Back to Annual Meeting Page		American Public Health Association 133rd Annual Meeting & Exposition December 10-14, 2005 Philadelphia, PA

Abstract #112413

Amy Parkhurst, MA¹, Mark Etzel, MPP², and Jenny Uyei, MPH². (1) Neuropsychiatric Institute, UCLA/Center for Community Health, 10920 Wilshire Blvd, Suite 350, Los Angeles, CA 90024, (2) Neuropsychiatric Institute/Center for Community Health, University of California, Los Angeles, 10920 Wilshire Blvd., Suite 350, Los Angeles, CA 90024, 310/794-0310, juyei@mednet.ucla.edu

ISSUE: Evidence-based interventions are based on therapeutic models, not marketing models. Can evidence-based interventions retain fidelity and be market sensitive?

DESCRIPTION: CLEAR, an evidence-based intervention for young people living with HIV, based on a prevention case management model (PCM), is 1 of 18 interventions sponsored by CDC for national dissemination to health care settings or community-based agencies. CLEAR is delivered in individual sessions by paraprofessionals in order to 1) improve medical adherence; 2) reduce transmission; and 3) maintain positive mental health. Structured activities provide more effective strategies and skills to feel, think and act, similar to every other evidence-based intervention.

RESULTS: Previous CLEAR intervention studies have shown this intervention to be replicable and sustainable over time. Rather than using written manuals to deliver the intervention, videotape of positive role models, movie video clips, and small workbooks were utilized for dissemination of the intervention.

LESSONS LEARNED: Product developers, marketers and community providers must be involved at all stages of intervention design and delivery, especially when adapting for PCM.

Learning Objectives: