Community Mental Health Journal

, Volume 41, Issue 3, pp 277–290

HIV Risk Reduction for Substance Using Seriously Mentally Ill Adults: Test of the Information-Motivation-Behavior Skills (IMB) Model


    • Psychology DepartmentUniversity of Connecticut
  • Robert Malow
    • Florida International University
  • Jessy Dévieux
    • Florida International University
  • Judith A. Stein
    • University of California
  • Fred Piedman
    • University of Miami

DOI: 10.1007/s10597-005-5002-1

Cite this article as:
Kalichman, S., Malow, R., Dévieux, J. et al. Community Ment Health J (2005) 41: 277. doi:10.1007/s10597-005-5002-1


The information-motivation-behavioral skills (IMB) model (Fisher & Fisher, 1992) was used as the theoretical framework for predicting unprotected sexual behavior among substance abusing men and women diagnosed with serious mental illnesses (n = 320; 150 men and 170 women, primarily of minority ethnicity). In a structural equation model, gender, HIV transmission knowledge, and motivational variables of pro-condom norms and attitudes, and perceived susceptibility predicted behavioral skills markers: condom use skills and condom use self-efficacy. Along with the other variables in the model, condom skills and condom self-efficacy were hypothesized to predict condom use over a six-month period. Results showed that greater condom skills were predicted by female gender, positive condom attitudes, and transmission knowledge. Engaging in lower rates of unprotected sex was predicted by pro-condom norms, less perceived susceptibility, and greater condom self-efficacy. Positive attitudes toward condoms had a significant indirect effect on rates of unprotected sex, exerting its influence through condom use self-efficacy. Results suggest that changing personal attitudes about condoms and reinforcing pro-condom attitudes among significant others will encourage condom use among seriously mentally ill (SMI) adults who are at high risk for HIV and other sexually transmitted diseases (STDs).

Copyright information

© Springer Science+Business Media, Inc. 2005