Reducing internalized HIV stigma with Intervention Mapping: the design, implementation, and evaluation of RESET
Sarah E Stutterheim1, Yvonne L van der Kooij2, Roy A Willems2
1Department of Health Promotion & Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands.
AIDS Care
|November 10, 2025
Summary
The RESET intervention effectively reduced internalized HIV stigma in the Netherlands using a systematic approach. This workshop series demonstrated the power of Intervention Mapping in developing targeted stigma-reduction strategies for people with HIV.
Area of Science:
- Public Health
- Psychology
- Intervention Science
Background:
- HIV remains a highly stigmatized condition, leading to internalized negative beliefs among individuals living with HIV.
- Internalized stigma significantly impacts the well-being and health outcomes of people with HIV.
- Developing effective interventions to combat internalized HIV stigma is crucial for improving quality of life.
Purpose of the Study:
- To describe the design, implementation, and evaluation of the RESET intervention.
- To reduce internalized HIV stigma among people with HIV in the Netherlands.
- To demonstrate the utility of Intervention Mapping in developing stigma-reduction interventions.
Main Methods:
- The RESET intervention utilized a face-to-face, three-session workshop format.
- Intervention Mapping, a systematic, theory- and evidence-based approach, guided the intervention development process.
- The development involved six key steps: needs assessment, specifying outcomes, intervention design, production/pre-testing, implementation planning, and evaluation planning.
Main Results:
- The paper details the application of each step of Intervention Mapping in the development of RESET.
- It highlights both the successes and challenges encountered during the intervention's design and implementation.
- The study provides a transparent account of the intervention development process.
Conclusions:
- The RESET intervention, developed using Intervention Mapping, shows promise in reducing internalized HIV stigma.
- Intervention Mapping is a valuable framework for creating evidence-based behavioral interventions, particularly for complex issues like stigma.
- This approach can be adapted to develop effective interventions for various stigma-related challenges.
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