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AIDS Reference Manual
- Evidence-based HIV prevention
- The underlying philosophy of HIV prevention: risk reduction or risk elimination?
- HIV prevention or sexual health promotion?
- Differing definitions
- Pros and cons of the change
- Understanding behaviour change
- How do we know HIV prevention efforts have worked?
- The limitations of the evidence-based approach
- The role of research in commissioning and project design
- Measuring effectiveness
- What is known about the effectiveness of interventions?
- Counselling and HIV antibody testing
The role of research in commissioning and project design
A conference, Building Bridges, held in the mid 1990s indicated the extent to which the processess of effectiveness research, needs assessment, service provision and commissioning remain separated.
A number of issues were identified by presentations at the conference:
- Action research ought to be embedded into HIV prevention activities.
- Greater education amongst all involved in project design and management regarding assumptions about behaviour change, risk behaviour and valid outcome measures in relation to the above.
- Avoiding hoodwinking of commissioners and providers by researchers.
- Avoiding research in the interest of researchers rather than providers or commissioners.
- Greater involvement in the research process for those who will be responsible for implementing changes proposed as a consequence of research.
- Better dissemination of findings to those stakeholders/change agents.
All these issues are discussed in the Building Bridges conference report, and in particular, in presentations by Graham Hart and by Nicola Woodward.
References
Deverell K (Ed). Building bridges: linking research and primary HIV prevention (Conference report), NAM, 1996.
Fraser, E. How effective are effectiveness reviews? Health Education Journal 55: 359–362, 1996
Lucas G. Effectiveness reviews, Current HIV Education Research, Spring 1997, HEA.
