Using information, motivational enhancement, and skills training to reducethe risk of HIV infection for low-income urban women: A second randomized clinical trial

This randomized clinical trial evaluated an HIV-risk reduction (HIV-RR) int ervention based on the information-motivation-behavioral skills model. At b aseline, 102 women (M age = 29 years; 88% African American) completed a sur vey regarding HIV-related knowledge, risk perceptions, behavioral intention s, and risk behavior. Participants were then assigned to either the HIV-RR intervention or a health-promotion control group. Postintervention and foll ow-up data indicated that women in the HlV-RR program enhanced their knowle dge and strengthened their risk reduction intentions relative to controls. Moreover, HIV-RR women who expressed "imperfect" intentions also increased their condom use, talked more with partners about condom use and HIV testin g, and were more likely to have refused unprotected sex.