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Peers Reaching Out and Modeling Intervention Strategies (PROMISE)

An Evidence-Based Practice

Description

Community PROMISE aims to instill consistent HIV prevention practices through community mobilization and distribution of small-media materials and risk reduction supplies.

There are four main components to this program: 1) a community identification process to collect information including HIV/STD risk behaviors, 2) the creation of role model stories based on personal accounts from individuals in the various target populations, 3) recruiting and training peer advocates to distribute prevention materials and role model stories, and 4) continuous formative evaluation to ensure that program materials remain appropriate for the concerns of the targeted populations.

Goal / Mission

The goal of Community PROMISE is to encourage HIV prevention practices.

Impact

PROMISE leads to significant community-wide progress toward consistent HIV risk reduction.

Results / Accomplishments

There were five intervention and five comparison communities. Studies found that, over the 32-month study period, intervention communities had a significantly greater increase in mean stage-of-change score for condom use with main and non-main partners when compared to those in the control communities (p<0.05). More specifically, when compared to control communities, intervention communities reported a significantly greater increase in the percentage of participants who had used condoms every time for six or more months with non-main partners (p<0.05).

About this Promising Practice

Primary Contact
Richard Wolitski
Center for Disease Control and Prevention
1600 Clifton Rd., MS E-37
Atlanta, GA 30333
1-(866) 532-9565
interventions@danya.com
Topics
Health / Immunizations & Infectious Diseases
Health / Prevention & Safety
Source
U.S. Centers for Disease Control and Prevention
Date of publication
1999
Date of implementation
1991
Geographic Type
Urban
Location
Texas, Colorado, California, New York, Washington
For more details
https://www.cdc.gov/hiv/effective-interventions/tr...
https://www.ncbi.nlm.nih.gov/pubmed/10076482
Additional Audience
people at risk for HIV

Related Promising Practices

  1. CDC COMMUNITY GUIDE: Interventions to Reduce Sexual Risk Behaviors or Increase Protective Behaviors to Prevent Acquisition of HIV in Men Who Have Sex with Men: Individual-, Group-, and Community-Level Behavioral Interventions
  2. Focus on Youth (FOY) with Informed Parents and Children Together (ImPACT)
  3. Poder Latino: Community AIDS Prevention Program for Inner-City Latino Youth
  4. Teen Health Project
  5. The Aban Aya Youth Project (AAYP)

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An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.
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