Evaluation of Many Men, Many Voices, An STD/HIV Prevention Intervention for Black MSM

Study Overview
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Brief Summary
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The purpose of this program evaluation is to determine whether the Many Men, Many Voices HIV/STD prevention intervention is effective in reducing HIV sex risk behaviors and increasing HIV testing among African-American men who have sex with men (MSM), who may or may not self-identify as gay. The intent of this program is to support the evaluation of an existing intervention and provide feedback to the implementing organization for improved program effectiveness, not to conduct research.

Detailed Description
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Black men who have sex with men (MSM) in the United States experience disproportionately high rates of HIV and other sexually transmitted infections (STIs); however, the number of evidence-based interventions for Black MSM is limited. This study evaluated the efficacy of Many Men, Many Voices (3MV), a small-group HIV/STI prevention intervention developed by Black MSM-serving community-based organizations and a university-based HIV/STI prevention and training program. The study sample included 338 Black MSM of HIV-negative or unknown HIV serostatus residing in New York city. Participants were randomly assigned to the 3MV intervention condition (n = 164) or wait-list comparison condition (n = 174). Relative to comparison participants, 3MV participants reported significantly greater reductions in any unprotected anal intercourse with casual male partners; a trend for consistent condom use during receptive anal intercourse with casual male partners; and significantly greater reductions in the number of male sex partners and greater increases in HIV testing. This study is the first randomized trial to demonstrate the efficacy of an HIV/STI prevention intervention for Black MSM.

Official Title
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Evaluation of Many Men, Many Voices, A Group Intervention for STD/HIV Prevention for Black Men Who Have Sex With Men (MSM) in the New York Metropolitan Area by People of Color in Crisis, Brooklyn, NY

Conditions
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HIV Infections, Sexually Transmitted Diseases

Intervention / Treatment
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* Behavioral: Many Men, Many Voices (3MV)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Black men who have sex with other men (i.e., self-identify as gay or bisexual or same gender-loving, or sexually active with other men and do not identify as gay or bisexual, or have sexual or emotional attraction to other men) 18 years of age or older Self-report their HIV serostatus as negative or unknown Willing to attend an intervention retreat (without their primary partner) Willing to discuss male-to-male sex Resident of the New York Metropolitan area and plan to reside in that area for at least 6 months Not previously participated in a Many Men, Many Voices intervention program Exclusion Criteria: Individuals indicating an HIV positive serostatus Under 17 years of age Individuals not meeting the inclusion criteria specified above

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Many Men, Many Voices (3MV) Intervention<br>Receive 6-session intervention immediately after baseline assessment and randomization | Behavioral: Many Men, Many Voices (3MV)<br>* Small-group, 6-session HIV prevention intervention for Black MSM.<br>|
| No Intervention: Wait list comparison<br>Receive intervention after 6-month delay (wait list control group) | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Any Unprotected Anal Intercourse (UAI) With Casual Partners | Sexual activities with casual male partners in past 3 months (i.e., any unprotected insertive or receptive anal sex) | 6 months | 
| Number of Participants Reporting HIV Testing Behavior |  | 6 months | 
| Number of Participants Reporting Sexually Transmitted Disease (STD) Testing Behavior |  | 6 months | 
| Number of Episodes of Insertive Unprotected Anal Intercourse (UAI) With Casual Partners |  | 6 months | 
| Number of Episodes of Receptive Unprotected Anal Intercourse (UAI) With Casual Partners |  | 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Adult, HIV Infections / pc [Prevention & Control], Homosexuality, Male, Humans, Male, Risk-Taking, Safe Sex, Sexual Behavior, HIV