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Health behavior change models for HIV prevention and AIDS care: practical recommendations for a multi-level approach

Kaufman, Michelle R. and Cornish, Flora and Zimmerman, Rick S. and Johnson, Blair T. (2014) Health behavior change models for HIV prevention and AIDS care: practical recommendations for a multi-level approach. JAIDS Journal of Acquired Immune Deficiency Syndromes, 66 (3). S250-S258. ISSN 1525-4135

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Identification Number: 10.1097/QAI.0000000000000236

Abstract

Despite increasing recent emphasis on the social and structural determinants of HIV-related behavior, empirical research and interventions lag behind, partly because of the complexity of social-structural approaches. This article provides a comprehensive and practical review of the diverse literature on multi-level approaches to HIV-related behavior change in the interest of contributing to the ongoing shift to more holistic theory, research, and practice. It has the following specific aims: (1) to provide a comprehensive list of relevant variables/factors related to behavior change at all points on the individual-structural spectrum, (2) to map out and compare the characteristics of important recent multi-level models, (3) to reflect on the challenges of operating with such complex theoretical tools, and (4) to identify next steps and make actionable recommendations. Using a multi-level approach implies incorporating increasing numbers of variables and increasingly context-specific mechanisms, overall producing greater intricacies. We conclude with recommendations on how best to respond to this complexity, which include: using formative research and interdisciplinary collaboration to select the most appropriate levels and variables in a given context; measuring social and institutional variables at the appropriate level to ensure meaningful assessments of multiple levels are made; and conceptualizing intervention and research with reference to theoretical models and mechanisms to facilitate transferability, sustainability, and scalability.

Item Type: Article
Official URL: http://journals.lww.com/jaids
Additional Information: © 2014 by Lippincott Williams & Wilkins
Divisions: Methodology
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Sets: Departments > Methodology
Date Deposited: 01 Mar 2016 15:52
Last Modified: 01 Mar 2016 15:52
URI: http://eprints.lse.ac.uk/id/eprint/65571

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