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Common Factors in Effective HIV Prevention Programs

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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.

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Notes

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

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Acknowledgement

National Institute of Mental Health grant P30MH58107 supported this research.

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Authors and Affiliations

  1. UCLA Global Center for Children and Families, Semel Institute for Neuroscience and Human Behavior, University of California, 10920 Wilshire Boulevard, Suite 350, Los Angeles, CA, 90024, USA

    Mary Jane Rotheram-Borus, Dallas Swendeman & Diane Flannery

  2. Center for Community Health, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, CA, USA

    Eric Rice

  3. RAND Corporation, Pittsburgh, PA, USA

    David M. Adamson

  4. Pepperdine University, Malibu, CA, USA

    Barbara Ingram

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  1. Mary Jane Rotheram-Borus
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  2. Dallas Swendeman
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  3. Diane Flannery
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  5. David M. Adamson
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  6. Barbara Ingram
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Correspondence to Mary Jane Rotheram-Borus.

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Rotheram-Borus, M.J., Swendeman, D., Flannery, D. et al. Common Factors in Effective HIV Prevention Programs. AIDS Behav 13, 399–408 (2009). https://doi.org/10.1007/s10461-008-9464-3

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