title: Prevention for HIV-seropositive persons: successive approximation toward a new identity.
abstract: This article presents a three-module intervention based on social action theory that focuses on health promotion and social identity formation for seropositive youth. The modules are designed to reduce transmission of HIV by reducing sexual and substance abuse acts, increasing healthy acts and adherence to care, and maintaining positive behavioral routines. Components of the modules are described, including examples of how these components are implemented in the actual intervention sessions. The importance of using successive approximation to consolidate changes in behavior by defining social roles and personal identities that are consistent with positive behavioral routines is demonstrated. Outcomes of the intervention are presented as well as issues of cost-effectiveness, feasibility, and alternative implementation strategies.
authors.affiliation: Center for Community Health, Neuropsychiatric Institute, University of California-Los Angeles, USA.
authors.forename: Marguerita
authors.initials: M
authors.lastname: Lightfoot
authors.forename: Mary Jane
authors.initials: MJ
authors.lastname: Rotheram-Borus
authors.forename: Norweeta G
authors.initials: NG
authors.lastname: Milburn
authors.forename: Dallas
authors.initials: D
authors.lastname: Swendeman
mesh_terms: D000293:Adolescent; D000328:Adult; D001521:Behavior Therapy / Q000191:economics; D003362:Cost-Benefit Analysis; D005240:Feasibility Studies; D005260:Female; D006679:HIV Seropositivity / Q000523:psychology* / Q000635:transmission; D007722:Health Knowledge, Attitudes, Practice; D006284:Health Plan Implementation / Q000191:economics; D006293:Health Promotion / Q000191:economics; D006801:Humans; D008297:Male; D011615:Psychotherapy, Group / Q000191:economics; D012380:Role; D021841:Safe Sex; D012933:Social Identification; D012941:Social Responsibility; D015819:Substance Abuse, Intravenous / Q000523:psychology / Q000534:rehabilitation*; D014481:United States