Common factors in effective HIV prevention programs.
We propose a set of common factors in evidence-based interventions (EBI) for HIV prevention, which cut across theoretical models of behavior change. Three existing literatures support this agenda: (1) Common factors in psychotherapy; (2) core elements from the Centers for Disease Control and Prevention EBIs; and (3) component analyses of EBI. To stimulate discussion among prevention researchers, we propose a set of common factors at the highest level of abstraction that describe what all effective programs do: (1) establish a framework to understand behavior change; (2) convey issue-specific and population-specific information necessary for healthy actions; (3) build cognitive, affective, and behavioral self-management skills; (4) address environmental barriers to implementing health behaviors; and (5) provide tools to develop ongoing social and community support for healthy actions. A focus on common factors will enhance research on new HIV prevention interventions, encourage collaboration among researchers, provide guidelines for adapting EBI, and simplify and speed the adoption of EBI for providers.
Rotheram-Borus
Mary Jane
MJ
UCLA Global Center for Children and Families, Semel Institute for Neuroscience and Human Behavior, University of California, 10920 Wilshire Boulevard, Suite 350, Los Angeles, CA 90024, USA. rotheram@ucla.edu
Swendeman
Dallas
D
Flannery
Diane
D
Rice
Eric
E
Adamson
David M
DM
Ingram
Barbara
B
D002487:Centers for Disease Control and Prevention, U.S.; D003299:Cooperative Behavior; D004059:Diffusion of Innovation; D019317:Evidence-Based Medicine; D015658:HIV Infections / Q000517:prevention & control*; D006293:Health Promotion / Q000379:methods / Q000458:organization & administration*; D006801:Humans; D016730:Program Development; D015397:Program Evaluation; D040242:Risk Reduction Behavior; D012725:Sexual Behavior; D014481:United States