Feedback Session: Defining Behavioral Interventions Michael Sweat, PhD The Johns Hopkins University Bloomberg School of Public Health Department of International Health
Process Through Consensus Establish Clear Cost Definition of Process Intervention Intervention Establish Component Component Quality Standards
How have we been defining HIV intervention components? Activity � Counseling, Testing, Education, Training, Policy enactment, Condom Distribution � Mode of delivery � Mass Media � Peer Education � Faith-based � Community-based � Target Population & Setting � MSM, IDU, CSW, Work Place, School-Based Interventions � Commodity � Condom Social Marketing � Needle Exchange � Micro-credit � Outcome or Goal � Abstinence � Empowerment � Theory � Structural Intervention � Policy Intervention �
What is the minimum threshold for a definition? � Core Activities � Delivery Mode � Target Population & Setting � Commodity (if appropriate) � Outcome � Theory � Other aspects?
Programming & Core Components Clearly identify target population first � Identify target population needs � Bundle intervention components to best meet needs � Attempt to capitalize on synergy of components � Focus first on establishing base intervention � components Prioritize those most crucial to prevention � Expand as quickly as possible with additional � components attending to quality and capacity Through this process the emphasis on intervention � components is established Does this affect the definition we opt for (and thus the � associated quality standards)?
Intervention topics Voluntary counseling and testing (VCT) � -Activity Condom social marketing � -Commodity and Activity Partner notification � -Activity (maybe population as linked to PLWHA) Mass media � -Delivery Mode Abstinence-based intervention � -Outcome Peer education � -Population and Activity Needle syringe exchange � -Commodity, activity, and population (by default IDU) Psychosocial support for Prevention � -Activity
Intervention topics Comprehensive sex education � -Activity Free condom distribution � -Commodity & activity Behavioral counseling � -Activity Income generation � -Activity Diffusion interventions � -Activity or theory Built (physical) environment interventions � -Activity & not much specificity
Key Questions for Discussion What is the least common denominator needed to � define an intervention component? Suggestion – to focus on specific activities, perhaps in � combination with target populations Is the approach to this different for “research” � purposes versus field program purposes How much should we strive to maintain the current � terminology for intervention components that are already well understood by people in the field? Even when the terms for the components are not ideal � (such as “Harm Reduction”)
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