Top

Published in:

01-06-2009 | Original Paper

Common Factors in Effective HIV Prevention Programs

Authors: Mary Jane Rotheram-Borus, Dallas Swendeman, Diane Flannery, Eric Rice, David M. Adamson, Barbara Ingram

Published in: AIDS and Behavior | Issue 3/2009

Abstract

We propose a set of common factors in evidence-based interventions (EBI) for HIV prevention, which cut across theoretical models of behavior change. Three existing literatures support this agenda: (1) Common factors in psychotherapy; (2) core elements from the Centers for Disease Control and Prevention EBIs; and (3) component analyses of EBI. To stimulate discussion among prevention researchers, we propose a set of common factors at the highest level of abstraction that describe what all effective programs do: (1) establish a framework to understand behavior change; (2) convey issue-specific and population-specific information necessary for healthy actions; (3) build cognitive, affective, and behavioral self-management skills; (4) address environmental barriers to implementing health behaviors; and (5) provide tools to develop ongoing social and community support for healthy actions. A focus on common factors will enhance research on new HIV prevention interventions, encourage collaboration among researchers, provide guidelines for adapting EBI, and simplify and speed the adoption of EBI for providers.

Lambert and Bergin (1994) use an analogous set of arguments to explain the importance of common factors in psychotherapy.

Albarracin, D., Gillette, J. C., Earl, A. N., Glasman, L. R., Durantini, M. R., & Ho, M.-H. (2005). A test of major assumptions about behavior change: A comprehensive look at the effects of passive and active HIV-prevention interventions since the beginning of the epidemic. Psychological Bulletin, 131(6), 856–897. doi:10.1037/0033-2909.131.6.856.PubMedCrossRef

Albarracin, D., McNatt, P. S., Klein, C. T. F., Ho, R. M., Mitchell, A. L., & Kumkale, G. T. (2003). Persuasive communications to change actions: An analysis of behavioral and cognitive impact in HIV prevention. Health Psychology, 22(2), 166–177.PubMedCrossRef

Bickman, L. (2005). A common factors approach to improving mental health services. Mental Health Services Research, 7(1), 1–4. doi:10.1007/s11020-005-1961-7.PubMedCrossRef

Centers for Disease Control and Prevention. (2001). REP packages. Retrieved March 13, 2007. http://www.cdc.gov/hiv/projects/rep/search.htm.

Chorpita, B. F., Becker, K. D., & Daleiden, E. L. (2007). Understanding the common elements of evidence-based practice: Misconceptions and clinical examples. Journal of the American Academy of Child and Adolescent Psychiatry, 46(5), 647–652. doi:10.1097/chi.0b013e318033ff71.PubMedCrossRef

Chorpita, B. F., Daleiden, E. L., & Weisz, J. R. (2005). Identifying and selecting the common elements of evidence based interventions: A distillation and matching model. Mental Health Services Research, 7(1), 5–20. doi:10.1007/s11020-005-1962-6.PubMedCrossRef

Collins, C., Harshbarger, C., Sawyer, R., & Hamdallah, M. (2006). The diffusion of effective behavioral interventions project: Development, implementation, lessons learned. AIDS Education and Prevention, 18, 5–20. doi:10.1521/aeap.2006.18.supp.5.PubMedCrossRef

Duan, N., & Rotheram-Borus, M. J. (1999). Development and dissemination of successful behavioral prevention interventions: Safety, innovation, essential ingredients, robustness, and marketability. In Translating prevention research into social work practice (monograph). Seattle: University of Washington, School of Social Work, Prevention Research Center.

Dworkin, S. L., Pinto, R. M., Hunter, J., Rapkin, B., & Remien, R. H. (2008). Keeping the spirit of community partnerships alive in the scale up of HIV/AIDS prevention: Critical reflections on the roll out of DEBI (diffusion of effective behavioral interventions). American Journal of Community Psychology, 42(1–2), 51–59.

Eke, A. N., Mezoff, J. S., Duncan, T., & Sogolow, E. D. (2006). Reputationally strong HIV prevention programs: Lessons from the front line. AIDS Education and Prevention, 18(2), 163–175. doi:10.1521/aeap.2006.18.2.163.PubMedCrossRef

Fishbein, M., von Haeften, I., & Appleyard, J. (2001). The role of theory in developing effective interventions: Implications from project SAFER. Psychology Health and Medicine, 6(2), 223–238.CrossRef

Fisher, J. D., & Fisher, W. A. (1992). Changing AIDS-risk behavior. Psychological Bulletin, 111(3), 455–474. doi:10.1037/0033-2909.111.3.455.PubMedCrossRef

Frank, J. D. (1961). Persuasion and healing. Baltimore: Johns Hopkins.

Garfield, S. L. (1991). Common and specific factors in psychotherapy. Journal of Integrative and Eclectic Psychotherapy, 10, 5–13.

Garland, A. F., Hawley, K. M., Brookman-Frazee, L. B., & Hurlburt, M. S. (2008). Identifying common elements of evidence-based psychosocial treatments for children’s disruptive behavior problems. Journal of the American Academy of Child and Adolescent Psychiatry, 47(5), 505–514. doi:10.1097/CHI.0b013e31816765c2.PubMedCrossRef

Green, L. W. (2006). Public health asks of systems science: To advance our evidence-based practice, can you help us get more practice based evidence? American Journal of Public Health, 96(3), 406–409. doi:10.2105/AJPH.2005.066035.PubMedCrossRef

Ingram, B. L., Flannery, D., Elkavich, A., & Rotheram-Borus, M. J. (2008). Common processes in evidence-based adolescent HIV prevention programs. AIDS and Behavior, 12(3), 374–383. doi:10.1007/s10461-008-9369-1.PubMedCrossRef

Jemmott, J. B., Jemmott, L. S., & Fong, G. T. (1992). Reductions in HIV risk-associated sexual behaviors among black male adolescents: Effects of an AIDS prevention intervention. American Journal of Public Health, 82(3), 372–377.PubMedCrossRef

Jensen, P. S. (2003). Commentary: The next generation is overdue. Journal of the American Academy of Child and Adolescent Psychiatry, 42(5), 527–530. doi:10.1097/01.CHI.0000046837.90931.A0.PubMedCrossRef

Kalichman, S. C., Cain, D., Weinhardt, L., Benotsch, E., Presser, K., Zweben, A., et al. (2005). Experimental components analysis of brief theory-based HIV/AIDS risk-reduction counseling for sexually transmitted infection patients. Health Psychology, 24(2), 198–208. doi:10.1037/0278-6133.24.2.198.PubMedCrossRef

Kalichman, S. C., Picciano, J. F., & Roffman, R. A. (2008). Motivation to reduce HIV risk behaviors in the context of the information, motivation and behavioral skills (IMB) model of HIV prevention. Journal of Health Psychology, 13(5), 680–689. doi:10.1177/1359105307082456.PubMedCrossRef

Kalichman, S.·C., Rompa, D., & Coley, B. (1996). Experimental component analysis of a behavioral HIV-AIDS prevention intervention for inner-city women. Journal of Consulting and Clinical Psychology, 64(4), 687–693. doi:10.1037/0022-006X.64.4.687.

Kaminski, J. W., Valle, L. A., Filene, J. H., & Boyle, C. L. (2008). A meta-analytic review of components associated with parent training program effectiveness. Journal of Abnormal Child Psychology, 36, 567–589. doi:10.1007/s10802-007-9201-9.

Kegeles, S. M., Rebchook, G. M., Hays, R. B., terry, M. A., O’Donnell, L., Leonard, N. R., et al. (2000). From science to application: The development of an intervention package. AIDS Education and Prevention, 12(Suppl. A), 62–74.PubMed

Kelly, J. A., Heckman, T. G., Stevenson, L. Y., Williams, P. N., Ertl, T., Hays, R. B., et al. (2000). Transfer of research-based HIV prevention interventions to community service providers fidelity and adaptation. AIDS Education and Prevention, 12(Suppl A), 87–98.PubMed

Kelly, J. A., Murphy, D. A., Sikkema, K. J., McAuliffe, R. L., Roffman, R. A., Solomon, L. J., et al. (1997). Randomized, controlled, community-level HIV-prevention intervention for sexual-risk behaviour among homosexual men in US cities. Community HIV prevention research collaborative. Lancet, 350, 1500–1505. doi:10.1016/S0140-6736(97)07439-4.PubMedCrossRef

Kelly, J. A., Spielberg, F., & McAuliffe, T. L. (2008). Defining, designing, implementing, and evaluating phase 4 HIV prevention effectiveness trials for vulnerable populations. Journal of Acquired Immune Deficiency Syndromes, 47(Supp 1), S28–S33. doi:10.1097/QAI.0b013e3181605c77.PubMed

Kelly, J. A., St. Lawrence, J. S., Stevenson, L. Y., Hauth, A. C., Kalichman, S. C., Diaz, Y. E., et al. (1992). Community AIDS/HIV risk reduction: The effects of endorsements by popular people in three cities. American Journal of Public Health, 82(11), 1483–1489.PubMedCrossRef

Knowlton, A., Hua, W., & Latkin, C. (2004). Social support among HIV positive injection drug users: Implications to integrated intervention for HIV positives. AIDS and Behavior, 8(4), 357–363. doi:10.1007/s10461-004-7320-7.PubMedCrossRef

Lambert, M. J., & Bergin, A. E. (1994). The effectiveness of psychotherapy. In A. E. Bergin & S. L. Garfield (Eds.), Handbook of psychotherapy and behavior change (4th ed., pp. 143–189). New York: John Wiley and Sons, Inc.

Lampropoulos, G. K. (2001). Common processes of change in psychotherapy and seven other social interactions. British Journal of Guidance & Counselling, 29(1), 21–33. doi:10.1080/03069880020019356.CrossRef

Lauby, J. L., Smith, P. J., Stark, M., Person, B., & Adams, J. (2000). A community-level HIV prevention intervention for inner city women: Results of the women and infants demonstration projects. American Journal of Public Health, 90(2), 216–222.PubMedCrossRef

Lyles, C. M., Kay, L. S., Crepaz, N., Herbst, J. M., Passin, W. F., Kim, A. S., et al. (2007). Best-evidence interventions: Findings from a systematic review of HIV behavioral interventions for U.S. populations at high risk, 2000–2004. American Journal of Public Health, 97(1), 133–143. doi:10.2105/AJPH.2005.076182.PubMedCrossRef

Marlatt, G. A., & George, W. H. (1998). Relapse prevention and the maintenance of optimal health. In S. A. Shumaker, E. B. Schron, et al. (Eds.), The handbook of health behavior change (2nd ed., pp. 33–58). New York: Springer.

McKleroy, V. S., Galbraith, J. S., Cummings, B., Jones, P., Harshbarger, C., Collins, C., et al. (2006). Adapting evidence-based behavioral interventions for new settings and target populations. AIDS Education and Prevention, 18(Suppl A), 59–73. doi:10.1521/aeap.2006.18.supp.59.PubMedCrossRef

Messer, S. B., & Wampold, B. E. (2002). Let’s face facts: Common factors are more potent than specific therapy ingredients. Clinical Psychology: Science and Practice, 9, 21–25. doi:10.1093/clipsy/9.1.21.CrossRef

Mohammed, S. N., & Thombre, A. (2005). HIV/AIDS stories on the world wide web and transformation perspective. Journal of Health Communication, 10(4), 347–360. doi:10.1080/10810730590950066.PubMedCrossRef

Morisky, D. E., Stein, J. A., Chiao, C., Ksobiechm, K., & Malow, R. (2006). Impact of a social influence intervention on condom use and sexually transmitted infections among establishment-based female sex workers in the Philippines: A multilevel analysis. Health Psychology, 25(5), 595–603. doi:10.1037/0278-6133.25.5.595.PubMedCrossRef

Morisky, D. E., Tiglao, T. V., Sneed, C. D., Tempongko, S. B., Baltazar, J. C., Detels, R., et al. (1998). The effects of establishment practices, knowledge and attitudes on condom use among Filipina sex workers. AIDS Care, 10(2), 213–220. doi:10.1080/09540129850124460.PubMedCrossRef

National Institutes of Health. (2000). Interventions to prevent HIV risk behaviors. NIH consensus development conference. February 11–13, 1997. AIDS (London, England), 14(Suppl 2), S1–S96.

National Institute of Mental Health Intervention Workgroup, Bellack, A., Elkin, I., Flay, B., et al. (November, 2001). An integrated framework for preventive and treatment interventions. Presented at the National Institute of Mental Health Intervention Workgroup Meeting, Washington, DC.

Noguchi, K., Albarracin, D., Durantini, M. R., & Glasman, L. R. (2007). Who participates in which health promotion programs? A meta-analysis of motivations underlying enrollment and retention in HIV-prevention interventions. Psychological Bulletin, 133(6), 955–975. doi:10.1037/0033-2909.133.6.955.PubMedCrossRef

O’Donnell, C. R., O’Donnell, L., San Doval, A., Duran, R., & Labes, K. (1998). Reductions in STD infections subsequent to an STD clinic visit: Using video-based patient education to supplement provider interactions. Sexually Transmitted Diseases, 25(3), 161–168. doi:10.1097/00007435-199803000-00010.PubMedCrossRef

Patterson, C. H. (1984). Empathy, warmth, and genuineness in psychotherapy: A review of reviews. Psychotherapy (Chicago, Ill.), 21, 431–438. doi:10.1037/h0085985.

Rapkin, B., & Trickett, E. J. (2005). Comprehensive dynamic trial designs for behavioral prevention research with communities: Overcoming inadequacies of the randomized controlled trial paradigm. In E. J. Trickett & W. Pequenaut (Eds.), Community interventions and AIDS. New York: Oxford University Press.

Rosenzweig, S. (1936). Some implicit common factors in diverse methods of psychotherapy. The American Journal of Orthopsychiatry, 6, 412–415.CrossRef

Rotheram-Borus, M. J., & Duan, N. (2003). Next generation of preventive interventions. Journal of the Academy of Child and Adolescent Psychiatry, 42(5), 518–526. doi:10.1097/01.CHI.0000046836.90931.E9.CrossRef

Rotheram-Borus, M. J., Duan, N., & Flannery, D. (2004). Interventions that are CURRES: Cost-effective, useful, realistic, robust, evolving, and sustainable. In H. Remschmidt, M. L. Belfer, & I. Goodyer (Eds.), Facilitating pathways: Care, treatment, and prevention in child and adolescent mental health. Heidelberg, Germany: Sprigner-Verlag Telos.

Rotheram-Borus, M. J., Koopman, C., Haignere, C., & Davies, M. (1991). Reducing HIV sexual risk behaviors among runaway adolescents. Journal of the American Medical Association, 266, 1237–1241. doi:10.1001/jama.266.9.1237.PubMedCrossRef

Rotheram-Borus, M. J., Lee, M., Leonard, N., Lin, Y. Y., Franzke, L., Turner, E., et al. (2003a). Four-year behavioral outcomes of an intervention for parents living with HIV and their adolescent children. AIDS (London, England), 17(8), 1217–1225.

Rotheram-Borus, M. J., Murphy, D. A., Wight, R. G., Lee, M. B., Lightfoot, M. A., Swendeman, D., et al. (2001). Improving the quality of life among young people living with HIV. Evaluation and Program Planning, 24, 227–237. doi:10.1016/S0149-7189(01)00013-1.CrossRef

Rotheram-Borus, M. J., Song, J., Gwadz, M., Lee, M., Van Rossem, R., & Koopman, C. (2003b). Reductions in HIV risk among runaway youth. Prevention Science, 4(3), 173–187. doi:10.1023/A:1024697706033.PubMedCrossRef

Rotheram-Borus, M. J., Ingram, B. L., Swendeman, D., & Flannery, D. (In submission). Common principles imbedded in effective adolescent HIV prevention programs.

Sumartojo, E. (2000). Structural factors in HIV prevention: Concepts, examples, and implications for research. AIDS, 14(Suppl 1), S3–S10.PubMedCrossRef

Title: Common Factors in Effective HIV Prevention Programs
Authors: Mary Jane Rotheram-Borus
Dallas Swendeman
Diane Flannery
Eric Rice
David M. Adamson
Barbara Ingram
Publication date: 01-06-2009
Publisher: Springer US
Published in: AIDS and Behavior / Issue 3/2009
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-008-9464-3

Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Pediatric Cardiology Video

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

Cardiopulmonary Comorbidity Video

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Valvular Heart Disease Video

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Heart Failure Video

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Heart Failure Video

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.

Watch now

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

16-04-2024 Type 2 Diabetes News

Incentivised to exercise

11-04-2024 Lifestyle Modifications News

New intervention for STEMI-related cardiogenic shock

10-04-2024 Myocardial Infarction News

» View more highlights on the ACC 2024 congress hub page

Image Credits

STEP AAG HeroTeaserCollection image/© Tarek / Generated with AI / Stock.adobe.com, ACC 2024 Pediatric and Congenital Heart Disease: Year in Review/© 2024 American College of Cardiology, ACC 2024 Pulmonary Vascular Disease: Year in Review/© 2024 American College of Cardiology, ACC 2024 Valvular Heart Disease: Year in Review/© 2024 American College of Cardiology, ACC 2024 HF and Cardiomyopathies: Year in Review/© 2024 American College of Cardiology, Woman out walking/© Seventyfour / stock.adobe.com (symbolic image with model), Woman checking smartwatch /© saltdium / stock.adobe.com (symbolic image with model), Cardiac catheterization/© Damian / stock.adobe.com

At a glance: The STEP trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 3/2009

An Agenda for Advancing the Science of Implementation of Evidence-Based HIV Prevention Interventions

HIV/AIDS Behavioral Interventions in China: A Literature Review and Recommendation for Future Research

A Cluster Randomized Controlled Trial of an Adolescent HIV Prevention Program Among Bahamian Youth: Effect at 12 Months Post-Intervention

The Use of the Diaphragm Instead of Condoms in a Phase III Diaphragm Trial

Latinos and HIV/AIDS: Examining Factors Related to Disparity and Identifying Opportunities for Psychosocial Intervention Research

Reducing HIV and Partner Violence Risk Among Women with Criminal Justice System Involvement: A Randomized Controlled Trial of Two Motivational Interviewing-based Interventions

Highlights from the ACC 2024 Congress

ACC 2024 Congress Coverage