PROMISE for HIP

Peers Reaching Out and Modeling Intervention Strategies (PROMISE) for high-impact prevention (HIP) is a community-level HIV/STD prevention intervention that relies on role model stories and peer advocates to reduce HIV risk behaviors and increase engagement related to the HIV continuum of care.

Community PROMISE for High-Impact Prevention

About PROMISE for HIP

Peers Reaching Out and Modeling Intervention Strategies (PROMISE) for high-impact prevention (HIP) is based on several behavioral theories, including Stages of Change Theory, the Theory of Reasoned Action, and Social Cognitive Theory. PROMISE for HIP begins with a community identification process to collect and analyze information about the risk networks, sex and drug risk behaviors, indicators related to the HIV continuum of care, and identification of determinants of risk. This helps agencies identify and intervene with the intervention populations and appropriately tailor the intervention to specific network needs.

Members of the intervention population who have made positive behavior change and/or engage in HIV care, including medication adherence, are interviewed and role models’ stories are written based upon the interviews. The stories are personal accounts about how and why the participants took steps to reduce risk, engage in HIV care, be adherent to medication, and the resulting positive effects on their lives.

Peer advocates from the intervention population are recruited and trained to distribute the role model stories and prevention materials within their social networks. New role model stories are written based on continuous formative research that reflects behavior change within the target population.

Intervention Goals

  • To disseminate positive messages to intervention populations about condom use, HIV testing, accessing pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP), engaging and/or re-engaging in care, and adhering to anti-retroviral therapy (ART) regimens.
  • To encourage significant movement by community members toward consistent condom use with their main and non-main partner.
  • To significantly increase condom carrying among members of the communities.

Intervention Core Elements

  • Community identification process to collect information about the network, including HIV/STD risk behaviors and HIV care continuum.
  • Create role model stories based on personal accounts from individuals in the intervention population who have made positive behavior change.
  • Recruit and train peer advocates from the intervention population to distribute role model stories and prevention materials.
  • Continuous formative evaluation to capture behavior change within the intervention population.

PROMISE for HIP Training

PROMISE for HIP classroom trainings are typically conducted over a 2-day period. Participants must first complete the 1-hour PROMISE for HIP pre-course online training located in CDC TRAINexternal icon before attending the classroom training.

During the classroom training, participants will:

  • discuss the concept of community-level interventions;
  • learn what “community” means in the context of Community PROMISE for HIP;
  • learn the intervention’s four core elements;
  • learn how to conduct and report community assessment in the form of Community Identification (CID) reports;
  • learn to identify, interview, and develop Role Model Stories;
  • learn how to recruit and retain Peer Advocates; and
  • understand the ongoing evaluation process.

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 RequestCDCTraining@caiglobal.org or DHAPCBB@cdc.gov.

Implementation and Marketing Materials

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

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  • CDC AIDS Community Demonstration Projects Research Group. Community-level HIV intervention in 5 cities: Final outcome data from the AIDS community demonstration projects. Am J Public Health 1999;89(3):336-345.