Changing AIDS-risk behavior.

Fisher, Jeffrey D.; Fisher, William A.

doi:10.1037/0033-2909.111.3.455

Cited by 2,459HIV/AIDS Research and InterventionsHIV, Drug Use, Sexual RiskBehavioral Health and Interventions

Changing AIDS-risk behavior.

Fisher, Jeffrey D., Fisher, William A.·1992·Psychological Bulletin

DOI 10.1037/0033-2909.111.3.455

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Abstract

This article contains a comprehensive, critical review of the acquired immunodeficiency syndrome (AIDS)-risk-reduction literature on interventions that have targeted risky sexual behavior and intravenous drug use practices. A conceptually based, highly generalizable model for promoting and evaluating AIDS-risk behavior change in any population of interest is then proposed. The model holds that AIDS-risk reduction is a function of people's information about AIDS transmission and prevention, their motivation to reduce AIDS risk, and their behavioral skills for performing the specific acts involved in risk reduction. Supportive tests of this model, using structural equation modeling techniques, are then reported for populations of university students and gay male affinity group members.

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The survey instrument was developed iteratively, framed within the IMB model, informed by practicing dentists, psychometrics experts, SUD research experts, a scoping review, and feedback from committees.
“As no gold-standard survey instrument existed specific to the aims of this study, the study team undertook an iterative development process of a survey framed within the Information-Motivation-Behavior Skills model (IMB; Fisher & Fisher, 1992), informed heavily by practicing dentists, experts in psychometrics, and substance use disorder research experts.”
From Dental screening, counseling, and referral to treatment for substance use disorder: Survey of the National Dental Practice-Based Research Network (2026) · cites this paper as Fisher & Fisher, 1992
The information-motivation-behavioural skills (IMB) model is a widely used social behaviour model to explain medication adherence among chronically ill patients.
“The information–motivation–behavioural skills (IMB) model is a widely used social behaviour model to explain medication adherence among chronically ill patients [15,16].”
From Factors Contributing to Medication Adherence in Patients with a Chronic Condition: A Scoping Review of Qualitative Research (2021) · cites this paper as [15]
According to the IMB model, information and knowledge about the need for essential behaviour, motivation to make necessary behavioural changes, and the required behavioural skills to achieve the desired behaviour influence adherence behaviour.
“According to the model, the following three dimensions influence adherence behaviour: (1) Information and knowledge about the need for essential behaviour, (2) Motivation to make necessary behavioural changes and (3) The required behavioural skills to achieve the desired behaviour.”
From Factors Contributing to Medication Adherence in Patients with a Chronic Condition: A Scoping Review of Qualitative Research (2021) · cites this paper as [15]
The theoretically based combination of BCTs associated with provision of information, increasing motivation and enhancing behavioural skills has been found to reduce the frequency of sexual interactions that increase health risk.
“The theoretically based combination of BCTs associated with provision of information, increasing motivation and enhancing behavioural skills 171 has been found to reduce the frequency of sexual interactions that increase health risk.169”
From Behaviour change techniques: the development and evaluation of a taxonomic method for reporting and describing behaviour change interventions (a suite of five studies involving consensus methods, randomised controlled trials and analysis of qualitative data) (2015) · cites this paper as [171]

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Authors: Fisher, J. D., & Fisher, W. A.
Affiliations: University of Connecticut (US)
ORCID: Fisher, Jeffrey D.
Fisher, William A.
Venue: Psychological Bulletin
Publisher: American Psychological Association (APA)
Published: 1992
Volume: 111
Issue: 3
Pages: 455-474
ISSN: 0033-2909 (ISSN-L)
1939-1455
DOI: 10.1037/0033-2909.111.3.455
OpenAlex: W1986977853
Cited by: 2,459
References: 0
Citations by year: 2026: 87 · 2025: 101 · 2024: 94 · 2023: 87 · 2022: 80 · 2021: 110 · 2020: 144 · 2019: 91 · 2018: 109 · 2017: 73 · 2016: 91 · 2015: 79 · 2014: 106 · 2013: 106 · 2012: 89
FWCI: 29.03
Type: journal article
Language: en
Open access: closed
Locations: Psychological Bulletin (publishedVersion)
PubMed (publishedVersion)
OpenCommons - UConn (University of Connecticut) (submittedVersion)
Funders: National Institutes of Health (5r01mh046224-05)
National Institute of Mental Health (1-RO1-MH46224-01)
Topics: Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
Keywords: sexual risk behavior, intravenous drug use, HIV prevention, behaviour change interventions, AIDS knowledge, motivation, behavioral skills, university students, gay men
MeSH terms: Acquired Immunodeficiency Syndrome, Health Education, Humans, Health Knowledge, Attitudes, Practice, Risk Factors, Health Behavior

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Changing AIDS-risk behavior.

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