Effective Interventions

Effective Interventions

High Impact Prevention

Healthy Relationships is a five-session, small-group intervention for men and women living with HIV/AIDS. It is based on Social Cognitive Theory and focuses on developing skills and building self-efficacy and positive expectations about new behaviors through modeling behaviors and practicing new skills.

Revised Healthy Relationships Implementation Manual

The Centers for Disease Control & Prevention (CDC), in collaboration with UT Southwestern Medical Center, Danya, and members of the CDC technical assistance provider network, is happy to announce the availability of newly revised materials for the Healthy Relationships intervention.

The Implementation Manual was updated in February 2015 based on feedback from implementers and the experiences of those providing training and technical assistance on Healthy Relationships. The two main areas of improvement are:

  • A revised individual Assessment Survey and Performance Feedback Reports, and
  • The inclusion and update of materials emphasizing the fit and use of the intervention to accomplish the CDC's HIP-focused strategies
  • The provision of support materials (e.g., copies of forms and documents) are now only available in the manuals distributed at the trainings and on-line from this website

You can download the revised Implementation Manual from this website. To request access, please email interventions@danya.com and place "Request for HR IM Password" in the subject line.

As of February, 2015, the revised materials are distributed at the training. Should you have any questions, please email interventions@danya.com with HR in the subject line.  

General HR Training Information

Healthy RelationshipsWe strongly recommend that the selection of staff to attend a Healthy Relationships Training of Facilitators (TOF) training follow the following guidelines:

Staff Required to Attend: Group facilitators (or any staff) who will facilitate the Healthy  Relationships sessions.

Staff Recommended to Attend: Program Coordinators who provide oversight or supervision to the Group Facilitators and are responsible for coordination of the Healthy Relationships intervention.


Program Manager or Executive Director to facilitate agency internal capacity building and commitment to the Healthy Relationships intervention.

There are many planning and preparation activities that agencies can begin prior to attending training. These activities would include:

  • HR Starter Kit which includes a wealth of planning information.
  • Develop a logic model and a preliminary implementation plan.
  • Hire mental health professional and peer facilitators and have them trained in group process and facilitation. One facilitator should have a mental health background, and one should be a peer living with HIV. Both should be skilled group facilitators.
  • Form a community advisory group and begin the process of obtaining "buy-in" from community stakeholders.
  • Choose a site for the sessions.
  • Decide on incentives for participation and refreshments.
  • Develop a marketing plan and decide on the methods to recruit participants.
  • Purchase the video/DVD/TV equipment needed.

Begin the process of identifying and reviewing potential movie/TV show clips for use in the intervention or obtain the clips used in the research intervention from Dr. Kalichman. If the agency is choosing its own clips, decide whether the videos/DVDs will be purchased and used individually or rented/borrowed and compiled into an intervention tape for use during the sessions.

Research and Development

Kalichman, S., Rompa, D., Cage, M., DiFonzo, K., Simpson, D., Austin, J., Luke, W., Buckles, J., Kyomugisha, F., Benotsch, E., Pinkerton, S., Graham, J. (2001). Effectiveness of an intervention to reduce HIV transmission risks in HIV-positive people. American Journal of Preventive Medicine, 21(2), 84-92.

Program Review Panel Information

The CDC requires all CDC-funded agencies using the Healthy Relationships 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.

CDC Policy on Youth Peer Outreach Workers

CDC funded (directly or indirectly) agencies using youth (either paid or volunteer) in program outreach activities, it is very important that said organizations 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

HR Core Elements

  • Defining stress and reinforcing coping skills across three life areas—disclosing to family and friends, disclosing to sexual partners, and building healthier and safer relationships.
  • Using modeling, role-play, and feedback to teach and practice skills related to coping with stress.
  • Teaching decision-making skills about disclosure of HIV status.
  • Providing personal feedback reports to motivate change of risky behaviors and continuance of protective behaviors.
  • Using movie clips to set up scenarios about disclosure and risk reduction to stimulate discussions and role-plays.

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.