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Choosing Life: Empowerment, Actions, Results (CLEAR)

An Evidence-Based Practice

Description

Choosing Life: Empowerment., Actions, Results (CLEAR) is a one-on-one intervention for young HIV-positive substance abusers to reduce sexual and substance risk behaviors and improve mental and physical health. The program is made up of eighteen 90 minute sessions with a clinical social worker or licensed therapist in community settings that are divided into three modules: improving physical health, reducing unprotected sex acts and substance use, and reducing emotional distress to increase quality of life. The sessions use lectures, demonstrations, games, and role plays to teach youth about antiretroviral medication adherence, setting daily routines, risk identification, condom use, negotiation of safe sex, and relaxation techniques. Participants are also assisted in establishing long-term life goals.

Goal / Mission

The goal of the CLEAR intervention is to empower HIV-positive youth to reduce risk behaviors and improve mental and physical health.

Results / Accomplishments

Fifteen months following the intervention participants who received the one-on-one CLEAR intervention had significantly greater increases in the proportion of condom-protected sex acts with all sex partners (p < 0.01) and with HIV-seronegative partners (p < 0.05) than a control group who did not receive the intervention. Participants also showed a significantly greater increase in the proportion of sex acts with HIV-seronegative partners than participants in a telephone-delivered intervention (p < 0.01).

About this Promising Practice

Organization(s)
Center for HIV Identification, Prevention and Treatment Services
Primary Contact
Dr. Mary Jane Rotheram-Borus
Center for HIV Identification, Prevention and Treatment Services
10920 Wilshire Boulevard Suite 350
Los Angeles, CA 90024
310.794.8280
mrotheram@mednet.ucla.edu
http://chipts.ucla.edu/projects/clear-choosing-lif...
Topics
Health / Immunizations & Infectious Diseases
Health / Adolescent Health
Organization(s)
Center for HIV Identification, Prevention and Treatment Services
Source
Centers for Disease Control and Prevention
Date of publication
2004
Date of implementation
1999
Location
USA
For more details
http://chipts.ucla.edu/projects/clear-choosing-lif...
https://effectiveinterventions.cdc.gov/en/highimpa...
Target Audience
Children, Teens

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  3. Becoming a Responsible Teen (BART)
  4. Information-Motivation-Behavioral Skills Model HIV Intervention
  5. Sister to Sister
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An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.