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Proceedings of the National Roundtable on Evaluation of Mutlilevel/Combination HIV Prevention Interventions
- A new coalition of interventionists, implementation scientists, public health program and surveillance specialists, mathematical modelers, and behavioral scientists is needed to adequately address the evaluation of multilevel/combination HIV interventions at the community-level.
- The use of the conceptual frameworks of the HIV prevention continuum and engagement-in-HIV-care cascade should be used in structuring evaluation of combination HIV interventions.
- Common public health surveillance systems to evaluate combination HIV prevention interventions at the community level are recommended, and this capacity should be further developed internationally.
- Mathematical modeling before, during, and after multilevel/combination HIV interventions should be incorporated in the design, implementation, and interpretation of intervention results.
- Because an emphasis on efficiency as well as effectiveness from implementation science is helpful, costing and cost-effectiveness evaluations of combination HIV prevention interventions are recommended and are important to policy makers.
- Use of innovative trial and observational study designs outside of the traditional randomized, controlled trial paradigm should be used to account for the complex multilevel and combination nature of new HIV prevention interventions, and emerging design and analysis methods (e.g., stepped-wedge designs, adaptive trial designs, causal inference modeling of “natural experiments”) should be considered to address the challenges of community-level effectiveness evaluation.
- Because social factors and human behaviors are integral factors all along the HIV care and treatment cascade, it is crucial to include social and behavioral science in the design, implementation, and evaluation of combination interventions (e.g., community engagement and mobilization interventions).
- Mixed methods, including qualitative data collection (e.g., key informant interviews with implementers, in-depth interviews with target population members), are recommended to increase our understanding of how and why interventions are successful or not.
- Increased funding opportunities for methods development, whether as standalone projects or as supplements to large trials, is recommended as is funding for career development in methods research (e.g., methods-focused K awards).
Healthy Oakland Teens
NOTE: The HOT Project ended in 1995. For a list of more recent, effective school-based sexuality/HIV education programs, please see -
- ETR Associates’ Evidence-Based Programs
- CDC’s Best Evidence Interventions
- CDC’s DEBI programs for youth: CLEAR, Focus on Youth, Street Smart, TLC, the Mpowerment Project
The Healthy Oakland Teens Project (HOT) began in the fall of 1992 at an urban, ethnically diverse junior high school. The project’s goal is to reduce adolescents’ risk for HIV infection by using peer role models to advocate for responsible decision making, healthy values and norms, and improved communication skills. (posted 4/98)
- Peer Curriculum (file below)
- Adult Curriculum
Measuring Coalition Functioning: Refining Constructs Through Factor Analysis
QGIS Module 3 of 4: Mapping and Related Concepts
Coping Self-Efficacy Scale
For Information and access to the Coping Self-Efficacy Scale, contact Mind Garden at the following link: https://www.mindgarden.com/488-coping-self-efficacy-scale
Please contact Dr. Margaret Chesney at [email protected] for more information.
A validity and reliability study of the coping self-efficacy scale. Br J Health Psychol 2006 Sep; 11(3): 421–37.