3MV

MANY MEN, MANY VOICES (3MV)

A Group-Level Intervention for Gay Men of Color

3MV is a 7 session group level intervention specifically geared towards minority Men Who Have Sex With Men (MSM) who may or may not identify as “gay”. Topics/Issues covered include: positive self-imaging, condom negotiation, HIV/STD risk reduction strategies and maintaining support systems.

 3MV is a seven-session, group-level HIV and STD prevention intervention for black gay men. The intervention addresses factors that influence the behavior of black men who have sex with men, including cultural, social, and religious norms; interactions between HIV and other sexually transmitted diseases; sexual relationship dynamics; and the social and psychological influences that racism and homophobia have on HIV risk behaviors. 3MV is designed to be delivered by two culturally competent facilitators in groups of up to 12 clients.

Click on the link to review the Guidelines for Participating in the Many Men, Many Voices Training (PDF document).

3MV

The training for this intervention is a four-day course where participants will experience portions of the actual intervention on Day 1 and complete more typical Training-of-Facilitators-style activities on Days 2-4. This training is highly experiential, incorporating group exercises, behavioral skills practice, group discussions, role plays, and repeated episodes of practiced facilitation (i.e., “facilitate-backs”). The 3MV training is designed for individuals who will directly facilitate the intervention in their home communities. Evaluators, program managers and other staff who will not be involved in direct facilitation will be accepted if space is available.

Research and Development

Kelly, J.A., St. Lawrence, J.S., Hood, H.V., Brasfield, T.L. (1989). Behavioral intervention to reduce AIDS risk activities. Journal of Consulting and Clinical Psychology, 57(1):60-67.

Wilton, L., Herbst, J.H., Coury-Doniger, P., Painter, T.M., English, G., Alvarez, M.E., Scahill, M., Roberson, M.A., Lucas, B., Johnson, W.D., Carey, J.W.(2009). Efficacy of an HIV/STI Prevention Intervention for Black Men Who Have Sex with Men: Findings from the Many Men, Many Voices (3MV) Project. AIDS Behav. 2009; 13(3): 532-544. Also available online at: http://www.springerlink.com/content/vt720u28613rrx07.

Program Review Panel Information

The CDC requires all CDC-funded agencies using the Many Men, Many Voices intervention to identify, or establish, and utilize a Program Review Panel and complete Form 0.1113 to document this activity. The intervention researchers and developers are not involved in this activity. This is a CDC requirement for their grantees, and all questions in this regard should be directed to your agency’s CDC Project Officer or to the health department funding your agency’s implementation of the intervention.

The Program Review Panel guidelines, instructions for completion of Form 0.113, and the form itself are available under the Related Links section of this website.

CDC Policy on Youth Peer Outreach Workers

CDC funded (directly or indirectly) agencies using youth (either paid or volunteer) in program outreach activities, it is very important that said organizations use caution and judgment in the venues/situations where youth workers are placed. Agencies should give careful consideration to the “age appropriateness” of the activity or venue. Additionally, agencies should comply with all relevant laws and regulations regarding entrance into adult establishments/environments. Laws and curfews should be clearly outlined in required safety protocols developed and implemented by agencies directly and indirectly funded by CDC.

If you have specific questions, please contact your CDC project officer.

FACT SHEET Program Overview

Many Men, Many Voices (3MV) is a 7-session,
group level intervention program to prevent HIV
and sexually transmitted diseases among black men
who have sex with men (MSM) who may or may
not identify themselves as gay. The intervention
addresses factors that influence the behavior of
black MSM: cultural, social, and religious norms;
interactions between HIV and other sexually
transmitted diseases; sexual relationship dynamics;
and the social influences that racism and
homophobia have on HIV risk behaviors.
3MV is designed to be facilitated by a peer in
groups of 6-12 clients. The 2-3 hour sessions aim to
foster positive self image; educate participants
about their STD/HIV risks; and teach risk reduction
and partner communication skills. The sessions are
highly experiential, incorporating group exercises,
behavioral skills practice, group discussions, and
role play.
The 7 sessions address specific influencing factors
in a purposeful sequence:
• Session 1: The Dual Identity Culture of black
MSM
• Session 2: HIV Prevention for black MSM:
Sexual Roles and Risks
• Session 3: HIV Risk Assessment and
Prevention Options
• Session 4: Intentions to Act and Capacity to
Change
• Session 5: Partner Selection, Communication,
and Negotiation
• Session 6: Social Support and Problem Solving
to Maintain Change
• Session 7: Building Bridges and Community
The intervention can also be adapted to 12 sessions
of 75-90 minutes each, or condensed into a
weekend retreat, covering the 18-21 hours of
intervention curriculum.
Core Elements
Core elements of 3MV are:
• Enhance self-esteem related to racial identity
and sexual behavior.
• Educate clients about HIV risk and sensitize to
personal risk.
• Educate clients about interactions between HIV
and other sexually transmitted diseases and
sensitize to personal risk.
• Develop risk-reduction strategies.
• Build a menu of behavioral options for HIV and
other sexually transmitted diseases risk
reduction, including those that one can act on
individually and those that require partner
involvement.
• Train in risk-reduction behavioral skills
• Enhance self-efficacy related to behavioral
skills.
• Train in partner communication and
negotiation.
• Provide social support and relapse prevention.
Target Population
The 3MV intervention targets gay men of color.
The intervention also targets men on the ‘down
low’ with or without female partners (i.e., men of
color who have sex with other men but do not
identify as gay or bisexual).
Program Materials
Educational materials for distribution which may be
used to recruit persons into the group.
Research Results
After implementation of the original intervention
(12 sessions of 75-90 minutes each), participants
reduced their frequency of unprotected anal
intercourse and increased their use of condoms
significantly more than men who did not participate
in the intervention.
For More Information on 3MV
To obtain additional information about the technical
assistance system and/or to get your name on a list
for a future training, please visit our website
www.effectiveinterventions.org.
If you do not have access to the web, you may also
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Kelly, J.A., St. Lawrence, J.S., Hood, H.V., Brasfield, T.L. (1989). Behavioral intervention to reduce AIDS risk activities.
Journal of Consulting and Clinical Psychology, 57(1):60-67.
Wilton, L., Herbst, J.H., Coury-Doniger, P., Painter,T.M., English, G., Alvarez, M.E., Scahill, M., Roberson, M.A.,
Lucas, B., Johnson, W.D., Carey, J.W.(2009). Efficacy of an HIV/STI Prevention Intervention for Black Men Who
Have Sex with Men: Findings from the Many Men, Many Voices (3MV) Project. AIDS Behav. 2009; 13(3): 532-544