
31.
Zurück zum Zitat Morrow K, Costello T, Boland R. Understanding the psychosocial needs of HIV-positive women: a qualitative study. Psychosomatics. 2001;42(6):497–503.PubMedCrossRef Morrow K, Costello T, Boland R. Understanding the psychosocial needs of HIV-positive women: a qualitative study. Psychosomatics. 2001;42(6):497–503.PubMedCrossRef
32.
Zurück zum Zitat Siegel K, Karus D, Dean L. Psychosocial characteristics of New York City HIV-infected women before and after the advent of HAART. Am J Public Health. 2004;94(7):1127–32.PubMedPubMedCentralCrossRef Siegel K, Karus D, Dean L. Psychosocial characteristics of New York City HIV-infected women before and after the advent of HAART. Am J Public Health. 2004;94(7):1127–32.PubMedPubMedCentralCrossRef
33.
Zurück zum Zitat Vanable PA, Carey MP, Blair DC, Littlewood RA. Impact of HIV-related stigma on health behaviors and psychological adjustment among HIV-positive men and women. AIDS Behav. 2006;10(5):473–82.PubMedPubMedCentralCrossRef Vanable PA, Carey MP, Blair DC, Littlewood RA. Impact of HIV-related stigma on health behaviors and psychological adjustment among HIV-positive men and women. AIDS Behav. 2006;10(5):473–82.PubMedPubMedCentralCrossRef
34.
Zurück zum Zitat Brown JL, Vanable PA. Cognitive-behavioral stress management interventions for persons living with HIV: a review and critique of the literature. Ann Behav Med. 2008;35:26–40.PubMedCrossRef Brown JL, Vanable PA. Cognitive-behavioral stress management interventions for persons living with HIV: a review and critique of the literature. Ann Behav Med. 2008;35:26–40.PubMedCrossRef
35.
Zurück zum Zitat Chesney MA, Chambers DB, Taylor JM, Johnson LM, Folkman S. Coping effectiveness training for men living with HIV: results from a randomized clinical trial testing a group-based intervention. Psychosom Med. 2003;65(6):1038–46.PubMedCrossRef Chesney MA, Chambers DB, Taylor JM, Johnson LM, Folkman S. Coping effectiveness training for men living with HIV: results from a randomized clinical trial testing a group-based intervention. Psychosom Med. 2003;65(6):1038–46.PubMedCrossRef
36.
Zurück zum Zitat Fisher JD, Fisher WA. The information-motivation-behavioral skills model. In: DiClemente RJ, Crosby RA, Kegler MC, editors. Emerging theories in health promotion practice and research. San Francisco, CA: Jossey-Bass; 2002. p. 40–70. Fisher JD, Fisher WA. The information-motivation-behavioral skills model. In: DiClemente RJ, Crosby RA, Kegler MC, editors. Emerging theories in health promotion practice and research. San Francisco, CA: Jossey-Bass; 2002. p. 40–70.
37.
Zurück zum Zitat Fisher JD, Fisher WA, Shuper PA. The information-motivation-behavioral skills model of HIV preventive behavior. In: DiClemente RJ, Crosby RA, Kegler MC, editors. Emerging theories in health promotion practice and research. San Francisco, CA: Wiley; 2009. p. 21–64. Fisher JD, Fisher WA, Shuper PA. The information-motivation-behavioral skills model of HIV preventive behavior. In: DiClemente RJ, Crosby RA, Kegler MC, editors. Emerging theories in health promotion practice and research. San Francisco, CA: Wiley; 2009. p. 21–64.
38.
Zurück zum Zitat Vanable PA, Brown JL, Carey MP, Bostwick RA. The sexual health knowledge questionnaire for HIV + MSM. In: Fisher TD, Davis WM, Yarber WM, Davis SL, editors. Handbook of sexuality-related measures. 3rd ed. New York, NY: Taylor & Francis; 2010. p. 388–90. Vanable PA, Brown JL, Carey MP, Bostwick RA. The sexual health knowledge questionnaire for HIV + MSM. In: Fisher TD, Davis WM, Yarber WM, Davis SL, editors. Handbook of sexuality-related measures. 3rd ed. New York, NY: Taylor & Francis; 2010. p. 388–90.
39.
Zurück zum Zitat Brown IS. Development of a scale to measure attitude toward the condom as a method of birth control. J Sex Res. 1984;20(3):255–63.CrossRef Brown IS. Development of a scale to measure attitude toward the condom as a method of birth control. J Sex Res. 1984;20(3):255–63.CrossRef
40.
Zurück zum Zitat Carey MP, Maisto SA, Kalichman SC, Forsyth AD, Wright EM, Johnson BT. Enhancing motivation to reduce the risk of HIV infection for economically disadvantaged urban women. J Consult Clin Psychol. 1997;65(4):531–41.PubMedPubMedCentralCrossRef Carey MP, Maisto SA, Kalichman SC, Forsyth AD, Wright EM, Johnson BT. Enhancing motivation to reduce the risk of HIV infection for economically disadvantaged urban women. J Consult Clin Psychol. 1997;65(4):531–41.PubMedPubMedCentralCrossRef
41.
Zurück zum Zitat Fisher JD, Cornman DH, Osborn CY, Amico KR, Fisher WA, Friedland GA. Clinician-initiated HIV risk reduction intervention for HIV-positive persons: formative research, acceptability, and fidelity of the options project. J Acquir Immune Defic Syndr. 2004;37:S78–87.PubMedCrossRef Fisher JD, Cornman DH, Osborn CY, Amico KR, Fisher WA, Friedland GA. Clinician-initiated HIV risk reduction intervention for HIV-positive persons: formative research, acceptability, and fidelity of the options project. J Acquir Immune Defic Syndr. 2004;37:S78–87.PubMedCrossRef
42.
Zurück zum Zitat Vanable PA, Ostrow DG, McKirnan DJ, Taywaditep KJ, Hope BA. Impact of combination therapies on HIV risk perceptions and sexual risk among HIV-positive and HIV-negative gay and bisexual men. Health Psychol. 2000;19(2):134–45.PubMedCrossRef Vanable PA, Ostrow DG, McKirnan DJ, Taywaditep KJ, Hope BA. Impact of combination therapies on HIV risk perceptions and sexual risk among HIV-positive and HIV-negative gay and bisexual men. Health Psychol. 2000;19(2):134–45.PubMedCrossRef
43.
Zurück zum Zitat Chesney MA, Neilands TB, Chambers DB, Taylor JM, Folkman S. A validity and reliability study of the coping self-efficacy scale. Br J Health Psychol. 2006;14:421–37.CrossRef Chesney MA, Neilands TB, Chambers DB, Taylor JM, Folkman S. A validity and reliability study of the coping self-efficacy scale. Br J Health Psychol. 2006;14:421–37.CrossRef
44.
Zurück zum Zitat Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24:385–96.CrossRefPubMed Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24:385–96.CrossRefPubMed
45.
Zurück zum Zitat Cutrona CE, Russell D. The provisions of social relationships and adaptation to stress. In: Jones WH, Perlman D, editors. Advances in personal relationships. Greenwich, CT: JAI Press; 1987. p. 37–67. Cutrona CE, Russell D. The provisions of social relationships and adaptation to stress. In: Jones WH, Perlman D, editors. Advances in personal relationships. Greenwich, CT: JAI Press; 1987. p. 37–67.
46.
Zurück zum Zitat Schroder KEE, Carey MP, Vanable PA. Methodological challenges in research on sexual risk behavior: I. Item content, scaling, and data analytical options. Ann Behav Med. 2003;26(2):76–103.PubMedCrossRef Schroder KEE, Carey MP, Vanable PA. Methodological challenges in research on sexual risk behavior: I. Item content, scaling, and data analytical options. Ann Behav Med. 2003;26(2):76–103.PubMedCrossRef
47.
Zurück zum Zitat Tabachnick BG, Fidell LS. Using multivariate statistics. 5th ed. Boston, MA: Pearson Education, Inc.; 2007. Tabachnick BG, Fidell LS. Using multivariate statistics. 5th ed. Boston, MA: Pearson Education, Inc.; 2007.
48.
Zurück zum Zitat Eaton LA, Kalichman SC, O’Connell DA, Karchner WD. A strategy for selecting sexual partners believed to pose little/no risks for HIV: serosorting and its implications for HIV transmission. AIDS Care. 2009;21(10):1279–88.PubMedPubMedCentralCrossRef Eaton LA, Kalichman SC, O’Connell DA, Karchner WD. A strategy for selecting sexual partners believed to pose little/no risks for HIV: serosorting and its implications for HIV transmission. AIDS Care. 2009;21(10):1279–88.PubMedPubMedCentralCrossRef
49.
Zurück zum Zitat Eaton LA, Kalichman SC. Changes in transmission risk behaviors across stages of HIV disease among people living with HIV. J Assoc Nurses AIDS Care. 2009;20(1):39–49.PubMedPubMedCentralCrossRef Eaton LA, Kalichman SC. Changes in transmission risk behaviors across stages of HIV disease among people living with HIV. J Assoc Nurses AIDS Care. 2009;20(1):39–49.PubMedPubMedCentralCrossRef
50.
Zurück zum Zitat Chesney MA, Folkman S, Chambers DB. Coping effectiveness training for men living with HIV: preliminary findings. Intl J STD AIDS. 1996;7(Supplement 2):75–82.CrossRef Chesney MA, Folkman S, Chambers DB. Coping effectiveness training for men living with HIV: preliminary findings. Intl J STD AIDS. 1996;7(Supplement 2):75–82.CrossRef
51.
Zurück zum Zitat Brown JL, Vanable PA. Stress management interventions for HIV-infected individuals: review of recent intervention approaches and directions for future research. Neurobehav HIV Med. 2011;3:95–106.CrossRef Brown JL, Vanable PA. Stress management interventions for HIV-infected individuals: review of recent intervention approaches and directions for future research. Neurobehav HIV Med. 2011;3:95–106.CrossRef
52.
Zurück zum Zitat Scott-Sheldon LAJ, Kalichman SC, Carey MP, Fielder RL. Stress management interventions for HIV + adults: a meta-analysis of randomized controlled trials, 1989 to 2006. Health Psychol. 2008;27(2):129–39.PubMedPubMedCentralCrossRef Scott-Sheldon LAJ, Kalichman SC, Carey MP, Fielder RL. Stress management interventions for HIV + adults: a meta-analysis of randomized controlled trials, 1989 to 2006. Health Psychol. 2008;27(2):129–39.PubMedPubMedCentralCrossRef
53.
Zurück zum Zitat Safren SA, O’Cleirigh C, Skeer MR, Driskell J, Goshe BM, Covahey C, et al. Demonstration and evaluation of a peer-delivered, individually-tailored, HIV prevention intervention for HIV-infected MSM in their primary care setting. AIDS Behav. 2011;15(5):949–58.PubMedCrossRef Safren SA, O’Cleirigh C, Skeer MR, Driskell J, Goshe BM, Covahey C, et al. Demonstration and evaluation of a peer-delivered, individually-tailored, HIV prevention intervention for HIV-infected MSM in their primary care setting. AIDS Behav. 2011;15(5):949–58.PubMedCrossRef
54.
Zurück zum Zitat Knauz RO, Safren SA, O’Cleirigh C, Capistrant BD, Driskell JR, Aguilar D, et al. Developing an HIV-prevention intervention for HIV-infected men who have sex with men in HIV care: project enhance. AIDS Behav. 2007;11(1):117–26.CrossRef Knauz RO, Safren SA, O’Cleirigh C, Capistrant BD, Driskell JR, Aguilar D, et al. Developing an HIV-prevention intervention for HIV-infected men who have sex with men in HIV care: project enhance. AIDS Behav. 2007;11(1):117–26.CrossRef
55.
Zurück zum Zitat Gardner LI, Marks G, O’Daniels CM, Wilson TE, Golin C, Wright J, et al. Implementation and evaluation of a clinic-based behavioral intervention: positive steps for patients with HIV. AIDS Patient Care STDs. 2008;22(8):627–34.PubMedCrossRef Gardner LI, Marks G, O’Daniels CM, Wilson TE, Golin C, Wright J, et al. Implementation and evaluation of a clinic-based behavioral intervention: positive steps for patients with HIV. AIDS Patient Care STDs. 2008;22(8):627–34.PubMedCrossRef
56.
Zurück zum Zitat Chen HT, Grimley DM, Waithaka Y, Aban IB, Hu J, Bachmann LH. A process evaluation of the implementation of a computer-based, health provider-delivered HIV-prevention intervention for HIV-positive men who have sex with men in the primary care setting. AIDS Care. 2008;20(1):51–60.PubMedCrossRef Chen HT, Grimley DM, Waithaka Y, Aban IB, Hu J, Bachmann LH. A process evaluation of the implementation of a computer-based, health provider-delivered HIV-prevention intervention for HIV-positive men who have sex with men in the primary care setting. AIDS Care. 2008;20(1):51–60.PubMedCrossRef
57.
Zurück zum Zitat Sikkema KJ, Hansen NB, Kochman A, Santos J, Watt MH, Wilson PA, et al. The development and feasibility of a brief risk reduction interventin for newly HIV-diagnosed men who have sex with men. J Community Psychol. 2011;39(6):717–32.PubMedPubMedCentralCrossRef Sikkema KJ, Hansen NB, Kochman A, Santos J, Watt MH, Wilson PA, et al. The development and feasibility of a brief risk reduction interventin for newly HIV-diagnosed men who have sex with men. J Community Psychol. 2011;39(6):717–32.PubMedPubMedCentralCrossRef
58.
Zurück zum Zitat Rosser BR, Oakes JM, Konstan J, Hooper S, Horvath KJ, Danilenko GP, et al. Reducing HIV risk behavior of men who have sex with men through persuasive computing: results of the Men’s INTernet Study-II. AIDS. 2010;24(13):2099–107.PubMedCrossRef Rosser BR, Oakes JM, Konstan J, Hooper S, Horvath KJ, Danilenko GP, et al. Reducing HIV risk behavior of men who have sex with men through persuasive computing: results of the Men’s INTernet Study-II. AIDS. 2010;24(13):2099–107.PubMedCrossRef
59.
Zurück zum Zitat Lapinski MK, Randall LM, Peterson M, Peterson A, Klein KA. Prevention options for positives: the effects of a health communication intervention for men who have sex with men living with HIV/AIDS. Health Commun. 2009;24(6):562–71.PubMedCrossRef Lapinski MK, Randall LM, Peterson M, Peterson A, Klein KA. Prevention options for positives: the effects of a health communication intervention for men who have sex with men living with HIV/AIDS. Health Commun. 2009;24(6):562–71.PubMedCrossRef
60.
Zurück zum Zitat Miranda J, Côté J, Godin G, Blais M, Otis J, Guéhéneuc Y-G, et al. An Internet-based intervention (Condom-Him) to increase condom use among HIV-positive men who have sex with men: protocol for a randomized controlled trial. JMIR Res Protoc. 2013;2(2):e39.PubMedPubMedCentralCrossRef Miranda J, Côté J, Godin G, Blais M, Otis J, Guéhéneuc Y-G, et al. An Internet-based intervention (Condom-Him) to increase condom use among HIV-positive men who have sex with men: protocol for a randomized controlled trial. JMIR Res Protoc. 2013;2(2):e39.PubMedPubMedCentralCrossRef
61.
Zurück zum Zitat Nöstlinger C, Platteau T, Bogner J, Buyze J, Dec-Pietrowska J, Dias S, et al. Implementation and operational research: computer-assisted intervention for safer sex in HIV-positive men having sex with men: findings of a European randomized multi-center trial. J Acquir Immune Defic Syndr. 2016;71(3):e63–72.PubMedPubMedCentralCrossRef Nöstlinger C, Platteau T, Bogner J, Buyze J, Dec-Pietrowska J, Dias S, et al. Implementation and operational research: computer-assisted intervention for safer sex in HIV-positive men having sex with men: findings of a European randomized multi-center trial. J Acquir Immune Defic Syndr. 2016;71(3):e63–72.PubMedPubMedCentralCrossRef
62.
Zurück zum Zitat Luce BR, Kramer JM, Goodman SN, Connor JT, Tunis S, Whicher D, et al. Rethinking randomized clinical trials for comparative effectiveness research: the need for transformational change. Ann Intern Med. 2009;151(3):206–9.PubMedCrossRef Luce BR, Kramer JM, Goodman SN, Connor JT, Tunis S, Whicher D, et al. Rethinking randomized clinical trials for comparative effectiveness research: the need for transformational change. Ann Intern Med. 2009;151(3):206–9.PubMedCrossRef
Metadaten
Titel
A Pilot Intervention Trial to Promote Sexual Health and Stress Management Among HIV-Infected Men Who Have Sex with Men
verfasst von
Jennifer L. Brown
Peter A. Vanable
Rebecca A. Bostwick
Michael P. Carey
Publikationsdatum
23.07.2018
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 1/2019
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-018-2234-y

Weitere Artikel der Ausgabe 1/2019

AIDS and Behavior 1/2019 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.