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Behavioral prevention is today's AIDS vaccine!
1Center for Mental Health Research on AIDS, National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland 20892, USA. Wpequegn@nih.gov
AIDS (London, England)
|November 4, 2000
Summary
Behavioral prevention strategies are the most effective method for controlling HIV/STD spread. This research outlines a model for developing and implementing successful, cost-effective HIV/STD prevention programs across diverse populations and settings.
Area of Science:
- Public Health
- Behavioral Science
- Epidemiology
Background:
- Behavioral prevention remains the sole effective strategy to curb the spread of HIV.
- This review examines a proactive programmatic model in behavioral research that has guided the development and evaluation of effective HIV/STD preventive interventions over the past 15 years.
Purpose of the Study:
- To present a model for behavioral prevention aligned with clinical trials phases: Discovery (Phase I), Exploratory (Phase II), Efficacy (Phase III), and Effectiveness (Phase IV).
- To introduce a theoretical framework for behavioral prevention.
- To present a Lifespan Model of Health Promotion and Disease Prevention for designing HIV/STD prevention programs across the lifespan, targeting various levels (individual, couple, family, community, societal) and employing diverse intervention modalities.
Main Methods:
- Review of a pro-active programmatic model of behavioral research.
- Adaptation of clinical trials phases (I-IV) for behavioral prevention research.
- Integration of a theoretical framework and a Lifespan Model for Health Promotion and Disease Prevention.
Main Results:
- The reviewed model has successfully guided the development and testing of HIV/STD preventive interventions.
- The proposed framework and lifespan model provide a structured approach to designing comprehensive prevention programs.
- Interventions can be tailored for different age groups and levels of intervention.
Conclusions:
- Behavioral prevention is effective across various age groups and intervention levels when grounded in a theoretical basis.
- Behavioral prevention strategies are currently viable and can be mobilized within communities to address epidemic factors.
- Behavioral prevention is a cost-effective approach, deliverable even in resource-limited community settings.
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