Trial Outcomes & Findings for Men Together Making a Difference: Reducing HIV/STD Risk Behavior Among South African Men (NCT NCT01490359)

NCT ID: NCT01490359

Last Updated: 2017-12-19

Results Overview

Men who reported at least 1 vaginal intercourse act in the past 3 months and whose number of reported condom-protected vaginal intercourse acts equaled their number of vaginal intercourse acts were coded as practicing consistent or 100% condom use. Men who reported at least 1 vaginal intercourse act and whose reported number of condom-protected vaginal intercourse acts was less than their number of vaginal intercourse acts were coded as not practicing consistent condom use. Separate binary variables reflected consistent condom use with primary partners and casual partners.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

1181 participants

Primary outcome timeframe

Baseline, 6 months, 12 months post-intervention

Results posted on

2017-12-19

Participant Flow

Participant milestones

Participant milestones
Measure
HIV/STD Risk-reduction
Men Making a Difference HIV/STD Risk Reduction Intervention was designed to reduce sexual risk behaviors that increase risk of HIV and other sexually transmitted diseases. Men Making a Difference HIV/STD Risk Reduction Intervention: Developed based on social cognitive theory and extensive formative research, it consists of 6 75-minute modules designed to increase beliefs that support condom use; skill and self-efficacy to use condoms; and HIV/STD risk-reduction knowledge. Two modules are implemented in each of 3 weekly sessions. It is highly structured and implemented in small groups of 9 to 15 men led by a male, isiXhosa-speaking facilitators using standardized intervention manuals. It includes interactive exercises, games, brainstorming, role-playing, take-home assignments, group discussions, and videos, produced specifically for the interventions, shot in authentic township settings, including a shebeen (i.e., an informal alcohol outlet).
Health Promotion Control
Health Promotion Intervention was designed to increase physical activity, healthful diet, and other behaviors to reduce risk of noncommunicable diseases, including diabetes, hypertension, and cancers. Health Promotion Control: The health-promotion intervention was designed to control for non-specific features including group interaction and special attention. It was structurally similar to the HIV/STD risk-reduction intervention in that it contained activities similar to the HIV/STD risk-reduction intervention but focused on behaviors linked to the risk of heart disease, hypertension, stroke, diabetes, and certain cancers-leading causes of morbidity and mortality among South Africans. It also consisted of 6 75-minute modules implemented 2 modules per week during 3 weekly sessions led by isiXhosa speaking male facilitators. It was designed to increase fruit and vegetable consumption and physical activity and decrease excessive alcohol consumption.
Overall Study
STARTED
609
572
Overall Study
Followed-up at 6 mo
558
535
Overall Study
Followed-up at 12 mo
569
537
Overall Study
COMPLETED
585
555
Overall Study
NOT COMPLETED
24
17

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Men Together Making a Difference: Reducing HIV/STD Risk Behavior Among South African Men

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
HIV/STD Risk-reduction
n=609 Participants
Men Making a Difference HIV/STD Risk Reduction Intervention was designed to reduce sexual risk behaviors that increase risk of HIV and other sexually transmitted diseases. Men Making a Difference HIV/STD Risk Reduction Intervention: Developed based on social cognitive theory and extensive formative research, it consists of 6 75-minute modules designed to increase beliefs that support condom use; skill and self-efficacy to use condoms; and HIV/STD risk-reduction knowledge. Two modules are implemented in each of 3 weekly sessions. It is highly structured and implemented in small groups of 9 to 15 men led by a male, isiXhosa-speaking facilitators using standardized intervention manuals. It includes interactive exercises, games, brainstorming, role-playing, take-home assignments, group discussions, and videos, produced specifically for the interventions, shot in authentic township settings, including a shebeen (i.e., an informal alcohol outlet).
Health Promotion Control
n=572 Participants
Health Promotion Intervention was designed to increase physical activity, healthful diet, and other behaviors to reduce risk of noncommunicable diseases, including diabetes, hypertension, and cancers. Health Promotion Control: The health-promotion intervention was designed to control for non-specific features including group interaction and special attention. It was structurally similar to the HIV/STD risk-reduction intervention in that it contained activities similar to the HIV/STD risk-reduction intervention but focused on behaviors linked to the risk of heart disease, hypertension, stroke, diabetes, and certain cancers-leading causes of morbidity and mortality among South Africans. It also consisted of 6 75-minute modules implemented 2 modules per week during 3 weekly sessions led by isiXhosa speaking male facilitators. It was designed to increase fruit and vegetable consumption and physical activity and decrease excessive alcohol consumption.
Total
n=1181 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
609 Participants
n=5 Participants
572 Participants
n=7 Participants
1181 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Male
609 Participants
n=5 Participants
572 Participants
n=7 Participants
1181 Participants
n=5 Participants
Race/Ethnicity, Customized
Black South African
609 participants
n=5 Participants
572 participants
n=7 Participants
1181 participants
n=5 Participants
Race/Ethnicity, Customized
Not Black South African
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
Region of Enrollment
South Africa
609 participants
n=5 Participants
572 participants
n=7 Participants
1181 participants
n=5 Participants
Married
Married
27 participants
n=5 Participants
41 participants
n=7 Participants
68 participants
n=5 Participants
Married
Not Married
582 participants
n=5 Participants
531 participants
n=7 Participants
1113 participants
n=5 Participants
Employment Status
Not employed
425 participants
n=5 Participants
368 participants
n=7 Participants
793 participants
n=5 Participants
Employment Status
Employed
184 participants
n=5 Participants
204 participants
n=7 Participants
388 participants
n=5 Participants
Completed high school
Completed high school
279 participants
n=5 Participants
239 participants
n=7 Participants
518 participants
n=5 Participants
Completed high school
Less than high school
330 participants
n=5 Participants
333 participants
n=7 Participants
663 participants
n=5 Participants
Alcohol dependent
Alcohol dependent
377 participants
n=5 Participants
330 participants
n=7 Participants
707 participants
n=5 Participants
Alcohol dependent
Not alcohol dependent
232 participants
n=5 Participants
242 participants
n=7 Participants
474 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline, 6 months, 12 months post-intervention

Population: Participants with data at baseline and at least one follow-up.

Men who reported at least 1 vaginal intercourse act in the past 3 months and whose number of reported condom-protected vaginal intercourse acts equaled their number of vaginal intercourse acts were coded as practicing consistent or 100% condom use. Men who reported at least 1 vaginal intercourse act and whose reported number of condom-protected vaginal intercourse acts was less than their number of vaginal intercourse acts were coded as not practicing consistent condom use. Separate binary variables reflected consistent condom use with primary partners and casual partners.

Outcome measures

Outcome measures
Measure
HIV/STD Risk-reduction
n=418 Participants
Men Making a Difference HIV/STD Risk Reduction Intervention was designed to reduce sexual risk behaviors that increase risk of HIV and other sexually transmitted diseases. Men Making a Difference HIV/STD Risk Reduction Intervention: Developed based on social cognitive theory and extensive formative research, it consists of 6 75-minute modules designed to increase beliefs that support condom use; skill and self-efficacy to use condoms; and HIV/STD risk-reduction knowledge. Two modules are implemented in each of 3 weekly sessions. It is highly structured and implemented in small groups of 9 to 15 men led by a male, isiXhosa-speaking facilitators using standardized intervention manuals. It includes interactive exercises, games, brainstorming, role-playing, take-home assignments, group discussions, and videos, produced specifically for the interventions, shot in authentic township settings, including a shebeen (i.e., an informal alcohol outlet).
Health Promotion Control
n=387 Participants
Health Promotion Intervention was designed to increase physical activity, healthful diet, and other behaviors to reduce risk of noncommunicable diseases, including diabetes, hypertension, and cancers. Health Promotion Control: The health-promotion intervention was designed to control for non-specific features including group interaction and special attention. It was structurally similar to the HIV/STD risk-reduction intervention in that it contained activities similar to the HIV/STD risk-reduction intervention but focused on behaviors linked to the risk of heart disease, hypertension, stroke, diabetes, and certain cancers-leading causes of morbidity and mortality among South Africans. It also consisted of 6 75-minute modules implemented 2 modules per week during 3 weekly sessions led by isiXhosa speaking male facilitators. It was designed to increase fruit and vegetable consumption and physical activity and decrease excessive alcohol consumption.
Self-reported Consistent Condom Use During Vaginal Intercourse in the Past 3 Months
Baseline steady partner
121 Participants
103 Participants
Self-reported Consistent Condom Use During Vaginal Intercourse in the Past 3 Months
6 mo steady partner
125 Participants
93 Participants
Self-reported Consistent Condom Use During Vaginal Intercourse in the Past 3 Months
12 mo steady partner
119 Participants
81 Participants
Self-reported Consistent Condom Use During Vaginal Intercourse in the Past 3 Months
Baseline casual partners
91 Participants
78 Participants
Self-reported Consistent Condom Use During Vaginal Intercourse in the Past 3 Months
6 mo casual partners
60 Participants
58 Participants
Self-reported Consistent Condom Use During Vaginal Intercourse in the Past 3 Months
12 mo casual partners
56 Participants
48 Participants

SECONDARY outcome

Timeframe: Baseline, 6 months, 12 months post intervention

Population: Participants with data at baseline and at least one post-intervention assessment.

The proportion of condom-protected acts of vaginal intercourse is defined as the self-reported number of acts of vaginal intercourse in which the respondent used a condom in the past 3 months divided by the total number of acts of vaginal intercourse the respondent reported in the past 3 months. Calculated separately for steady and casual partners.

Outcome measures

Outcome measures
Measure
HIV/STD Risk-reduction
n=418 Participants
Men Making a Difference HIV/STD Risk Reduction Intervention was designed to reduce sexual risk behaviors that increase risk of HIV and other sexually transmitted diseases. Men Making a Difference HIV/STD Risk Reduction Intervention: Developed based on social cognitive theory and extensive formative research, it consists of 6 75-minute modules designed to increase beliefs that support condom use; skill and self-efficacy to use condoms; and HIV/STD risk-reduction knowledge. Two modules are implemented in each of 3 weekly sessions. It is highly structured and implemented in small groups of 9 to 15 men led by a male, isiXhosa-speaking facilitators using standardized intervention manuals. It includes interactive exercises, games, brainstorming, role-playing, take-home assignments, group discussions, and videos, produced specifically for the interventions, shot in authentic township settings, including a shebeen (i.e., an informal alcohol outlet).
Health Promotion Control
n=387 Participants
Health Promotion Intervention was designed to increase physical activity, healthful diet, and other behaviors to reduce risk of noncommunicable diseases, including diabetes, hypertension, and cancers. Health Promotion Control: The health-promotion intervention was designed to control for non-specific features including group interaction and special attention. It was structurally similar to the HIV/STD risk-reduction intervention in that it contained activities similar to the HIV/STD risk-reduction intervention but focused on behaviors linked to the risk of heart disease, hypertension, stroke, diabetes, and certain cancers-leading causes of morbidity and mortality among South Africans. It also consisted of 6 75-minute modules implemented 2 modules per week during 3 weekly sessions led by isiXhosa speaking male facilitators. It was designed to increase fruit and vegetable consumption and physical activity and decrease excessive alcohol consumption.
The Self-reported Proportion of Condom-protected Acts of Vaginal Intercourse in the Past 3 Months
Baseline Steady partners
0.524 proportion of acts
Standard Error 0.021
0.516 proportion of acts
Standard Error 0.022
The Self-reported Proportion of Condom-protected Acts of Vaginal Intercourse in the Past 3 Months
Baseline Casual partners
0.713 proportion of acts
Standard Error 0.024
0.665 proportion of acts
Standard Error 0.028
The Self-reported Proportion of Condom-protected Acts of Vaginal Intercourse in the Past 3 Months
6 mo Steady partners
0.585 proportion of acts
Standard Error 0.022
0.549 proportion of acts
Standard Error 0.023
The Self-reported Proportion of Condom-protected Acts of Vaginal Intercourse in the Past 3 Months
6 mo Casual partners
0.712 proportion of acts
Standard Error 0.029
0.685 proportion of acts
Standard Error 0.029
The Self-reported Proportion of Condom-protected Acts of Vaginal Intercourse in the Past 3 Months
12 mo Steady partners
0.613 proportion of acts
Standard Error 0.021
0.555 proportion of acts
Standard Error 0.022
The Self-reported Proportion of Condom-protected Acts of Vaginal Intercourse in the Past 3 Months
12 mo Casual partners
0.678 proportion of acts
Standard Error 0.031
0.684 proportion of acts
Standard Error 0.030

SECONDARY outcome

Timeframe: Baseline, 6 months, 12 months post intervention

Population: Participants with data at baseline and at least one post-intervention assessment.

The respondents' self-report of using a condom during their most recent vaginal intercourse. Calculated separately for steady and casual partners.

Outcome measures

Outcome measures
Measure
HIV/STD Risk-reduction
n=418 Participants
Men Making a Difference HIV/STD Risk Reduction Intervention was designed to reduce sexual risk behaviors that increase risk of HIV and other sexually transmitted diseases. Men Making a Difference HIV/STD Risk Reduction Intervention: Developed based on social cognitive theory and extensive formative research, it consists of 6 75-minute modules designed to increase beliefs that support condom use; skill and self-efficacy to use condoms; and HIV/STD risk-reduction knowledge. Two modules are implemented in each of 3 weekly sessions. It is highly structured and implemented in small groups of 9 to 15 men led by a male, isiXhosa-speaking facilitators using standardized intervention manuals. It includes interactive exercises, games, brainstorming, role-playing, take-home assignments, group discussions, and videos, produced specifically for the interventions, shot in authentic township settings, including a shebeen (i.e., an informal alcohol outlet).
Health Promotion Control
n=387 Participants
Health Promotion Intervention was designed to increase physical activity, healthful diet, and other behaviors to reduce risk of noncommunicable diseases, including diabetes, hypertension, and cancers. Health Promotion Control: The health-promotion intervention was designed to control for non-specific features including group interaction and special attention. It was structurally similar to the HIV/STD risk-reduction intervention in that it contained activities similar to the HIV/STD risk-reduction intervention but focused on behaviors linked to the risk of heart disease, hypertension, stroke, diabetes, and certain cancers-leading causes of morbidity and mortality among South Africans. It also consisted of 6 75-minute modules implemented 2 modules per week during 3 weekly sessions led by isiXhosa speaking male facilitators. It was designed to increase fruit and vegetable consumption and physical activity and decrease excessive alcohol consumption.
Self-reported Condom Use at Most Recent Vaginal Intercourse
Baseline Steady partners
193 Participants
175 Participants
Self-reported Condom Use at Most Recent Vaginal Intercourse
Baseline Casual partners
119 Participants
108 Participants
Self-reported Condom Use at Most Recent Vaginal Intercourse
6 mo Steady partners
216 Participants
162 Participants
Self-reported Condom Use at Most Recent Vaginal Intercourse
6 mo Casual partners
96 Participants
85 Participants
Self-reported Condom Use at Most Recent Vaginal Intercourse
12 mo Steady partners
204 Participants
176 Participants
Self-reported Condom Use at Most Recent Vaginal Intercourse
12 mo Casual partners
80 Participants
75 Participants

SECONDARY outcome

Timeframe: Baseline, 6 months, 12 months post intervention

Population: Participants with data from baseline and at least one post-intervention assessment.

Respondents' rating on a 5-point scale from 1 (never) to 5 (always) how often they used a condom during vaginal intercourse. Measured separately for steady and casual partners.

Outcome measures

Outcome measures
Measure
HIV/STD Risk-reduction
n=418 Participants
Men Making a Difference HIV/STD Risk Reduction Intervention was designed to reduce sexual risk behaviors that increase risk of HIV and other sexually transmitted diseases. Men Making a Difference HIV/STD Risk Reduction Intervention: Developed based on social cognitive theory and extensive formative research, it consists of 6 75-minute modules designed to increase beliefs that support condom use; skill and self-efficacy to use condoms; and HIV/STD risk-reduction knowledge. Two modules are implemented in each of 3 weekly sessions. It is highly structured and implemented in small groups of 9 to 15 men led by a male, isiXhosa-speaking facilitators using standardized intervention manuals. It includes interactive exercises, games, brainstorming, role-playing, take-home assignments, group discussions, and videos, produced specifically for the interventions, shot in authentic township settings, including a shebeen (i.e., an informal alcohol outlet).
Health Promotion Control
n=387 Participants
Health Promotion Intervention was designed to increase physical activity, healthful diet, and other behaviors to reduce risk of noncommunicable diseases, including diabetes, hypertension, and cancers. Health Promotion Control: The health-promotion intervention was designed to control for non-specific features including group interaction and special attention. It was structurally similar to the HIV/STD risk-reduction intervention in that it contained activities similar to the HIV/STD risk-reduction intervention but focused on behaviors linked to the risk of heart disease, hypertension, stroke, diabetes, and certain cancers-leading causes of morbidity and mortality among South Africans. It also consisted of 6 75-minute modules implemented 2 modules per week during 3 weekly sessions led by isiXhosa speaking male facilitators. It was designed to increase fruit and vegetable consumption and physical activity and decrease excessive alcohol consumption.
Frequency of Condom Use in the Past 3 Months
Baseline Steady partners
2.991 units on a scale
Standard Error 0.078
3.041 units on a scale
Standard Error 0.083
Frequency of Condom Use in the Past 3 Months
Baseline Casual partners
3.712 units on a scale
Standard Error 0.093
3.603 units on a scale
Standard Error 0.109
Frequency of Condom Use in the Past 3 Months
6 mo Steady partners
3.309 units on a scale
Standard Error 0.079
2.931 units on a scale
Standard Error 0.085
Frequency of Condom Use in the Past 3 Months
6 mo Casual partners
3.892 units on a scale
Standard Error 0.101
3.594 units on a scale
Standard Error 0.110
Frequency of Condom Use in the Past 3 Months
12 mo Steady partners
3.238 units on a scale
Standard Error 0.077
3.029 units on a scale
Standard Error 0.081
Frequency of Condom Use in the Past 3 Months
12 mo Casual partners
3.702 units on a scale
Standard Error 0.109
3.649 units on a scale
Standard Error 0.111

SECONDARY outcome

Timeframe: Baseline, 6 months, 12 months post intervention

Population: Participants with data at baseline and at least one post-intervention assessment.

A binary variable indicating whether the participants talked to partner about using condoms in the past 90 days.

Outcome measures

Outcome measures
Measure
HIV/STD Risk-reduction
n=490 Participants
Men Making a Difference HIV/STD Risk Reduction Intervention was designed to reduce sexual risk behaviors that increase risk of HIV and other sexually transmitted diseases. Men Making a Difference HIV/STD Risk Reduction Intervention: Developed based on social cognitive theory and extensive formative research, it consists of 6 75-minute modules designed to increase beliefs that support condom use; skill and self-efficacy to use condoms; and HIV/STD risk-reduction knowledge. Two modules are implemented in each of 3 weekly sessions. It is highly structured and implemented in small groups of 9 to 15 men led by a male, isiXhosa-speaking facilitators using standardized intervention manuals. It includes interactive exercises, games, brainstorming, role-playing, take-home assignments, group discussions, and videos, produced specifically for the interventions, shot in authentic township settings, including a shebeen (i.e., an informal alcohol outlet).
Health Promotion Control
n=466 Participants
Health Promotion Intervention was designed to increase physical activity, healthful diet, and other behaviors to reduce risk of noncommunicable diseases, including diabetes, hypertension, and cancers. Health Promotion Control: The health-promotion intervention was designed to control for non-specific features including group interaction and special attention. It was structurally similar to the HIV/STD risk-reduction intervention in that it contained activities similar to the HIV/STD risk-reduction intervention but focused on behaviors linked to the risk of heart disease, hypertension, stroke, diabetes, and certain cancers-leading causes of morbidity and mortality among South Africans. It also consisted of 6 75-minute modules implemented 2 modules per week during 3 weekly sessions led by isiXhosa speaking male facilitators. It was designed to increase fruit and vegetable consumption and physical activity and decrease excessive alcohol consumption.
Talked to Partner About Condom Use
Baseline Steady partners
318 Participants
269 Participants
Talked to Partner About Condom Use
Baseline Casual partners
145 Participants
124 Participants
Talked to Partner About Condom Use
6 mo Steady partners
310 Participants
243 Participants
Talked to Partner About Condom Use
6 mo Casual partners
122 Participants
100 Participants
Talked to Partner About Condom Use
12 mo Steady partners
294 Participants
245 Participants
Talked to Partner About Condom Use
12 mo Casual partners
105 Participants
90 Participants

SECONDARY outcome

Timeframe: Baseline, 6 months, and 12 months post-intervention

Population: Participants with data at baseline and at least one post-intervention assessment.

A binary variable indicating whether participant reported having vaginal intercourse without using a condom in the past 3 months (0 = did not have vaginal intercourse or always used a condom; 1= did have vaginal intercourse without using a condom)

Outcome measures

Outcome measures
Measure
HIV/STD Risk-reduction
n=585 Participants
Men Making a Difference HIV/STD Risk Reduction Intervention was designed to reduce sexual risk behaviors that increase risk of HIV and other sexually transmitted diseases. Men Making a Difference HIV/STD Risk Reduction Intervention: Developed based on social cognitive theory and extensive formative research, it consists of 6 75-minute modules designed to increase beliefs that support condom use; skill and self-efficacy to use condoms; and HIV/STD risk-reduction knowledge. Two modules are implemented in each of 3 weekly sessions. It is highly structured and implemented in small groups of 9 to 15 men led by a male, isiXhosa-speaking facilitators using standardized intervention manuals. It includes interactive exercises, games, brainstorming, role-playing, take-home assignments, group discussions, and videos, produced specifically for the interventions, shot in authentic township settings, including a shebeen (i.e., an informal alcohol outlet).
Health Promotion Control
n=555 Participants
Health Promotion Intervention was designed to increase physical activity, healthful diet, and other behaviors to reduce risk of noncommunicable diseases, including diabetes, hypertension, and cancers. Health Promotion Control: The health-promotion intervention was designed to control for non-specific features including group interaction and special attention. It was structurally similar to the HIV/STD risk-reduction intervention in that it contained activities similar to the HIV/STD risk-reduction intervention but focused on behaviors linked to the risk of heart disease, hypertension, stroke, diabetes, and certain cancers-leading causes of morbidity and mortality among South Africans. It also consisted of 6 75-minute modules implemented 2 modules per week during 3 weekly sessions led by isiXhosa speaking male facilitators. It was designed to increase fruit and vegetable consumption and physical activity and decrease excessive alcohol consumption.
Condomless Vaginal Intercourse in the Past 3 Months
Baseline steady partner
281 Participants
263 Participants
Condomless Vaginal Intercourse in the Past 3 Months
6 mo steady partner
231 Participants
220 Participants
Condomless Vaginal Intercourse in the Past 3 Months
12 mo steady partner
231 Participants
230 Participants
Condomless Vaginal Intercourse in the Past 3 Months
Baseline casual partner
112 Participants
107 Participants
Condomless Vaginal Intercourse in the Past 3 Months
6 mo casual partner
82 Participants
83 Participants
Condomless Vaginal Intercourse in the Past 3 Months
12 mo casual partner
84 Participants
83 Participants

SECONDARY outcome

Timeframe: Baseline, 6 months, 12 months post intervention

Population: Participants with data at baseline and at least one post-intervention assessment.

The report of having anal intercourse with a woman in the past 3 months

Outcome measures

Outcome measures
Measure
HIV/STD Risk-reduction
n=568 Participants
Men Making a Difference HIV/STD Risk Reduction Intervention was designed to reduce sexual risk behaviors that increase risk of HIV and other sexually transmitted diseases. Men Making a Difference HIV/STD Risk Reduction Intervention: Developed based on social cognitive theory and extensive formative research, it consists of 6 75-minute modules designed to increase beliefs that support condom use; skill and self-efficacy to use condoms; and HIV/STD risk-reduction knowledge. Two modules are implemented in each of 3 weekly sessions. It is highly structured and implemented in small groups of 9 to 15 men led by a male, isiXhosa-speaking facilitators using standardized intervention manuals. It includes interactive exercises, games, brainstorming, role-playing, take-home assignments, group discussions, and videos, produced specifically for the interventions, shot in authentic township settings, including a shebeen (i.e., an informal alcohol outlet).
Health Promotion Control
n=543 Participants
Health Promotion Intervention was designed to increase physical activity, healthful diet, and other behaviors to reduce risk of noncommunicable diseases, including diabetes, hypertension, and cancers. Health Promotion Control: The health-promotion intervention was designed to control for non-specific features including group interaction and special attention. It was structurally similar to the HIV/STD risk-reduction intervention in that it contained activities similar to the HIV/STD risk-reduction intervention but focused on behaviors linked to the risk of heart disease, hypertension, stroke, diabetes, and certain cancers-leading causes of morbidity and mortality among South Africans. It also consisted of 6 75-minute modules implemented 2 modules per week during 3 weekly sessions led by isiXhosa speaking male facilitators. It was designed to increase fruit and vegetable consumption and physical activity and decrease excessive alcohol consumption.
Heterosexual Anal Intercourse in the Past 3 Months
Baseline Steady partners
59 Participants
58 Participants
Heterosexual Anal Intercourse in the Past 3 Months
Baseline Casual partners
41 Participants
35 Participants
Heterosexual Anal Intercourse in the Past 3 Months
6 mo Steady partners
42 Participants
48 Participants
Heterosexual Anal Intercourse in the Past 3 Months
6 mo Casual partners
25 Participants
31 Participants
Heterosexual Anal Intercourse in the Past 3 Months
12 mo Steady partners
35 Participants
35 Participants
Heterosexual Anal Intercourse in the Past 3 Months
12 mo Casual partners
20 Participants
18 Participants

SECONDARY outcome

Timeframe: Baseline, 6 months, 12 months post intervention

Population: Participants with data at baseline and at least one post-intervention assessment.

The report of having vaginal intercourse with 2 or more women in the past 3 months.

Outcome measures

Outcome measures
Measure
HIV/STD Risk-reduction
n=585 Participants
Men Making a Difference HIV/STD Risk Reduction Intervention was designed to reduce sexual risk behaviors that increase risk of HIV and other sexually transmitted diseases. Men Making a Difference HIV/STD Risk Reduction Intervention: Developed based on social cognitive theory and extensive formative research, it consists of 6 75-minute modules designed to increase beliefs that support condom use; skill and self-efficacy to use condoms; and HIV/STD risk-reduction knowledge. Two modules are implemented in each of 3 weekly sessions. It is highly structured and implemented in small groups of 9 to 15 men led by a male, isiXhosa-speaking facilitators using standardized intervention manuals. It includes interactive exercises, games, brainstorming, role-playing, take-home assignments, group discussions, and videos, produced specifically for the interventions, shot in authentic township settings, including a shebeen (i.e., an informal alcohol outlet).
Health Promotion Control
n=554 Participants
Health Promotion Intervention was designed to increase physical activity, healthful diet, and other behaviors to reduce risk of noncommunicable diseases, including diabetes, hypertension, and cancers. Health Promotion Control: The health-promotion intervention was designed to control for non-specific features including group interaction and special attention. It was structurally similar to the HIV/STD risk-reduction intervention in that it contained activities similar to the HIV/STD risk-reduction intervention but focused on behaviors linked to the risk of heart disease, hypertension, stroke, diabetes, and certain cancers-leading causes of morbidity and mortality among South Africans. It also consisted of 6 75-minute modules implemented 2 modules per week during 3 weekly sessions led by isiXhosa speaking male facilitators. It was designed to increase fruit and vegetable consumption and physical activity and decrease excessive alcohol consumption.
Multiple Vaginal Partners in the Past 3 Months
Baseline
256 Participants
220 Participants
Multiple Vaginal Partners in the Past 3 Months
6 mo
199 Participants
191 Participants
Multiple Vaginal Partners in the Past 3 Months
12 mo
199 Participants
200 Participants

Adverse Events

HIV/STD Risk-reduction

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Health Promotion Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. John B. Jemmott III

University of Pennsylvania

Phone: 215-573-9366

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place