Effective Interventions

Effective Interventions

High Impact Prevention

Nia is a six hour, two to four session, video-based, small group level intervention. The goals of this intervention are to educate African American men about HIV/AIDS and its effect on their community, bring groups of men together, increase motivation to reduce risks, and help men learn new skills to protect themselves and others by promoting condom use and increasing intentions to use condoms. Nia is based on the Information-Motivational-Behavioral Skills (IMB). The IMB model assumes that people need information, motivation, and behavioral skills to adopt preventive behaviors.

Nia logoThe target population for Nia is African American men (ages 18 and over) who have sex with women. 

Important CDC Update: 

The CDC’s strategy for High Impact HIV Prevention involves prioritizing and implementing an optimal combination of cost-effective, scalable interventions based on the current state of the science.  This shift should help improve the effectiveness of HIV prevention efforts, reduce HIV incidence, and ultimately increase the possibility of achieving an AIDS-free America.  In its ongoing effort to align HIV prevention resources with current surveillance data and this strategy, the Division of HIV/AIDS Prevention (DHAP) at CDC will not offer trainings or capacity building assistance on the following evidence-based interventions (EBIs): AIM, ¡Cuídate!, Focus on Youth, MIP, Nia, RAPP, Safety Counts, SHIELD, SIHLE, SISTA, Street Smart, RESPECT and VOICES/VOCES (except when used with MSM). The Division also will not offer trainings or capacity building assistance on some new EBIs, such as Healthy Love. Health departments or other funders may continue to support implementation of these EBIs, and the implementation materials for all these interventions will remain on this site and be available for download. If you have additional questions about this issue, please contact interventions@danya.com.

CDC’s Division of Reproductive Health (DRH) will provide support to their grantees on AIM, ¡Cuídate!, and SIHLE. For further information on DRH’s efforts, please contact Trisha Mueller at czj5@cdc.gov

How to request Nia training and technical assistance

As listed above, CDC no longers offers training or capacity building for Nia. If Nia training is desired, you may contact the Nia trainers listed below to make individual arrangements to obtain training. All costs associated with receiving Nia training will be paid by the requesting agency or individual. A printer friendly version of the Nia trainer list is available under More Info...Relevant Links.

UT Southwestern CBAC
Phone: (214) 645-7306
Email: 3T@utsouthwestern.edu

Harm Reduction Coalition
Phone: (212) 213-6376
Email: hrc@harmreduction.org

Research and Development

Kalichman, S., Cherry, C., Browne-Sperling, F. (1999). Effectiveness of a video-based motivational skills-building risk-reduction intervention for inner-city African American men. Journal of Consulting and Clinical Psychology, 67(6), 959-966.

Program Review Panel Information

The CDC requires all CDC-funded agencies using the Nia 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

NIa Core Elements

  • Conducting small group sessions with men who have sex with woman that are led by culturally competent male and female co-facilitators who: (1) use videos and movie clips appropriate for and appealing to men to present HIV information, motivate risk-reduction, and build skills for handling common risk situations (2) challenge negative attitudes towards women through group rules that disallow adversarial language against women.
  • Correcting misperceptions and misinformation regarding HIV by using gender and culturally appropriate videos and interactive exercises, especially: (1) providing Personal Feedback Report on HIV knowledge (2) showing and leading discussions of HIV educational videos (3) conducting Myths and Facts activity (4) conducting HIV Risk Continuum Activity.
  • Inducing and enhancing motivation to reduce risk for HIV by having men identify themselves and their behavior with the HIV epidemic through: (1) providing Personal Feedback Report on sex behaviors and condom attitudes (2) showing and leading discussion of videos featuring men who have been affected by HIV with whom participants can identify (3)conducting HIV Risk Continuum activity (4) eliciting and exploring personal risky sexual situations.
  • Building skills for identifying and managing sexual risk situations: (1) eliciting and exploring personal risky sexual situations (2) building trigger-identifying and safer sex decision-making skills (3) facilitating trigger-identification and safer sex decision-making skills using movie clips.
  • Enhancing motivation and building behavioral skills for condom use or safer sex by: (1) exploring attitudes towards and pros/cons for condom use (2) identifying safer sex alternatives (3) building behavioral skills for correctly using condoms and communicating sexual decisions regarding condom use (4) guiding practice of condom use and safer sex decisions using movie clips.

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.