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June 2003, Vol 93, No. 6 | American Journal of Public Health 963-969
© 2003 American Public Health Association

RESEARCH AND PRACTICE

The Efficacy of a Relationship-Based HIV/STD Prevention Program for Heterosexual Couples

Nabila El-Bassel, DSW, Susan S. Witte, PhD, Louisa Gilbert, MS, Elwin Wu, PhD, Mingway Chang, MA, Jennifer Hill, PhD and Peter Steinglass, MD

Nabila El-Bassel, Susan S. Witte, Louisa Gilbert, Elwin Wu, Mingway Chang, and Jennifer Hill are with the Social Intervention Group, Columbia University School of Social Work, New York, NY. Peter Steinglass is with the Ackerman Institute for the Family, New York, NY.

Correspondence: Requests for reprints should be sent to Nabila El-Bassel, DSW, Social Intervention Group, Columbia University School of Social Work, 622 W 113th St, New York, NY 10025 (e-mail: ne5{at}columbia.edu).

Objectives. This study examined the efficacy of a relationship-based HIV/sexually transmitted disease prevention program for heterosexual couples and whether it is more effective when delivered to the couple or to the woman alone.

Methods. Couples (n = 217) were recruited and randomized to (1) 6 sessions provided to couples together (n = 81), (2) the same intervention provided to the woman alone (n = 73), or (3) a 1-session control condition provided to the woman alone (n = 63).

Results. The intervention was effective in reducing the proportion of unprotected and increasing the proportion of protected sexual acts. No significant differences in effects were observed between couples receiving the intervention together and those in which the woman received it alone.

Conclusions. This study demonstrates the efficacy of a relationship-based prevention program for couples at risk for HIV infection.




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