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Application of the transtheoretical model for HIV prevention in
a facility-based and a community-level behavioral intervention research
study.
Health Promotion Practice 2004;5(2):199-207.
Cabral RJ, Cotton D, Semaan S, Gielen AC.
Abstract
This article describes the application of the transtheoretical model of behavior
change to prevention programs for women at risk for or infected with HIV.
The focus of these multisite demonstration projects was to increase condom
and contraceptive use. The model was operationalized for use in the following
two different intervention approaches: facility-based interventions (individual
counseling for women in clinics, shelters, and drug treatment centers) and
community-level interventions (including production of small media materials,
street outreach, and community mobilization). The authors found that interventions
derived from a complex theory can be disseminated to frontline providers
who have little prior HIV education experience or academic training. They
suggest that the transtheoretical model has value for the design and implementation
of HIV prevention programs.