Service Delivery

An HIV-preventive intervention for youth living with HIV.

Lightfoot et al. (2007) · Behavior modification 2007
★ The Verdict

A ready-made peer curriculum exists for HIV-positive teens, but no one has tested it yet.

✓ Read this if BCBAs who serve teens with HIV in clinics or community centers.
✗ Skip if Practitioners looking for proven outcomes right now.

01Research in Context

01

What this study did

Lightfoot et al. (2007) built a small-group program for youth who already live with HIV. The authors mixed peer leaders with behavioral skills training. They aimed to cut future transmission and boost self-care like taking meds.

The paper only describes the package. No kids were tracked and no numbers were reported.

02

What they found

There are no outcome data. The team simply shows how to run six weekly 90-minute sessions. They list role-plays, goal sheets, and peer coaches.

The paper ends with a call for future trials.

03

How this fits with other research

Taub et al. (1994) first urged behavior analysts to move past single-person lessons and fix real-world contexts. Lightfoot et al. (2007) answer that call by placing youth in peer groups where social cues support safer sex.

Fujiura et al. (2018) later tested a one-hour adult version. Their brief BATD-HIV cut depression and lifted self-reported pill taking. The youth program is longer and wider—it adds sex-risk goals—showing how the same core tools grow as needs grow.

Jason et al. (1985) proved peer training works even with blind, multihandicapped preschoolers. The same recipe—teach a peer, let the peer teach the skill—now targets HIV teens, revealing a 20-year span of peer power.

04

Why it matters

You can borrow the session-by-session plan today. Pick two peer leaders, run role-plays on condom use and med routines, and end each meeting with a public goal. Track what happens and you will add the missing data the field still needs.

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→ Action — try this Monday

Download the six-session script, train two youth as peer coaches, and start Session 1 with a condom-use role-play.

02At a glance

Intervention
behavioral skills training
Design
other
Population
substance use disorder
Finding
not reported

03Original abstract

As the number of youth infected with HIV rises, secondary prevention programs are needed to help youth living with HIV meet three goals: (a) increase self-care behaviors, medical adherence, and health-related interactions; (b) reduce transmission acts; and (c) enhance their quality of life. This article describes an intervention program for youth living with HIV. Youth engage in small-group activities with other infected peers to modify their behavioral patterns. The intervention aims to (a) reduce substance use and sexual behaviors that may transmit or enhance transmission of the HIV virus; (b) reduce negative impacts of substance use on seeking and utilizing health care, assertiveness, and adherence to health regimens; and (c) enhance the quality of life to maintain behavior changes over time. Interventions that target youth living with HIV are warranted. A variety of delivery strategies are discussed for secondary interventions.

Behavior modification, 2007 · doi:10.1177/0145445506293787