Effective Interventions

Effective Interventions

High Impact Prevention

The Future Is Ours (FIO) is a small group, cognitive-behavioral intervention. The intervention consists of eight two-hour interactive sessions delivered over eight weeks to heterosexually active women living in high-risk communities. The sessions allow women to connect with each other by sharing their feelings about relationships with men, values and personal vulnerability. Women learn to understand and personalize their risk for HIV and other STDs, identify barriers to safer sex, and gain practical knowledge about a range of risk-reduction strategies, including male and female condoms and mutual HIV testing. The intervention provides women with the skills necessary to communicate and negotiate safer sex with their partners (including how to identify and respond to abuse in relationships), and how to solve problems to avoid relapses. 

 FIO logo

Target Population: FIO is a gender-specific HIV/STD risk reduction intervention designed for heterosexually active, at-risk women of diverse ethnicities (African-American/Black, Caribbean, Latina, White), ages 18 to 30, who are not injection drug users, are HIV-negative or of unknown status, are not pregnant or trying to become pregnant, and who live in communities where rates of HIV and other STDs are high. 

NOTE: CDC does not offer trainings for FIO. However, you may contact the original researchers for training package information: 

Susie Hoffman DrPH
Assistant Professor of Clinical Epidemiology (in Psychiatry)
Mailman School of Public Health
Research Scientist
HIV Center for Clinical and Behavioral Studies
1051 Riverside Dr. - Unit 15
New York, N.Y. 10032
Tel: (212) 543-5433
Email: sh51@columbia.edu

FIO Video

This video contains information and discussions about the female condom. It is designed to be used in FIO and is a part of the kit materials. It should be used with guidance from trained FIO facilitators, and is not intended for general audiences. 

Preview the Video:

Download video: MP4 format

Research and Development

Erhardt, A. A., Exner, T.M., Hoffman, S., Silberman, I., Leu, C-S., Miller, S., & Levin, B. (2002). A gender-specific HIV/STD risk reduction intervention for women in a health care setting: short- and long-term results of a randomized clinical trial. AIDS Care, 14(2), 147-161.

Program Review Panel Information

The CDC requires all CDC-funded agencies using the FIO 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 this website.

More Info

FIO Core Elements

  • Enable women to personalize their risk for HIV and other STDs and identify gender-related barriers to safer sex
  • Encourage women to prioritize safer sex
  • Reinforce women's sexual and relationship rights
  • Affirm a positive view of women's sexuality and safer sex
  • Emphasize that women have choices in how to protect themselves
  • Provide accurate information about HIV/STD risk and testing
  • Build skills for safer sex
  • Teach women how to address negative reactions and resistance to safer sex, to recognize and deal with relationship violence and other forms of abuse

FIO Key Characteristics

  • Project FIO was designed for HIV-negative, young adult (18-30) women who are living in high HIV prevalence, urban neighborhoods and attending a clinic for family planning services
  • Project FIO was designed for ethnically diverse women. The research population was 72% Black (African American or Caribbean), 17% Latina, and 11% white and other ethnicities. The effect of the intervention did not differ among groups  

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.