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Communal Effectance - AIDS Prevention

An Evidence-Based Practice

This practice has been Archived and is no longer maintained.

Description

The Communal Effectance - AIDS Prevention (CE-AP) program is a sexual behavior intervention for low-income, single women attending urban clinics. The small group intervention (consists of about 3-6 women) are divided into six sessions delivered over 2-3 months. The intervention emphasizes the idea that sexual behavior affects women individually as well as those around them. The program uses role playing, discussions, interactive videos, and rehearsals to teach women negotiation skills to protect themselves from HIV infection. Participants learn general HIV and AIDS prevention information, the role of drugs and alcohol in risky behavior, and how to properly use condoms. Women also learn how to refuse unwanted sexual propositions and how to negotiate safe sex with partners.

Goal / Mission

The goal of the CE-AP intervention is to reduce behaviors that put women at risk for sexually transmitted disease (STD) and HIV transmission.

Results / Accomplishments

In the original evaluation study including 935 women, those who received the CE-AP intervention reported significantly fewer episodes of unprotected vaginal or anal sex at a 6-month follow-up than women in a standard care group (p < 0.001). Among women with a prior STD, those in the CE-AP intervention group were significantly less likely to test positive for an STD at the follow-up than women in a general health promotion group (p < 0.005).

About this Promising Practice

Organization(s)
Rush Medical College Department of Behavioral Sciences
Primary Contact
Deanna Doss
1645 West Jackson Blvd., Suite 302
Chicago, IL 60612
(312) 942-7100
Deanna_P_Doss@rush.edu
Topics
Health / Immunizations & Infectious Diseases
Health / Women's Health
Organization(s)
Rush Medical College Department of Behavioral Sciences
Source
Centers for Disease Control and Prevention
Date of publication
2002
Date of implementation
1995
Geographic Type
Urban
For more details
https://www.cdc.gov/hiv/pdf/research/interventionr...
Target Audience
Adults, Women

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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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