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1.
J Urban Health ; 95(2): 159-170, 2018 04.
Article in English | MEDLINE | ID: mdl-29541962

ABSTRACT

We conducted a randomized controlled trial of a six-session behavioral intervention designed to reduce frequency of condomless sex and numbers of sex partners among recently incarcerated, bisexual Black men. One hundred participants were assigned to the small-group intervention, Men in Life Environments (MILE), and 112 were assigned to the control condition. Among those assigned to MILE, 69% attended at least one session, 88% of whom attended all sessions. At 3-months' follow-up, large reductions in risk behaviors were reported by both groups. Means for episodes of condomless sex in the previous 3 months declined from 27.7 to 8.0 for the intervention and 25.6 to 6.7 for the control group. Reductions were not greater for the intervention than those of the control group. Regression to the mean, respondent burden, and implementation issues, such as moving from office-based to field-based survey administration at follow-up, may have contributed to the large declines reported by both groups.


Subject(s)
Black or African American/psychology , Homosexuality, Male/psychology , Prisoners/education , Prisoners/psychology , Safe Sex/psychology , Sexual Behavior/psychology , Sexual and Gender Minorities/psychology , Adult , Black or African American/statistics & numerical data , Behavior Therapy/methods , Female , Health Promotion/methods , Homosexuality, Male/statistics & numerical data , Humans , Male , Middle Aged , Prisoners/statistics & numerical data , Risk-Taking , Sexual Behavior/statistics & numerical data , Sexual and Gender Minorities/statistics & numerical data , Surveys and Questionnaires , United States
2.
Addict Behav ; 31(5): 880-8, 2006 May.
Article in English | MEDLINE | ID: mdl-16139963

ABSTRACT

The purpose of this study is twofold: 1) to evaluate the effects of a smoking cessation clinic (Project EX) on changing motivation to quit smoking, and 2) to assess differences in quit rates based on these changes in motivation. Student smokers in 18 continuation high schools in the Los Angeles county area were invited to participate in a tobacco cessation clinic designed to enhance motivation to quit tobacco use. The 18 schools were randomly assigned to one of three conditions. Compared to students in the control group, students who participated in the program conditions were more likely to express higher motivation to quit tobacco use. Higher motivation was also significantly related to higher quit rates. Motivation to quit as defined by constituents of the energy/direction model of motivation appears to be a plausible mediator of cessation program effects.


Subject(s)
Motivation , Smoking Cessation/methods , Smoking/psychology , Adolescent , Adolescent Behavior , Adult , Female , Follow-Up Studies , Humans , Male , Models, Psychological , Psychometrics , Smoking Cessation/psychology , Treatment Outcome
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