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Dolcini MM, Canin L, Gandelman A, Skolnik H. Theoretical Domains: A Heuristic for Teaching Behavioral Theory in HIV/STD Prevention Courses. Health Promot Pract 2016; 5:404-17. [PMID: 15358913 DOI: 10.1177/1524839903257997] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The HIV/STD epidemics have broadened the need for better behavioral intervention programs and highlighted the importance of providing training in behavioral theory to frontline program practitioners. However, there is a lack of effective methods for teaching theoretical concepts to people who may not have a background in behavioral science. This article presents a solution to this challenge by introducing a new heuristic for teaching theory and for placing individual theories/models in a broader context. Using a broad framework, we identify five domains that influence behavior: risk appraisal, self-perceptions, emotions and arousal, relationships and social influence, and environmental and structural factors. Each domain is described, and a brief overview of supporting literature is provided. Following the presentation of domains, we discuss course structure and activities.
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Affiliation(s)
- M Margaret Dolcini
- Department of Medicine, Center for AIDS Prevention Studies and the Center for Health and Community, University of California San Francisco, 94143-0848, USA.
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Aliabadi N, Carballo-Dieguez A, Bakken S, Rojas M, Brown W, Carry M, Mosley JP, Gelaude D, Schnall R. Using the Information-Motivation-Behavioral Skills Model to Guide the Development of an HIV Prevention Smartphone Application for High-Risk MSM. AIDS EDUCATION AND PREVENTION : OFFICIAL PUBLICATION OF THE INTERNATIONAL SOCIETY FOR AIDS EDUCATION 2015; 27:522-37. [PMID: 26595265 PMCID: PMC4868035 DOI: 10.1521/aeap.2015.27.6.522] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
HIV remains a significant public health problem among men who have sex with men (MSM). MSM comprise 2% of the U.S. population, but constitute 56% of persons living with HIV. Mobile health technology is a promising tool for HIV prevention. The purpose of this study was to identify the desired content, features and functions of a mobile application (app) for HIV prevention in high-risk MSM. We conducted five focus group sessions with 33 MSM. Focus group recordings were transcribed and coded using themes informed by the information-motivation-behavioral (IMB) skills model. Participants identified information needs related to HIV prevention: HIV testing and prophylaxis distribution centers, support groups/peers, and HIV/STI disease/treatment information. Areas of motivation to target for the app included: attitudes and intentions. Participants identified behavioral skills to address with an app: using condoms correctly, negotiating safer sex, recognizing signs of HIV/STI. Findings from this work provide insight into the desired content of a mobile app for HIV prevention in high-risk MSM.
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Affiliation(s)
- Negar Aliabadi
- Division of General Medicine, Columbia University, New York, New York
| | | | - Suzanne Bakken
- Division of General Medicine, Columbia University, New York, New York
| | - Marlene Rojas
- Division of General Medicine, Columbia University, New York, New York
| | | | - Monique Carry
- National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Jocelyn Patterson Mosley
- National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Deborah Gelaude
- National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Rebecca Schnall
- Division of General Medicine, Columbia University, New York, New York
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Li H, Lau JT, Holroyd E, Yi H. Sociocultural facilitators and barriers to condom use during anal sex among men who have sex with men in Guangzhou, China: an ethnographic study. AIDS Care 2010; 22:1481-6. [DOI: 10.1080/09540121.2010.482121] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Haochu Li
- a School of Public Health and Primary Care, Prince of Wales Hospital , The Chinese University of Hong Kong , Shatin , New Territories , Hong Kong
- b Centre for Medical Anthropology and Behavioral Health, Department of Anthropology , Sun Yat-sen University , Guangzhou , China
| | - Joseph T.F. Lau
- a School of Public Health and Primary Care, Prince of Wales Hospital , The Chinese University of Hong Kong , Shatin , New Territories , Hong Kong
- b Centre for Medical Anthropology and Behavioral Health, Department of Anthropology , Sun Yat-sen University , Guangzhou , China
| | - Eleanor Holroyd
- c School of Health Sciences , The Royal Melbourne Institute of Technology (RMIT) University , Melbourne , VIC , Australia
| | - Huso Yi
- d HIV Center for Clinical and Behavioral Studies, Department of Psychiatry , Columbia University and New York State Psychiatric Institute , New York , NY , 10032 , USA
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Unprotected sex among men who have sex with men in Canada: exploring rationales and expanding HIV prevention. CRITICAL PUBLIC HEALTH 2009. [DOI: 10.1080/09581590802566453] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Beckerman NL, Heft-LaPorte H, Cicchetti A. Intentional seroconversion in the gay community: the social work role in assessment and intervention. SOCIAL WORK IN HEALTH CARE 2008; 47:502-518. [PMID: 19042498 DOI: 10.1080/00981380802173640] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
There is a reported increase of intentional seroconversion in the United States over the past several years in the gay community (Crossley, 2004; Trinufol, 2003). This article reports on a sample (n = 24) of men who identify their motivations behind their pursuit of seroconversion. Respondents were asked to identify what motivations were connected to their attempt to become seropositive. Three general variables emerged as potential indicators: (1) seeking relief from emotional HIV fatigue, (2) the wish to be closer with one's HIV positive partner, and (3) the expectation to become HIV positive. By identifying these possible motivations (both psychological and sociocultural), sex educators and therapists providing counseling to the gay male community may be better equipped to more effectively identify clients at high risk for intentional seroconversion. Recommendations for assessment and intervention with those at high risk for such behaviors are provided by the authors.
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Affiliation(s)
- Nancy L Beckerman
- Wurzweiler School of Social Work, Yeshiva University, New York, New York 10033, USA.
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Lombardo AP, Léger YA. Thinking about "Think Again" in Canada: assessing a social marketing HIV/AIDS prevention campaign. JOURNAL OF HEALTH COMMUNICATION 2007; 12:377-97. [PMID: 17558789 DOI: 10.1080/10810730701328875] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/15/2023]
Abstract
The Canadian "Think Again" social marketing HIV/AIDS prevention campaign, adapted from an American effort, encourages gay men to rethink their assumptions about their partners' HIV statuses and the risks of unsafe sex with them. To improve future efforts, existing HIV/AIDS prevention initiatives require critical reflection. While a formal evaluation of this campaign has been carried out elsewhere, here we use the campaign as a social marketing case study to illustrate its strengths and weaknesses, as a learning tool for other campaigns. After describing the campaign and its key results, we assess how it utilized central tenets of the social marketing process, such as formative research and the marketing mix. We then speak to the importance of theoretical influence in campaign design and the need to account for social-contextual factors in safer sex decision making. We conclude with a summary of the lessons learned from the assessment of this campaign.
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Jones RH. Imagined comrades and imaginary protections: identity, community and sexual risk among men who have sex with men in China. JOURNAL OF HOMOSEXUALITY 2007; 53:83-115. [PMID: 18032288 DOI: 10.1300/j082v53n03_06] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
This paper describes the recent development of identity and community among gay men in China. It focuses both on the ways emerging forms of gay identity relate to larger ideological and discursive shifts within society, and on the ways these new forms of identity and community affect situated social interaction among gay men themselves. In particular, it addresses the question of how these emerging forms of gay identity and gay community affect the ways gay men in China understand the threat of HIV and make concrete decisions about sexual risk and safety. Among the chief tactics used by gay men in China to forge identity and community involves appropriating and adapting elements from dominant discourses of the Party-State and the mass media. This strategy has opened up spaces within which gay men can claim "cultural citizenship" in a society in which they have been heretofore marginalized. At the same time, this strategy also implicated in the formation of attitudes and social practices that potentially increase the vunerability of Chinese gay men to HIV infection.
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Affiliation(s)
- Rodney H Jones
- Department of Language and Communication, City University of Hong Kong, Kowlong Tong, Hong Kong
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Norton TR, Bogart LM, Cecil H, Pinkerton SD. Primacy of Affect Over Cognition in Determining Adult Men's Condom–Use Behavior: A Review1. JOURNAL OF APPLIED SOCIAL PSYCHOLOGY 2005. [DOI: 10.1111/j.1559-1816.2005.tb02112.x] [Citation(s) in RCA: 32] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Bogart LM, Kral AH, Scott A, Anderson R, Flynn N, Gilbert ML, Bluthenthal RN. Condom attitudes and behaviors among injection drug users participating in California syringe exchange programs. AIDS Behav 2005; 9:423-32. [PMID: 16249946 DOI: 10.1007/s10461-005-9014-1] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
This study examined condom attitudes, preferences, barriers, and use among a sample of 550 injection drug using clients of syringe exchange programs in California. In multivariate analyses, positive attitudes toward condoms were significantly associated with consistent condom use for vaginal, anal, and oral sex in the past six months, beyond the effects of confounding socio-demographic and HIV risk variables. Participants commonly cited partner-related barriers to condom use, such as reluctance to use condoms with steady partners (34%). Almost a quarter of the sample cited dislike of condoms (e.g., because of pleasure reduction). In addition, a third of respondents stated specific preferences regarding condom brands, sensitivity, sizes, and textures. Interventions that increase awareness about positive aspects of condom use and sexual risk from steady partners may be successful in increasing condom use among injection drug users.
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Affiliation(s)
- Laura M Bogart
- Health Program, RAND Corporation, 1776 Main Street, Santa Monica, CA 90407-2318, USA.
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Darbes LA, Lewis MA. HIV-specific social support predicts less sexual risk behavior in gay male couples. Health Psychol 2005; 24:617-622. [PMID: 16287408 DOI: 10.1037/0278-6133.24.6.617] [Citation(s) in RCA: 52] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Gay male couples (N = 47) completed self-administered questionnaires at 2 time points (6 months apart) regarding their levels of general and HIV-specific social support and sexual behavior. HIV-specific social support measured partner support pertaining to HIV risk behavior. The sexual-risk-behavior outcome encapsulated monogamy, serostatus, and unprotected anal sex for each partner. The authors used an analytic approach that maintained the couple as the unit of analysis. General social support was an inconsistent predictor of HIV risk behavior. However, couples that reported greater levels of HIV-specific social support engaged in less HIV risk behavior at each time point as well as longitudinally. This study demonstrated the utility of measuring HIV-specific social support and its predictive ability related to HIV risk behavior.
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Adam BD, Husbands W, Murray J, Maxwell J. AIDS optimism, condom fatigue, or self-esteem? Explaining unsafe sex among gay and bisexual men. JOURNAL OF SEX RESEARCH 2005; 42:238-248. [PMID: 19817037 DOI: 10.1080/00224490509552278] [Citation(s) in RCA: 86] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
This study examines leading explanations for unsafe sex in light of in-depth interviews with 102 high-risk gay and bisexual men in Toronto to see how well they engage with the social circumstances and reasoning processes of men in their sexual relationships. We argue that there is an inadequate fit between some of the leading explanations and the discursive accounts provided by high risk men themselves. Their accounts focus on unsafe sex occurring as a resolution to condom and erectile difficulties, through momentary lapses and trade offs, out of personal turmoil and depression, and as a byproduct of strategies of disclosure and intuiting safety. This study examines, in particular the circumstances and rationales associated with men who identify their practices as "barebacking." We conclude with recommendations for communicating prevention messages to those most at risk based on the self-understandings of gay and bisexual men who most frequently practice unprotected sex.
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Affiliation(s)
- Barry D Adam
- University of Windsor, Department of Sociology and Anthropology, Windsor, Ontario, Canada.
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