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Effective Interventions

Core Elements & Fact Sheet


Health educators convene groups of 4-8 clinic patients in a room that allows privacy for discussions. VOICES/VOCES is based on the Theory of Reasoned Action, which explains how people’s behaviors are guided by their attitudes, beliefs, and experiences as well as by how they believe others think they should act in a given circumstance. Groups may be convened by agency health care providers (facilitators) to develop appropriate prevention strategies for the given culture(s). In the past, this has meant convening gender- and ethnic specific groups, but may, in some cases, include groups of diverse mixed-ethnic groups depending on the agency’s community being served. Information on HIV/STD risk behavior and condom use is delivered by viewing a culturally-informed video. Skills in condom use and negotiation are modeled in the videos, then role-played and practiced by participants during the discussion that follows. A poster board is used to present features of various condom brands in English and Spanish. At the end of the single, 45-minute session, participants are given samples of the types of condoms they have identified as best meeting their needs.

Intervention/Strategy Core Elements*:

  • Viewing culturally-informed videos portraying condom negotiation.
  • Conducting small group skill-building sessions to work on overcoming barriers to condom use.
  • Educating program participants about different types of condoms and their features.
  • Distributing samples of condoms identified by participants as best meeting their needs.
*Core elements are the characteristics of an individual intervention presumed to be responsible for the efficacy of the intervention.

Additional Information

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