Behaviour change interventions in HIV prevention: is there still a place for them?

A meta-analysis of studies of brief interventions to reduce HIV risk behaviour in HIV-negative gay men has concluded that there is evidence that such techniques did have a significant impact on the behaviours they were designed to change.

It also found evidence that the best way to conduct such interventions was face-to-face, i.e. not via the internet, telephone or phone apps, and that immediately or shortly after HIV testing was an ideal “learning moment” to conduct them.

Interventions that helped participants set goals for themselves, and ones that helped them understand and restructure self-justifying or contradictory thinking, were the ones most likely to result in behaviour change. Programmes worked better if they involved participants feeling differently about themselves and their behavioural risk, rather than receiving new information. Interventions worked better if they were based explicitly on a theory of behaviour change.

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