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CDC AIDS Community Demonstration Projects Research Group (1999)
American Journal of Public Health, 89 (3), 336 - 345
 
 
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Description of Intervention: AIDS Community Demonstration Project
This community-level intervention was based on the Transtheoretical Model of Behavior Change, which recognizes that change occurs in stages. The intervention aimed to modify attitudes and beliefs about prevention methods among the community members by providing models of successful risk-reduction strategies adopted by members of the target population. The intervention took place over 3 years in Dallas, Denver, Long Beach, New York City, and Seattle. Peer volunteers from each target community were trained to carry out the intervention, drawing attention to and reinforcing identification with and acceptance of the intervention messages.
The intervention featured role model stories developed from the real-life experiences of local community members. These stories depicted members of the target population moving from earlier to later stages of change. Stories were developed and selected so that the majority matched the predominant stages of change and beliefs about condoms and bleach observed in the population.
The role model stories were featured in flyers distributed with condoms and bleach kits by the peer volunteers.
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Intervention Goal(s): To determine the effects of a community-level intervention to increase condom use with main and non-main partners and/or to increase disinfection of injection equipment.
Intervention Setting: Street settings, public sex environments, and other community venues.
Population: Interviews were conducted with 15,205 individuals who were injection drug users, female sex partners of injection drug users, commercial sex workers, non-gay-identified men who have sex with men, high-risk youth, and/or residents in census tracts with high rates of sexually transmitted disease. Of the interviewees, 45% were men and 55% were women; 54% were African American, 19% were Hispanic, 22% were white, and 5% were of other racial/ethnic groups; and 35% were under 30 years of age.
Comparison Condition: Usual HIV prevention activities and services available in the community.
Behavioral/Health Findings: Individuals in the intervention communities demonstrated significantly greater achievement of consistent condom use and maintenance of consistent condom use with non-main partners than individuals in the comparison communities.
Contact:
Behavioral Intervention Research Branch
Division of HIV & AIDS Prevention
Centers for Disease Control and Prevention
Atlanta, GA 30333Phone: 404-639-1900
Fax: 404-639-1950
E-mail: ryw1@cdc.gov
Go to AIDS/Drug Injection Prevention
This study meets CDC's HIV/AIDS Prevention Research Synthesis project criteria for relevance and methodological rigor and also has the positive and significant behavioral/health findings required for the Compendium. Date added 1/99
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