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An evaluation of group counselling for changing high risk sexual behaviour.
Balmer DH; Kihuho F; Gikundi E; Plummer FA; Kenya Association of
January 30, 1997
Int Conf AIDS. 1996 Jul 7-12;11(1):182 (abstract no. Mo.D.1746). Unique

Objective: To investigate the efficacy of group counselling as a method of changing high risk sexual behaviour. Methods: A sample of 240 men with a STD was drawn from the Special Treatment Clinic, Nairobi. The men were medically examined and completed a battery of psychological questionnaires. The sample was randomised in equal numbers into a counselling arm and a control arm. The counselling arm was divided into 12 equal groups and led by a trained counsellor for 1 hour per week for 26 weeks. The counselling was based on an unified theory for HIV/STD counselling. Progress was monitored by triangulation during weekly meetings of the counsellors and researchers. Results: The quantitative results were based upon the medical monitoring and the psychological questionnaires. The medical monitoring showed that the counselling arm had 3 times fewer reinfection episodes and that they used condoms in high risk situations more often than the control arm. The psychological questionnaires showed that they had improved on all measures. The qualitative results offered strategies regarding the understanding and negotiation of safer sexual practices, and ways of initiating a dialogue between sexual contacts. Conclusions: Group counselling can initiate and sustain behaviour change which results in safer sexual behaviour.

*Counseling *Health Education *Sex Behavior *Sexually Transmitted Diseases/PREVENTION & CONTROL