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Health Promotion Practice, Vol. 5, No. 2, 199-207 (2004)
DOI: 10.1177/1524839903258765
© 2004 Society for Public Health Education

Application of the Transtheoretical Model for HIV Prevention in a Facility-Based and a Community-Level Behavioral Intervention Research Study

Rebecca J. Cabral, PhD

Division of Reproductive Health at the Centers for Disease Control and Prevention in Atlanta, Georgia, rcabral{at}cdc.gov

David Cotton, PhD

Macro International, Inc. in Atlanta, Georgia

Salaam Semaan, DrPH

Division of STD Prevention at the Centers for Disease Control and Prevention in Atlanta, Georgia

Andrea C. Gielen, ScD

Bloomberg School of Public Health at Johns Hopkins University in Baltimore, Maryland

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.

Key Words: transtheoretical model • HIV prevention • behavioral intervention research • women


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