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| Tiers of Evidence: A Framework for Classifying HIV
Behavioral Interventions |
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Evidence-based Behavioral Interventions (EBIs)
Tier I – Best-evidence Behavioral Interventions have:
- Significant and positive intervention effects on relevant outcomes
- No significant and negative intervention effects on relevant outcomes
measured in the study
- Comparison group
- Unbiased assignment
- ≥ 3 months follow-up in both groups
- ≥ 70% retention in both groups
- Analyses adjusted for baseline differences in outcome measures (if non-RCT)
- At least 50 participants in the analytic sample in each group
(click here for more detailed Tier I criteria) |
Tier II – Promising-evidence Behavioral Interventions have:
- Significant and positive intervention effects on relevant outcomes
- No significant and negative intervention effects on relevant outcomes
measured in the study
- Comparison group
- Unbiased or moderately biased assignment
- ≥ 1 month follow-up in both groups
- ≥ 60% retention in both groups
- Analyses adjusted for baseline differences in outcome measures (if non-RCT)
- At least 40 participants in the analytic sample in each group
(click here for more detailed Tier II criteria) |
Theory-based Behavioral Interventions (TBIs)
Tier III – Theory-based Interventions with positive outcome monitoring have:
- Behavioral change theory
- Logic model
- Formative research
- Positive process evaluation data demonstrating fidelity, availability, and acceptance
- Outcome monitoring showing positive and significant before and after changes in relevant outcomes
(click here for more detailed Tier III criteria) |
Tier IV – Theory-based interventions with no outcome monitoring have:
- Behavioral change theory
- Logic model
- Formative research
- Positive process evaluation data demonstrating fidelity, availability, and acceptance
(click here for more detailed Tier IV criteria) |
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