A Self-Management Approach to Reducing AIDS Risk in Sexually Active Heterosexual College Students

This study investigated the effectiveness of a self-management skills training (SMST) program in modifying at-risk sexual behaviors among a group of 51 college-aged heterosexual, sexually active, males and females. The frequency of condom use and related responses were self-monitored before, during, and after participation. In addition, pre- and post-test treatment measures were used to analyze attitudes and beliefs related to issues such as risk of HIV and AIDS, sexual communication skills, and condoms. The SMST program focused on identifying antecedent variable, planning appropriate response sequences, and arranging positive consequences. These skill were then practiced in the program sessions and via home work assignments. Results showed significant increases in reported condom use, condom purchase, and in condom-use dialogue with sexual partners. The findings of this study may be useful in developing effective intervention programs to reduce the risk of AIDS on college campuses.