Prevention for HIV-Seropositive Persons Successive Approximation Toward a New Identity

This article presents a three-module intervention based on social action theory that focuses on health promotion and social identity formation for seropositive youth. The modules are designed to reduce transmission of HIV by reducing sexual and substance abuse acts, increasing healthy acts and adher...

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Bibliographic Details
Published inBehavior modification Vol. 29; no. 2; pp. 227 - 255
Main Authors Lightfoot, Marguerita, Rotheram-Borus, Mary Jane, Milburn, Norweeta G., Swendeman, Dallas
Format Journal Article
LanguageEnglish
Published Thousand Oaks, CA SAGE Publications 01.03.2005
Sage Publications
SAGE PUBLICATIONS, INC
Subjects
Adolescent
Adolescents
Adult
Behavior modification
Behavior Therapy - economics
Cost-Benefit Analysis
Disease transmission
Feasibility Studies
Female
Health Knowledge, Attitudes, Practice
Health Plan Implementation - economics
Health Promotion
Health Promotion - economics
HIV
HIV Seropositivity - psychology
HIV Seropositivity - transmission
Human immunodeficiency virus
Humans
Intervention
Male
Prevention
Psychotherapy, Group - economics
Role
Safe Sex
Self Concept
Sexually Transmitted Diseases
Social Action
Social Identification
Social Responsibility
Substance Abuse
Substance Abuse, Intravenous - psychology
Substance Abuse, Intravenous - rehabilitation
United States
United States
HIV
intervention
prevention
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Summary:This article presents a three-module intervention based on social action theory that focuses on health promotion and social identity formation for seropositive youth. The modules are designed to reduce transmission of HIV by reducing sexual and substance abuse acts, increasing healthy acts and adherence to care, and maintaining positive behavioral routines. Components of the modules are described, including examples of how these components are implemented in the actual intervention sessions. The importance of using successive approximation to consolidate changes in behavior by defining social roles and personal identities that are consistent with positive behavioral routines is demonstrated. Outcomes of the intervention are presented as well as issues of cost-effectiveness, feasibility, and alternative implementation strategies.
ISSN:0145-4455
1552-4167
DOI:10.1177/0145445504272599