       Document 0321
 DOCN  M9650321
 TI    A randomized trial of an education and support program for HIV-infected
       individuals.
 DT    9605
 AU    Cleary PD; Van Devanter N; Steilen M; Stuart A; Shipton-Levy R; McMullen
       W; Rogers TF; Singer E; Avorn J; Pindyck J; Department of Health Care
       Policy, Harvard Medical School, Boston,; Massachusetts 02115, USA.
 SO    AIDS. 1995 Nov;9(11):1271-8. Unique Identifier : AIDSLINE MED/96126182
 AB    OBJECTIVES: To assess the effectiveness of an intervention for providing
       information and support to HIV-positive donors on changes in their
       sexual behavior, and to assess which donor characteristics are
       predictive of behavior change. DESIGN: Subjects were randomly assigned
       to a structured intervention or community referral group. Follow-up
       assessments were conducted every 6 months. SETTING: New York City, New
       York, USA. PARTICIPANTS: A cohort of 271 HIV-infected persons who
       donated blood to the New York Blood Center. INTERVENTION: Donors
       randomized to the structured intervention program met individually with
       a nurse for counseling and were offered a six-session support group. The
       program was designed to provide information, encourage safer sexual
       behavior and provide support. MAIN OUTCOME MEASURES: Sexual behavior,
       psychological distress and psychological help seeking, and immune
       function. RESULTS: In both groups there was a large decrease over time
       in reports of unsafe sexual activity. However, more than 30% of
       participants in both groups reported unsafe sexual activity at the
       1-year follow-up visit. Donors randomized to the structured intervention
       program did not report significantly more behavior change at the 1-year
       follow-up. CONCLUSIONS: Better programs to promote behavior change in
       seropositive individuals are needed.
 DE    Adult  Cohort Studies  Female  Human  HIV Infections/*PSYCHOLOGY  Male
       Middle Age  New York  *Patient Education  Sex Behavior  Support,
       Non-U.S. Gov't  Support, U.S. Gov't, P.H.S.  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).

