Evaluation of 37 AIDS prevention projects: successful approaches and barriers to program effectiveness.
In 1988, the Robert Wood Johnson Foundation awarded grants to 54 AIDS prevention and service projects. This article presents the results from a survey of the 37 projects that contained a substantial prevention effort and embellishes these findings with qualitative data from in-depth site visits to 12 projects. Survey respondents reported conducting a mean of 19 different intervention activities. Small-group discussion, outreach to populations engaged in high-risk behaviors, and training peers and volunteers were the intervention activities rated most effective by project staff. Qualitative analysis identified eight factors facilitating intervention effectiveness. Three site-visited projects were chosen to exemplify the ways in which these facilitating factors contributed to the perceived effectiveness of small-group discussions, outreach, and the training of peer educators. Recommendations to guide the development and delivery of future community-based AIDS prevention projects are presented.
Janz
N K
NK
Department of Health Behavior and Health Education, University of Michigan, Ann Arbor 48109-2029, USA. nkjanz@umich.edu
Zimmerman
M A
MA
Wren
P A
PA
Israel
B A
BA
Freudenberg
N
N
Carter
R J
RJ
D000163:Acquired Immunodeficiency Syndrome / Q000517:prevention & control* / Q000635:transmission; D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D016730:Program Development; D015397:Program Evaluation; D012307:Risk Factors