High Impact Prevention

Peers Reaching Out and Modeling Intervention Strategies: This community-level intervention is based on several behavior change theories. A community assessment process is conducted, peer advocates are recruited and trained from the target population, role model stories are written from interviews with the target population, and these stories are distributed along with other risk reduction materials to target audiences to help people move toward safer sex or risk reduction practices.

Community PROMISE logoCommunity PROMISE can target any population, since it is created anew each time it is implemented in collaboration with the community. The intervention has been tested with African American, White, and Latino communities, including intravenous drug users and their sex partners, non-gay identified men who have sex with men, high risk youth, female sex workers, and high risk heterosexuals, among others. It is also being developed for other populations and for individuals living with HIV.


PROMISE Overview (e-Learning Course)

The PROMISE Overview course covers the concept of community-level interventions, what "community" means, the theoretical background, PROMISE's four core elements, and the connections among the theories, the concept of reaching critical mass, a formula to identify number of Role Model Stories and Peer Advocates according to sample size and the core elements. This course is a pre-requisite for the 4-day in-person training on PROMISE but can be watched on its own to get general information about this intervention.

To complete the PROMISE Overview course, you will need to enter or create your HIP e-Learning Center account information.

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Research and Development

CDC AIDS Community Demonstration Projects Research Group (1999). Community-level HIV Intervention in Five Cities: Final Outcome Data from the AIDS Community Demonstration Projects. American Journal of Public Health, 89 (3), 336 B 345.

Program Review Panel Information

The CDC requires all CDC-funded agencies using the PROMISE 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.

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PROMISE Core Elements

  • Community identification process to collect information about the network, including HIV/STD risk behaviors and HIV continuum of care indicators 
  • Creating role model stories based on personal accounts from individuals in the intervention population who have made positive behavior change
  • Recruiting and training peer advocates from the intervention population to distribute role model stories and prevention materials
  • Continuous formative evaluation to capture behavior change within the intervention population 

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.

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