HIV/AIDS prevention projects utilizing indigenous outreach workers often rely on the life experiences and skills of the staff to structure the intervention, without grounding in theory. However, to be most effective, community outreach projects which target harder-to-reach high-risk populations should both utilize and enhance the natural strengths of indigenous field workers' experience and style of interaction, while guiding intervention content with theoretical rigor. In this paper we demonstrate that the challenge of successfully integrating a theoretically guided program design with field staff's credibility with, and sensitivity toward, drug-using clients can be practically and satisfactorily met through appropriate training. This training is an important investment for better utilizing valued and scarce prevention resources. The Philadelphia site of the AIDS Evaluation of Street Outreach Project (AESOP), a cooperative agreement of the Centers for Disease Control and Prevention, designed and implemented staff trainings to reflect the enhancement of the outreach program by the Stages of Change model. Through these trainings, the outreach workers have learned to integrate their natural street and intervention skills into the structure of a theoretical framework. This paper presents specific training components, relevant issues within these components, and areas for evaluation and feedback.
This special volume of Public Health Reports presents avariety of methods, based on behavioral science, that havebeen employed in developing intervent...
01/01/1996 | Public Health Rep. 111(Suppl 1):123-128
Description:
This article discusses methods and elements of three major national health survey systems, particularly as they relate to HIV infection and AIDS. The ...
01/01/1996 | Public Health Rep. 111(Suppl 1):54-58
Description:
A theory-based HIV prevention intervention was implemented as part of a five-city AIDS Community Demonstration Project for the development and testing...
01/01/1996 | Public Health Rep. 111(Suppl 1):108-114
Description:
To be effective, HIV prevention programs should be planned in partnership with affected communities and should be built on a solid scientific foundati...
01/01/1996 | Public Health Rep. 111(Suppl 1):129-132
Description:
This paper describes two systems, the HIV Counseling and Testing Data System and the National Health Interview Survey, AIDS Knowledge and Attitudes Su...
01/01/1996 | Public Health Rep. 111(Suppl 1):50-53
Description:
As part of a multi-site Centers for Disease Control and Prevention-funded initiative, a community-level HIV prevention project targeting injection dru...
01/01/1996 | Public Health Rep. 111(Suppl 1):75-82
Description:
This report describes a mid-course process evaluation of an HIV risk-reduction counseling intervention delivered by specially trained peer paraprofess...
01/01/1996 | Public Health Rep. 111(Suppl 1):115-122
Description:
This paper describes a method for estimating the true resource costs of counseling for HIV prevention. The method includes identifying the resources u...
01/01/1996 | Public Health Rep. 111(Suppl 1):133-137
Description:
A variety of surveillance methods are used to characterize the epidemic of HIV infection and AIDS. Such surveillance includes AIDS case reporting, rep...
01/01/1996 | Public Health Rep. 111(Suppl 1):99-107
Description:
Current HIV prevention counseling strategies rely largely on interventions aimed at changing behaviors. Among these is HIV prevention counseling and t...
01/01/1996 | Public Health Rep. 111(Suppl 1):89-98
Description:
The prevention of HIV in Women and Infants Demonstration Projects use a conceptual model for maximizing broad community participation for HIV preventi...
01/01/1996 | Public Health Rep. 111(Suppl 1):28-35
Description:
The AIDS Community Demonstration Projects provided community-level HIV prevention interventions to historically hard-to-reach groups at high risk for ...
01/01/1996 | Public Health Rep. 111(Suppl 1):41-49
Description:
Outreach has a long history in health and social service programs as an important method for reaching at-risk persons within their communities. One me...
01/01/1996 | Public Health Rep. 111(Suppl 1):59-68
Description:
The stages of behavior change model has been used to understand a variety of health behaviors. Since consistent condom use has been promoted as a risk...
01/01/1996 | Public Health Rep. 111(Suppl 1):41-49
Description:
Outreach has a long history in health and social service programs as an important method for reaching at-risk persons within their communities. One me...
01/01/1996 | Public Health Rep. 111(Suppl 1):108-114
Description:
To be effective, HIV prevention programs should be planned in partnership with affected communities and should be built on a solid scientific foundati...
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