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Motivational and skills training HIV/sexually transmitted infection sexual risk reduction groups for men.

The effectiveness of a motivational and skills training HIV/AIDS group intervention designed for men in substance abuse treatment was evaluated. Men in methadone maintenance (n = 288) or outpatient psychosocial treatment (n = 302) completed assessments at baseline, 2 weeks, 3 months, and 6 months postintervention. Participants were randomly assigned to attend either Real Men Are Safe (REMAS; five sessions containing information, motivational exercises, and skills training) or HIV education (HIV-Ed; one session containing HIV prevention information). REMAS participants engaged in significantly fewer unprotected vaginal and anal sexual intercourse occasions (USO) during the 90 days prior to the 3- and 6-month follow-ups than HIV-Ed participants. Completing REMAS resulted in an even stronger effect: Completers reduced their number of USO by 21% from baseline to 6-month follow-up. In contrast, HIV-Ed completers increased the number of USO by 2%. A motivational and skills training HIV prevention intervention designed for men was associated with greater sexual risk reduction over standard HIV-Ed. Substance abuse treatment programs can therefore help reduce sexual risk among their clientele by providing a more intensive intervention than what is traditionally provided.

Pubmed ID: 19150206


  • Calsyn DA
  • Hatch-Maillette M
  • Tross S
  • Doyle SR
  • Crits-Christoph P
  • Song YS
  • Harrer JM
  • Lalos G
  • Berns SB


Journal of substance abuse treatment

Publication Data

September 27, 2009

Associated Grants

  • Agency: NIDA NIH HHS, Id: U10 DA013714
  • Agency: NIDA NIH HHS, Id: U10 DA013714-03
  • Agency: NIDA NIH HHS, Id: U10 DA013727
  • Agency: NIDA NIH HHS, Id: U10 DA13035
  • Agency: NIDA NIH HHS, Id: U10 DA13038
  • Agency: NIDA NIH HHS, Id: U10 DA13043
  • Agency: NIDA NIH HHS, Id: U10 DA13045
  • Agency: NIDA NIH HHS, Id: U10 DA13711
  • Agency: NIDA NIH HHS, Id: U10 DA13714
  • Agency: NIDA NIH HHS, Id: U10 DA13727
  • Agency: NIDA NIH HHS, Id: U10 DA13732
  • Agency: NIDA NIH HHS, Id: U10 DA15815
  • Agency: NIDA NIH HHS, Id: U10 DA15833

Mesh Terms

  • Adult
  • Follow-Up Studies
  • HIV Infections
  • Health Education
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Male
  • Methadone
  • Middle Aged
  • Motivation
  • Narcotics
  • Risk Reduction Behavior
  • Risk-Taking
  • Safe Sex
  • Sexual Behavior
  • Sexually Transmitted Diseases
  • Substance-Related Disorders