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 or at high-risk for HIV.
CLEAR is a client-centered program delivered
one-on-one using cognitive behavioral techniques to change behavior.
The intervention provides clients with the skills necessary to be able
to make healthy choices for their lives. The Centers for Disease
Control and Prevention's (CDC's) guidelines on Comprehensive Risk
Counseling and Services (CRCS), formerly known as Prevention Case
Management (PCM), identify CLEAR as a structured intervention that may be integrated into CRCS programs.
Available Now! CLEAR e-Course for Program Manager
If you are a Program Manager who is:
- Considering implementing CLEAR
- Getting ready to implement CLEAR
Take a look at the new, interactive, user-friendly online course offered by EDC's e-Learning & CBA Center.
- What is CLEAR?
- How Does CLEAR Work?
- Is CLEAR Right for Your Agency
- What's Involved in Implementing CLEAR?
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.
M.J., Swendeman, D., Comulada, S. Weiss, R., & Lightfoot, M.
(2004). Prevention for substance using HIV + young people: telephone
and in person delivery. JAIDS, 37(Supp2), S68-S77.
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.
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 judgement 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.