Abstract
In addition to widescale AIDS education campaigns, interventions are also needed which can directly assist in the development of skills to reduce HIV infection. Cognitive-behavioural and skills training approaches have long been used to help individuals learn to change other behaviour patterns related to health and can be applied to AIDS. Several approaches (self-management skills training, assertiveness training, and problem-solving) are discussed in relation to HIV risk reduction counselling. Examples and outcome data from prior risk reduction groups for gay men are summarised. Involvement in multiple-session group intervention can produce rapid and clinically meaningful changes in high-risk behaviour patterns. Issues pertinent to the field implementation of such interventions are discussed.
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