Effective Interventions

Effective Interventions

High Impact Prevention

Many Men, Many Voices (3MV)
3MV is a seven-session, group-level HIV and STD prevention intervention for black gay men. The intervention addresses factors that influence the behavior of black men who have sex with men, including cultural, social, and religious norms; interactions between HIV and other sexually transmitted diseases; sexual relationship dynamics; and the social and psychological influences that racism and homophobia have on HIV risk behaviors. 3MV is designed to be delivered by two culturally competent facilitators in groups of up to 12 clients.

Click on the link to review the Guidelines for Participating in the Many Men, Many Voices Training (PDF document).

3MVThe training for this intervention is a four-day course where participants will experience portions of the actual intervention on Day 1 and complete more typical Training-of-Facilitators-style activities on Days 2-4. This training is highly experiential, incorporating group exercises, behavioral skills practice, group discussions, role plays, and repeated episodes of practiced facilitation (i.e., “facilitate-backs”). The 3MV training is designed for individuals who will directly facilitate the intervention in their home communities. Evaluators, program managers and other staff who will not be involved in direct facilitation will be accepted if space is available.

Research and Development

Kelly, J.A., St. Lawrence, J.S., Hood, H.V., Brasfield, T.L. (1989). Behavioral intervention to reduce AIDS risk activities. Journal of Consulting and Clinical Psychology, 57(1):60-67.

Wilton, L., Herbst, J.H., Coury-Doniger, P., Painter, T.M., English, G., Alvarez, M.E., Scahill, M., Roberson, M.A., Lucas, B., Johnson, W.D., Carey, J.W.(2009). Efficacy of an HIV/STI Prevention Intervention for Black Men Who Have Sex with Men: Findings from the Many Men, Many Voices (3MV) Project. AIDS Behav. 2009; 13(3): 532-544. Also available online at: http://www.springerlink.com/content/vt720u28613rrx07.

Program Review Panel Information

The CDC requires all CDC-funded agencies using the Many Men, Many Voices 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

3MV Core Elements

  • Enhance self-esteem related to racial identity and sexual behavior.
  • Educate clients about HIV risk and sensitize to personal risk.
  • Educate clients about interactions between HIV and other sexually transmitted diseases and sensitize to personal risk.
  • Develop risk-reduction strategies.
  • Build a menu of behavioral options for HIV and other sexually transmitted diseases risk reduction, including those that one can act on individually and those that require partner involvement.
  • Train in risk-reduction behavioral skills.
  • Enhance self-efficacy related to behavioral skills.
  • Train in partner communication and negotiation.
  • Provide social support and relapse prevention.

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.