Rotheram-Borus Mary Jane, Ingram Barbara L, Swendeman Dallas, Flannery Diane
Global Center for Children and Families, Semel Institute for Neuroscience and Human Behavior, University of California at Los Angeles, Los Angeles, CA, USA.
AIDS Behav. 2009 Jun;13(3):387-98. doi: 10.1007/s10461-009-9531-4. Epub 2009 Feb 18.
Each interpersonally delivered, evidence-based (EB) program for HIV prevention shares common features that aim to shift HIV risk behaviors. We used qualitative research methods to examine manuals from five EB programs for adolescents and identified 10 core principles embedded in each program's activities. Principles reflect the stated goals and anticipated lessons in an activity. The principles were: Believe in your own worth and your right to a happy future; Commit to change; Distinguish fact from myth; Plan ahead and be prepared; Practice self-control; Know pleasurable alternatives to high risk activities; Negotiate verbally, not nonverbally; Evaluate options and consequences; Show concern for others; Choose to limit your own freedom; and Act to help others protect themselves. Focusing on common features rather than the unique properties of each EB program may allow community providers to have more flexibility and ownership in adapting EB programs, and may also facilitate development of new EB program.
每一项人际传播的、基于证据的（EB）HIV预防项目都有旨在改变HIV风险行为的共同特征。我们运用定性研究方法，对五个针对青少年的EB项目手册进行了审查，并确定了每个项目活动中所包含的10项核心原则。原则反映了一项活动中既定的目标和预期的经验教训。这些原则包括：相信自身价值以及拥有幸福未来的权利；致力于改变；区分事实与谬误；提前规划并做好准备；践行自我控制；知晓高风险活动的愉悦替代方式；进行言语而非非言语的协商；评估选择及后果；关心他人；选择限制自身自由；采取行动帮助他人保护自己。关注共同特征而非每个EB项目的独特属性，可能会使社区提供者在调整EB项目时有更大的灵活性和自主权，也可能会促进新EB项目的开发。
