TABLE 3—
Positive and Negative Aspects of REMAS-CA | Feedback |
Participant likes | Getting basic information about STI statistics and safe sex options; some specifically liked myth cards exercise |
Camaraderie of all-men’s group | |
Condom practice and female condom information | |
Group became a safe place to talk about sensitive issues | |
Able to get in touch with positive values from childhood years | |
Surprised at how similar values were across cultures/ethnicity | |
TALK tools (communication skills) helpful, but take practice | |
Started to think more about own sexual risk taking | |
Focus on sexual intercourse under the influence led to positive discussions about risk triggers and ways to enhance intercourse without drugs | |
Participant dislikesa | Unfamiliar language sometimes used |
Movie clips outdated or did not add much to discussion (although some felt they were a good tool for exploring how they might behave in a similar situation) | |
Some sessions had ≤ 3 attendees and quality of discussion suffered | |
Participant suggestions for improvement | Provide TALK tool reminder cards to take home |
Teach skills to increase comfort when talking with partners about safe sex and subsequent behaviors | |
Teach how to make sexual intercourse better when dealing with sexual dysfunction without drugs | |
Provide information on Viagra and natural remedies for sexual dysfunction | |
Include more on women’s perspective about sexual issues; consider having a woman cotherapist or having women patients attend some groups (other participants disagreed, because presence of women would change what people might be willing to say/discuss in a group) |
Note. REMAS–CA = Real Men Are Safe–Culturally Adapted; STI = sexually transmitted disease; TALK = Tell my partner “I hear you,” Assert what I want in a positive way, List my reasons for wanting to be safe, Know our alternatives and my bottom line.
Or aspects felt to be not very helpful.