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Effective Interventions

Core Elements & Fact Sheet


Peers Reaching Out and Modeling Intervention Strategies (PROMISE) for high-impact prevention (HIP) is a community-level HIV/STD prevention intervention that relies on role model stories and peer advocates to influence individuals to reduce HIV risk behaviors and increase engagement related to the HIV continuum of care. The intervention is based on several behavioral theories, including Stages of Change Theory, the Theory of Reasoned Action and Social Cognitive Theory. PROMISE for HIP begins with a community identification process to collect and analyze information about the risk networks, sex and drug risk behaviors, indicators related to the HIV continuum of care, and identification of determinants of risk. This helps agencies identify and intervene with the intervention populations and appropriately tailor the intervention to specific network needs. Members of the intervention population who have made positive behavior change and/or engage in HIV care including adherence to medication are interviewed and role models stories are written based upon the interviews. The stories are personal accounts about how and why they took steps to reduce risk and engage in HIV care and being adherent to medication and the resulting positive effects on their lives. Peer advocates from the intervention population are recruited and trained to distribute the role model stories and prevention materials within their social networks. New role model stories are written based on continuous formative research that reflects behavior change within the target population.

Intervention/Strategy Goals:

  1. PROMISE for HIP encourages significant movement by community members toward consistent condom use with their main and non-main partner.
  2. PROMISE for HIP seeks to significantly increase condom carrying among members of the communities.
  3. PROMISE for HIP aims to disseminate positive messages to intervention population in terms of condom use behaviors, HIV testing, access to Pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP), engagement and/or re-engagement into care, and adherence into anti-retroviral therapy (ART) regimens.

Intervention/Strategy 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.
*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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