Sexually Transmitted Diseases  >  Program Guidelines  >  Community and Individual Behavior Change Interventions

Program Operations Guidelines for STD Prevention
Community and Individual Behavior Change Interventions

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• APPENDIX BC-A

APPENDIX BC-A

EXAMPLE OF PLANNING MODEL

(Office of Technology Assessment, 1995)

Category—Counseling, Testing, Referral, Partner Notification

Target Population—Out-of-treatment adult injection drug users and their partners; most African-American and Latino, located in a specific neighborhood of a city; readiness for behavior change of drug users and partners was pre-contemplative

Level—Individual

Behavioral Objective—Decrease drug use and sexual risk behaviors

Factors affecting Risk Behaviors—Knowledge of HIV/AIDS transmission, perceived vulnerability to acquiring HIV, perceived correct condom use, perceived outcomes of behavior change, accessibility of condoms and bleach, perceived peer and community norms

Services, Materials, and Information—Information and risk-reduction counseling, HIV testing, free condoms and bleach, written materials about transmission and services available

Setting—Two mobile vans situated in high-need areas of the targeted neighborhood

Persons Delivering Intervention—Community paraprofessional trainers and counselors and medically trained staff member (for HIV testing)

Visibility of Intervention—Outreach staff of both sexes who reflect the composition of the neighborhood distribute materials on the program and services to other agencies and through one-on-one contact

Frequency/Duration—Two 20- to 30-minute sessions over two to three weeks (moderate intensity)

Scale and Significance—Approximately 1,000 of the estimated 5,000 target group members will be reached

Contextual Factors—Services to be delivered are partly dependent on the client's HIV status; seronegative participants receive education, counseling, and referrals; seropositive participants receive these services plus medical treatment and counseling.

Extent of Coordination—Formal and informal coordination and referral contracts developed with eight other service agencies in the target neighborhood.

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