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HIV infections -- Prevention, The Chi-squared test for a distribution, Condoms, Epidemiology, HIV-positive persons -- Psychology, Multimedia systems, Regression analysis, Research -- Finance, Sampling (Statistics), t-test (Statistics), User interfaces (Computer systems), Women -- Health, Blacks -- Psychology, Logistic regression analysis, Safe sex in AIDS prevention


This study evaluates the efficacy of Multimedia WiLLOW in enhancing HIV-protective sexual behaviors and psychosocial outcomes among HIV-positive African American women, including condom use for vaginal and anal sex, and psychosocial mediators associated with risk reduction practices. Using a community-based randomized controlled design, 168 participants completed a baseline and follow-up assessment as well as an exit satisfaction survey. Intervention participants reported significantly higher proportions of condom protected sex acts in the past 30 days (p=.002), with both HIV-negative (p=.040) and HIV-positive (p=.003) partners. They were also more likely to report 100% condom use (OR = .10; p=.030); a lower adjusted mean of unprotected vaginal and anal sex acts in the past 30 days (p=.002); significantly greater sexual communication self-efficacy (p=.004); and less stress (p=.012). Participants rated Multimedia WiLLOW favorably in four satisfaction categories — enjoyment (p


This is the author’s version of a work that was accepted for publication. This paper was published in Aids & Behavior and is made available as an electronic reprint with the permission of Springer. The paper can be found at the following URL on the OSA website: Systematic or multiple reproduction or distribution to multiple locations via electronic or other means is prohibited and is subject to penalties under law.



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