Effective Interventions

Effective Interventions

High Impact Prevention

CLEAR: Choosing Life: Empowerment! Action! Results! is an evidence-based, health promotion intervention for males and females ages 16 and older living with HIV/AIDS. CLEAR is a client-centered program delivered one-on-one using cognitive behavioral techniques to change behavior.

CLEAR logoThe intervention provides clients with the skills necessary to be able to make healthy choices for their lives. 

CLEAR Training Information

The CLEAR trainings include an introductory course for program managers and a series of two courses that are needed to become a CLEAR counselor.

  • CLEAR e-Course for Program Managers provides a basic understanding of the CLEAR intervention for program managers. 
  • CLEAR Overview Distance Learning is the first course needed to become a CLEAR counselor. Learners are required to take this course before taking the instructor-led classroom training. 
  • CLEAR Classroom Training is the second and final course needed to become a CLEAR counselor. This is an instructor-led, classroom-based training. 

CLEAR e-Course for Program Managers

If you are a Program Manager who is:
  • Considering implementing CLEAR
  • Getting ready to implement CLEAR
Take a look at the interactive, user-friendly online course offered by EDC's e-Learning Center. 

 You'll learn:
  • What is CLEAR?
  • How Does CLEAR Work?
  • Is CLEAR Right for Your Agency
  • What's Involved in Implementing CLEAR?
To register and for more information, visit EDC's e-Learning Centerhttp://course.cba.edc.org.

CLEAR Overview Distance Learning Course 

The Choosing Life! Empowerment! Action! Results! (CLEAR) Overview Distance Learning Course includes the basic information needed to understand the CLEAR intervention. The course content includes the following: 

  • Behavioral theory that serves as the foundation for the CLEAR intervention. 
  • CLEAR mandatory sessions and optional sessions.
  • CLEAR's key characteristics.
  • CLEAR's core elements. 

Complete the CLEAR Overview Distance Learning Course
HIP eLearning Center Logo/Apply for CLEAR Overview Course

This course is a prerequisite for the CLEAR classroom training and can be completed in approximately two hours. Upon completion of this course, you should be able to:

  • Describe the original CLEAR intervention research results.
  • Identify the differences between CLEAR and typical interventions.
  • Describe the purpose of the CLEAR intervention five Core Skill Sessions. 
  • Describe the purpose of the CLEAR Menu Sessions.
  • Identify components of the individual self-change process.
  • Describe the cognitive-behavioral techniques used in CLEAR.
  • Understand the Core Elements of the CLEAR intervention. 

Additional Course Info:

The CLEAR overview course includes knowledge checks and a final course quiz. You will be asked to answer all knowledge checks and score a 70% or higher on the course quiz. Successful completion of this course is required before attending the CLEAR classroom training. Upon completion, please print and bring your certificate to the first day of the CLEAR classroom training.

CLEAR Classroom Training

CLEAR classroom trainings are typically conducted over a three day period. To apply for the classroom training after you have completed the CLEAR Overview Distance Learning Course, please visit the HIP Training Calendar and enter CLEAR in the search field. 

Research and Development

Comulada, W. S., Swendeman, D.T., Rotheram-Borus, M. J., Mattes, K.M., & Weiss, R. E. (2003). Use of HAART among young people living with HIV. American Journal of Health Behavior, 27 (4), 389-400.

Rotheram-Borus, M.J., Swendeman, D., Comulada, S. Weiss, R., & Lightfoot, M. (2004). Prevention for substance using HIV + young people: telephone and in person delivery. JAIDS37(Supp2), S68-S77.

Lightfoot, M. Swendeman, D., Rotheram-Borus, M.J., Comulada, S., & Weiss, R. (2005). Risk behaviors of youth living with HIV: Pre- and post-HAART. American Journal of Health Behavior, 29(2), 162-171.

Swendeman, D., Rotheram-Borus, M.J., Comulada, S., Weiss, R., & Ramos, M.E.(2006). HIV-related stigma among young people living with HIV. Health Psychology, 25(4), 501-509.

Lightfoot, M., Rotheram-Borus, M.J., & Tevendale, H. (2007). An HIV -preventive intervention for youth living with HIV. Behavior Modification, 31(3), 345-363.

Program Review Panel Information

The CDC requires all CDC-funded agencies using the CLEAR intervention to identify, or establish, and utilize a Program Review Panel and complete Form 0.1113 to document this activity. The intervention researchers and developers are not involved in this activity. This is a CDC requirement for their grantees, and all questions in this regard should be directed to your agency's CDC Project Officer or to the health department funding your agency's implementation of the intervention.

The Program Review Panel guidelines, instructions for completion of Form 0.113, and the form itself are available under the Related Links section of the this website.

CDC Policy on Youth Peer Outreach Workers

CDC funded (directly or indirectly) agencies using youth (either paid or volunteer) in program outreach activities need to use caution and judgment in the venues/situations where youth workers are placed. Agencies should give careful consideration to the "age appropriateness" of the activity or venue. Additionally, agencies should comply with all relevant laws and regulations regarding entrance into adult establishments/environments. Laws and curfews should be clearly outlined in required safety protocols developed and implemented by agencies directly and indirectly funded by CDC.

If you have specific questions, please contact your CDC project officer.


More Info

CLEAR Core Elements

  • Development of emotional awareness through use of a Feeling Thermometer and identification of the link between feelings, thoughts, and actions (F-T-D Framework).
  • Identification of one's Ideal Self to help motivate and personalize behavior change.
  • Teaching, modeling, and practicing Short-and Long-Term Goal Setting.
  • Teaching, modeling, and practicing SMART Problem-Solving.
  • Teaching, modeling, and practicing Assertive Behavior and Communication.

The materials on this site are designed for HIV/AIDS prevention with persons at risk for acquiring or transmitting HIV. They are meant to be resources used by HIV prevention providers such as health departments and community-based organizations so as to provide the best evidence-based HIV prevention services. These materials are not meant for the general public. They are not meant for children. They are not school-based HIV prevention strategies.