BROTHER TO BROTHER -
Hot, Healthy and Safe

John L. Peterson, Ph.D., Thomas J. Coates, Ph.D., Joseph Ctania, Ph.D., Walter W. Hauck, M.D., Michael Acree, Ph.D., Dennis Daigle, Bobby Hillard, Lee Middleton, Norman Hearst, M.D.

FOCUS

SUMMARY

BROTHER TO BROTHER is a three-session behavioral intervention aimed at reducing HIV infection among African-American gay and bisexual men. Sessions are designed to foster positive identity development, educate participants about HIV/AIDS risk, teach assertiveness, and encourage the sharing of commitments and strategies for risk reduction among group members. Participants gain mastery through role-play, group discussion, and behavioral skills exercises. BROTHER TO BROTHER was first implemented and evaluated with a group of young African-American gay and bisexual men in San Francisco from 1989 to 1991. At the 12- and 18- month follow-up interviews, significant reductions in unprotected anal intercourse were reported by BROTHER TO BROTHER intervention participants as compared to their control group counterparts.

SUITABLE FOR USE IN

This program is suitable for use in STD clinics and other community organizations that provide education or services to African-American gay and bisexual men.

ORIGINAL INTERVENTION SAMPLE

Age, Gender
Average age 31, 100% male

Race/Ethnicity
100% African-American

PROGRAM LENGTH

Each of the three student sessions is designed to run 3 hours. To help ensure program effectiveness, sessions should be held one week aprt (i.e., three sessions in three weeks).

STAFFING REQUIREMENTS/TRAINING

The Facilitatorís Manual provides detailed instruction to help implement the curriculum, however since this is a culture and gender-specific intervention, the facilitator must be an African-American homosexual/bisexual man.

   Injection Drug Users & Their Non-injecting Partners
   Gay/Bisexual Men
   STD Clinic Clients
   Women
   Minority Specific
   Other

ORIGINAL SITE
   Community-Based
   Clinic-Based

APPROACH
   Behavioral Skills Development
   Community Outreach
   Condom Education/Access
   HIV/STD Education
   Needle Cleaning/Exchange
   Self Efficacy/Self-Esteem

COMPONENTS
   Behavioral Skills Practice
   Group Discussion
   HIV Antibody Testing/Counseling
   Lectures
   Peer Counseling/Instruction
   Role Pay
   Safer Sex Communication/Negotiation
   Video
   Other
   

HAPPA PROGRAM PACKAGE

The HAPPA Program Package for this program includes:

  • Brother to Brother User's Guide
  • Tongues United videotape
  • Program Materials packet
  • Original Evaluation Instrument
  • HAPPA Adaptation Workbook
  • Facilitator's Manual
  • Black Wishes videotape (Note: this video contains sexually explicit material of a graphic nature)
  • HAPPA Evaluation Assistance Kit (includes the Evaluation Questionnaire)
  • Process Evaluation Instrument

  • Telephone technical support on implementation and evaluation for 1 year