A Self-Guided Intervention to Promote Condom Use Among African American Males



Status:Completed
Healthy:No
Age Range:15 - 24
Updated:9/20/2018
Start Date:January 2012
End Date:August 2013

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The Centers for Disease Control and Prevention has declared that AIDS is a "state of
emergency" in the US for African Americans - young African American men are especially
vulnerable in this epidemic. Thus, the development of effective interventions tailored to
this population is a national priority. The investigators previous preliminary studies
suggest that a brief, clinic-initiated, home-based, self-guided condom use program may
effectively promote the acceptance of condom use and increase the quality and consistency of
condom-protected sexual behaviors. This pilot study will (1) develop and test the feasibility
of this program (Homework Intervention Strategy, HIS) for young African American men
attending an urban STD clinic and (2) identify variables that may mediate the efficacy of the
program. The HIS has the potential to be readily translated into widespread practice, while
requiring only minimal resources. Unlike previously tested interventions, the HIS can be
applied to all men who use condoms, regardless of the sex of their partners or their HIV/STI
status. To develop the HIS to meet the needs of these high-risk men, the proposed study will
include a formative phase during which the basic intervention "instructions" which will be
delivered by DVD will be refined and tailored for this population.

One hundred young African American men recruited from an urban STD clinic will be randomized
to each of two groups (HIS vs. "standard of care") in a randomized 2-arm trial with 5
assessment periods over the course of 6 months. Assessments will compare the groups on
frequency of unprotected sex, quality of the condom use experience, experience of condom use
errors and problems, attitudes regarding condom use, condom use acceptability, and condom use
self-efficacy and confidence.


Inclusion Criteria:

- African American men

- 15 to 24 years of age

- able to read, write and comprehend English

- have engaged penile-vaginal intercourse (PVI) or insertive penile-anal intercourse
(PAI) with a partner at least once in the past 30 days

- willing to use a condom

- does not intend to get a partner pregnant in the next 6 months

- consent to participate in the study

- client of the Bell Flower Clinic in Indianapolis, IN in the past 12 months

- has maintained a cell-phone number for the past three months and is willing to use it
for data collection and incur fees for voice communication or text messaging it they
do not have unlimited plans
We found this trial at
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Indianapolis, Indiana 46202
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Indianapolis, IN
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