Effective Interventions

Effective Interventions

High Impact Prevention

A group level intervention, SIHLE is a peer-led, social-skills training intervention aimed at reducing HIV sexual risk behavior among sexually active, African American teenage females, ages 14-18. An adaptation of the SISTA intervention, SIHLE emphasizes ethnic and gender pride, and enhances awareness of HIV risk reduction strategies such as abstaining from sex, using condoms consistently, and having fewer sex partners. It consists of four 3-hour sessions, delivered by two peer facilitators (ages 18-21) and one adult facilitator in a community-based setting.

SiHLEThe sessions are designed for 10-12 African American teenage females. The sessions are gender-specific, culturally relevant and include behavioral skills practice, group discussions, lectures, role-playing, and take-home exercises.

SIHLE targets sexually experienced, African American teenage girls (ages 14-18) who are at risk for acquiring or transmitting HIV/STIs. 

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 SIHLE training and technical assistance 

As mentioned above, CDC no longer offers SIHLE training support unless you are a CDC Division of Reproductive Health (DRH) grantee. If SIHLE training is desired, you may contact any of the SIHLE master trainers listed below to make individual arrangements to obtain training. All costs associated with receiving SIHLE training will be paid by the requesting agency or individual. Each SIHLE training should include two adult trainers and two peer trainers. A printer friendly version of the SIHLE master trainer list is available under More Info...Relevant Links. 

Jacqueline Coleman, MED, MSM
Consultant Trainer
Phone: 202.460.1407
Email: visionque@netzero.net

Cherri Gardner, MA
Consultant Trainer
Phone: 510.725.5021
Email: cherrigardner1@gmail.com

Pamela Tassin, BSEd, CHES, CCHP
Consultant Trainer
Phone: 773.701.4255
Email: ptassin@southsidehelp.org

Deborah Chilcoat, M.Ed.
Senior Manager, Training & Technical Assistance
Healthy Teen Network
Phone: 410.685.0410
Email: deborah@healthyteennetwork.org

Patricia A. Frye, DrPH, MPA, CPH, MCHES
Consultant Trainer
Phone: 601.815.9000
Email: pfrye@umc.edu

Velesha P. Williams
Consultant Trainer
Phone: 601.238.7685
Email: williams.velesha@yahoo.com 

Research and Development

DiClemente RJ, Wingood GM, Harrington KF, Lang DL, Davies SL, Hook EW 3rd, Oh MK, Crosby RA, Hertzberg VS, Gordon AB, Hardin JW, Parker S, Robillard A. (2004). Efficacy of an HIV prevention intervention for African American adolescent girls: a randomized controlled trial. Journal of the American Medical Association, 292(2):171-9. 

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

SIHLE Core Elements

  • Conduct small-group sessions that meet the session goals.
  • Implement SIHLE with female, heterosexual teens who have had sexual intercourse and are between the ages of 14-18 (inclusive).
  • Use one skilled adult facilitator, who is knowledgeable about youth culture, and two peer female facilitators (ages 18-21) to implement SIHLE group sessions.
  • Use materials that are age, gender, and culturally appropriate to motivate gender and ethnic pride and to maintain teens' interest throughout the sessions.
  • Train teens in assertive communication skills to demonstrate care for their partners and to negotiate abstinence or safer sex behaviors.
  • Teach teens proper condom use. SIHLE is designed to foster positive attitudes and norms towards consistent condom use and to provide teens the appropriate instruction for placing condoms on their partner.
  • Discuss triggers that make negotiating safer sex for teens challenging.
  • Emphasize the importance of partner involvement in safer sex; the homework activities are designed to involve the male partner.
  • Deliver intervention to teens in community-based settings, not in a school-based setting or during school hours.

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.