1990/03/01 by Joseph A. Catania, Susan M. Kegeles, Thomas J. Coates · 968 citations
Health Professions · Medicine · Psychology · #Adolescent Sexual and Reproductive Health #Behavior change #Computer science #Developmental psychology #Homelessness and Social Issues #Human immunodeficiency virus (HIV) #Human sexuality #Immunology #LGBTQ Health, Identity, and Policy #Medicine #Process (computing) #Psychology #Sexual behavior #Social psychology #Sociology
paper · doi:10.1177/109019819001700107
published in Health Education Quarterly 17(1), 53-72 (SAGE Publishing)
crossref issued 1990/03/01 · crossref published 1990/03/01 · crossref published-online 1990/03/01 · crossref published-print 1990/03/01 · openalex publication_date 1990/03/01 · crossref created 2007/02/13 · openalex created_date 2025/10/10 · crossref deposited 2026/04/29 · crossref indexed 2026/08/01 · openalex updated_date 2026/08/02
This report presents a three-stage model (ARRM) that characterize people's efforts to change sexual behaviors related to HIV transmission. ARRM focuses on social and psychological factors hypothesized to influence (1) labeling of high risk behaviors as problematic, (2) making a commitment to changing high risk behaviors, and (3) seeking and enacting solutions directed at reducing high risk activities. The proposed model integrates important concepts from prior behavioral medicine and human sexuality studies, specifies their differential import to achieving the goals associated with each stage of the model, and denotes factors hypothesized to influence people's motivation to continue the change process over time. Current findings are discussed within this three-stage model and directions for further research are suggested. Recent findings from our ongoing studies of gays and heterosexuals in San Francisco are presented.