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CLEAR

Targeted HIV+ subpopulations: High-risk youth, Drug Users

CDC Factsheet

Effective Interventions

Choosing Life: Empowerment, Actions, Results (CLEAR) is a 3-module intervention that is delivered in one-on-one sessions to young people living with HIV. Each of the 3 modules is comprised of 6 sessions that focus on different target behaviors. Module 1 focuses on improving youths’ physical health, including the use of and adherence to antiretroviral medication, implementing new daily routines to stay healthy, and coping with their serostatus. Module 2 aims to reduce unprotected sex acts and substance use through the identification of situations that elicit risky behavior. In this module, participants build skills in condom use self-efficacy and negotiation of safer sex. Module 3 aims to reduce emotional distress and to increase quality of life of participants. Each participant is taught relaxation, self-instruction and meditation techniques in order to control negative emotional states. Participants also identify long-term life goals in this module.

Content Sources
1. Centers for Disease Control and Prevention. 2009 Compendium of Evidence-Based HIV Prevention Interventions. Best-Evidence Interventions. http://www.cdc.gov/hiv/topics/research/prs/best-evidence-intervention.htm#completelist Accessed March 26, 2011.
2. Diffusion of Effective Behavioral Interventions. http://www.effectiveinterventions.org Accessed March 26, 2011.