Document 0169
 DOCN  M95A0169
 TI    Use of a brief behavioral skills intervention to prevent HIV infection
       among chronic mentally ill adults.
 DT    9510
 AU    Kalichman SC; Sikkema KJ; Kelly JA; Bulto M; Center for AIDS
       Intervention Research, Medical College of; Wisconsin, Milwaukee 53226,
       USA.
 SO    Psychiatr Serv. 1995 Mar;46(3):275-80. Unique Identifier : AIDSLINE
       MED/95316628
 AB    OBJECTIVE: Research shows that many chronic psychiatric patients are at
       risk for infection by the human immunodeficiency virus (HIV). This study
       investigated the effects of a behavioral skills training program
       designed to prevent HIV infection among chronic mentally ill adults
       living in an inner-city area. METHODS: Twenty-seven men and 25 women
       were randomly assigned either to a four-session AIDS prevention program
       emphasizing risk education, sexual assertiveness, condom use,
       risk-related behavioral self-management, and problem-solving skills or
       to a waiting-list group, who later received the same intervention.
       RESULTS: Compared with the waiting-list control group, participants in
       the prevention program demonstrated significant gains in AIDS-related
       knowledge and intentions to change risk behaviors. The prevention
       program also significantly reduced rates of unprotected sexual
       intercourse and increased the use of condoms over a one-month follow-up
       period. A subset of participants who provided two-month follow-up data
       maintained some behavior changes. CONCLUSIONS: A relatively brief,
       skills-focused AIDS prevention program for chronic psychiatric patients
       produced reductions in HIV risk behaviors. Such HIV risk reduction
       intervention programs may be of use in inpatient, outpatient, and
       community-based settings.
 DE    Adult  Behavior Therapy/*METHODS  Chronic Disease  Combined Modality
       Therapy  Female  Human  HIV Infections/*PREVENTION &
       CONTROL/PSYCHOLOGY/TRANSMISSION  Knowledge, Attitudes, Practice  Male
       Middle Age  Patient Care Team  Personality
       Disorders/COMPLICATIONS/PSYCHOLOGY/*REHABILITATION  Psychotherapy,
       Brief/*METHODS  Psychotic
       Disorders/COMPLICATIONS/PSYCHOLOGY/*REHABILITATION  Sex Behavior
       Support, U.S. Gov't, P.H.S.  Treatment Outcome  CLINICAL TRIAL  JOURNAL
       ARTICLE  RANDOMIZED CONTROLLED TRIAL

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).