Application of the Transtheoretical Model for HIV Prevention in a Facility-Based and a Community-Level Behavioral Intervention Research Study

This article describes the application of the transtheoretical model of behavior change to preven- tion programs for women at risk for or infected with HIV. The focus of these multisite demonstration pro- jects was to increase condom and contraceptive use. The model was operationalized for use in the following two different intervention approaches: facility-based interventions (individual counseling for women in clinics, shelters, and drug treatment centers) and community-level interventions (including production of small media materials, street outreach, and community mobiliza- tion). The authors found that interventions derived from a complex theory can be disseminated to frontline providers who have little prior HIV education experi- ence or academic training. They suggest that the transtheoretical model has value for the design and implementation of HIV prevention programs.