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Evaluation & the Health Professions, Vol. 15, No. 1, 26-42 (1992)
DOI: 10.1177/016327879201500102

The Talking Sex Project

Results of a Randomized Controlled Trial of Small-Group AIDS Education for 612 Gay and Bisexual Men

Fred Tudiver

SunnybrookHealth Science Centre

Ted Myers

Ruth G. Kurtz

University of Toronto

Kevin Orr

AIDS Committee of Toronto

Cheryl Rowe

Sunnybrook Health Science Centre

Edward Jackson

AIDS Committee of Toronto

Sandra L. Bullock

The Talking Sex Project

The objective of this study was to assess the effectiveness of two different kinds of AIDS risk reduction programs for gay and bisexual men practicing sexual behavior at all ranges of risk for transmission of HIV: Six hundred and twelve gay and bisexual men were recruited and randomly assigned to either: (a) singlesession groups led by trained volunteer peers, (b) four-session groups led by paid counselors, or (c) waiting-list control groups. Self-administered questionnaires measured knowledge of AIDS risk, attitudes toward AIDS and sexual practices, and sexual behavior prior to randomization and three months postintervention. Dropouts (18%o) included subjects who did not complete the follow-up data collection. There was an overall shift toward safer sex over time which was strongest for the single-session group, but the effect was not related to group assignments. The changes in knowledge of AIDS risk and the attitude Condom Efficacy were significantly higherfor individuals in the two treatment groups than for the controls.


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