Effective Interventions

Effective Interventions

High Impact Prevention

Real AIDS Prevention Project: A community mobilization program, designed to reduce risk for HIV and unintended pregnancy among women in communities at high risk by increasing condom use. This intervention relies on peer-led activities, including: outreach/one-on-one brief conversations with brochures, referrals, and condom distribution; small group safer sex discussions and presentations.

RAPPThere is also peer interaction with community businesses, who participate in media campaigns with distribution of role model stories and prevention and health information newsletters and brochures. RAPP is based on the transtheoretical model of behavior change.

RAPP targets sexually active women of reproductive age and their male partners.

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 RAPP training and technical assistance

As listed above, CDC no longer offers training or capacity building for RAPP. If RAPP training is desired, contact any of the RAPP trainers within the following organizations listed below to make individual arrangements to obtain training. You are welcome also to contact the original researchers. All costs associated with receiving RAPP training will be paid by the requesting agency or individual. Here's a printer friendly version of the RAPP Master Trainer List.

Cherri Gardner, MA
Consultant Trainer
Phone: (510) 725-5021
Email: cherrigardner1@gmail.com

Ann Verdine
National Community Health Partners
3365 N. Campbell Avenue, Suite 141
Tucson, AZ 85719
Phone: (520) 795-9756
Email: averdine@nchponline.org

Pamela Tassin, BSEd, CHES, CCHP
South Side Help Center/BANCC
10420 S. Halsted Street
Chicago, IL 60628
Phone: (773) 701-4255
Email: ptassin@southsidehelp.org

Ericka Dawson
South Side Help Center/BANCC
10420 S. Halsted Street
Chicago, IL 60628
Phone: (773) 701-4251
Email: edawson@southsidehelp.org

Research and Development for RAPP

Lauby, J. L., Smith, P. J., Stark, M., Person, B., Adams, J. (2000). A community-level prevention intervention for inner city women: Results of the Women and Infants Demonstration Projects. American Journal of Public Health, 90(2), 216-222.

Program Review Panel Information

The CDC requires all CDC-funded agencies using the RAPP 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 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

RAPP Core Elements

  • Conducting community outreach using peer volunteers
  • Having one-on-one, safer sex discussions based on the client's stage of readiness to change
  • Using printed stories about community members and safer sex decisions (role model stories)
  • Obtaining program support from community organizations and businesses
  • Sponsoring small group activities, such as safer sex parties and presentations

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.