Healthy Relationships

Healthy Relationships is a small-group intervention for persons with HIV. Through a series of interactive sessions, participants examine their risks, develop skills to reduce their risks, and receive feedback from others.

Healthy Relationships

About Healthy Relationships

Healthy Relationships is a five-session, small-group intervention for men and women with HIV. It is based on Social-Cognitive Theory and focuses on developing and practicing new skills and building self-efficacy and positive expectations about new behaviors through modeling such behaviors. Decision-making and problem-solving skills are developed to enable participants to make informed and safe decisions about disclosure and behavior.

Intervention Goal

  • To reduce sexual risk behaviors of men and women with HIV.

Intervention Core Elements

  • Defining stress and reinforcing coping skills across three life areas—disclosing to family and friends, disclosing to sexual partners, and building healthier and safer relationships.
  • Using modeling, role-play, and feedback to teach and practice skills related to coping with stress.
  • Teaching decision-making skills about disclosure of HIV status.
  • Providing personal feedback reports to motivate changing risky behaviors and continuing protective behaviors.
  • Using movie clips to set up scenarios about disclosure and risk reduction to stimulate discussions and role-plays.

Healthy Relationships Training

This training has 1 component:

  • 4-day in-person classroom training

The Healthy Relationships trainings are typically conducted over a four-day period.

  • Group facilitators (or any staff) who will facilitate the Healthy Relationships sessions at an agency or organization are required to attend the Healthy Relationships classroom training.
  • Program Coordinators who provide oversight or supervision to the Group Facilitators are encouraged to attend the Healthy Relationships classroom training.

Upon completion of the classroom training, participants will be able to:

  • describe the theoretical framework supporting Healthy Relationships;
  • describe the Healthy Relationships core elements;
  • dose effective communication and facilitation skills for Healthy Relationships implementation; and
  • use culturally specific session enhancements with Healthy Relationships.

Participants are encouraged to access the Healthy Relationships Starter Kitpdf icon prior to the training. This kit contains planning information that agencies and organizations will need to implement the intervention.

To view and register for scheduled classroom trainings:

  1. Access the National HIV Classroom Learning Center training calendarexternal icon hosted on Cicatelli Associates, Inc.’s (CAI’s) website.
  2. Pre-register for your selected course via the link provided in the training calendar.
  3. Complete your registration on CDC TRAINexternal icon as directed when you receive an email from the National HIV Classroom Learning Center. You must join the HIV CBA Learning Group and locate the HIV CBA Training Plan in order to complete your CDC TRAIN registration for a specific classroom session (step-by-step instructionspdf iconexternal icon are available).

To access eLearning modules, including classroom training prerequisite courses:

  1. Log-in to CDC TRAINexternal icon and access the HIV CBA Training Plan (step-by-step instructionspdf iconexternal icon are available).
  2. Select the module you wish to take.
  3. Launch the module or save the module for later.

To request that a classroom training be scheduled:

  1. CDC’s directly funded health department and CBO partners may request delivery of a CDC-supported training by submitting a request in the CBA Tracking System.
  2. Organizations not directly funded by CDC may contact their local health department for assistance in submitting a training request.

If you have questions or need additional assistance, please contact or

Implementation and Marketing Materials

Healthy Relationships clips DVD – ORDER FORM
The Healthy Relationships clips DVD is designed to be used by Healthy Relationships facilitators when implementing the intervention. Video clips are provided to persons who have attended a Healthy Relationships training. To request a copy of the video clips, please email

The materials and resources listed below support the implementation and/or marketing of Healthy Relationships by health departments, community-based organizations, and health care or other organizations. The resources are evidence-based and designed for cost-effective, scalable implementation.

  • Kalichman S, Rompa D, Cage M, DiFonzo K, Simpson D, Austin J, Luke W, Buckles J, Kyomugisha F, Benotsch E, Pinkerton S, Graham J. Effectiveness of an intervention to reduce HIV transmission risks in HIV-positive people. Am J Prev Med 2001;21(2):84-92.