Feedback Session: Defining Behavioral Interventions Michael Sweat, - - PowerPoint PPT Presentation

Feedback Session: Defining Behavioral Interventions

Michael Sweat, PhD

The Johns Hopkins University Bloomberg School of Public Health Department of International Health

Process

Establish Clear Definition of Intervention Component

Through Consensus Process Establish Quality Standards

Cost Intervention Component

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”)