relation: http://d-scholarship-dev.library.pitt.edu/18860/ title: A randomized trial of a behavioral intervention for black MSM: The DiSH study creator: Koblin, BA creator: Bonner, S creator: Powell, B creator: Metralexis, P creator: Egan, JE creator: Patterson, J creator: Xu, G creator: Hoover, DR creator: Goodman, K creator: Chin, J creator: Tieu, HV creator: Spikes, P description: Objective: To test a new behavioral intervention for black MSM in reducing sexual risk and increasing social support and intentions to use condoms. Design: A single-site, unblinded randomized trial in New York City with 3-month follow-up. Methods: Participants (n=283) reporting at least two sexual partners and unprotected anal intercourse with a man in the past 3 months were enrolled and randomized to a social-cognitive theory-based intervention or control comparison. Men in the intervention group participated in five 2-h group sessions focused on creating a group environment with sexual risk-reduction information and exercises woven into joint meal preparation and sharing activities, while exploring self-efficacy perceptions and outcome expectancies. Intervention (n=142) and control (n=141) groups received standard HIV counseling and testing at baseline. Results: No significant differences were found between study arms at 3 months in number of male partners, number of unprotected anal intercourse partners, proportion reporting unprotected sex, number of acts protected by condoms, self-efficacy, condom attitudes, condom intentions, social isolation and psychological distress. In both arms combined, declines from baseline to 3 months were observed in sexual risk behaviors, social isolation and psychological distress, whereas self-efficacy, condom attitudes and condom intentions improved. Conclusion: As the HIV epidemic continues to have a dramatic impact on black MSM in the USA, the urgency to design innovative interventions continues. © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins. date: 2012-02-20 type: Article type: PeerReviewed format: text/plain language: en rights: attached identifier: http://d-scholarship-dev.library.pitt.edu/18860/1/licence.txt identifier: Koblin, BA and Bonner, S and Powell, B and Metralexis, P and Egan, JE and Patterson, J and Xu, G and Hoover, DR and Goodman, K and Chin, J and Tieu, HV and Spikes, P (2012) A randomized trial of a behavioral intervention for black MSM: The DiSH study. AIDS, 26 (4). 483 - 488. ISSN 0269-9370 relation: 10.1097/QAD.0b013e32834f9833