Project ACCEPT

Summary

Project Adolescents Coping, Connecting, Empowering, and Protecting Together (ACCEPT) was developed for cisgender youth ages 16 to 24 with HIV. Using a peer-facilitated, information- and skills-building framework, the intervention leverages both individual and group sessions to address issues that influence youth engagement in HIV care, including stigma, disclosure, healthy relationships, substance use, and future life planning.

Download Intervention Summary (PDF)

Download How-To Guide (PDF)

Intervention Outcomes

  • Medication adherence- Clients were more than twice as likely to self-report medication use (odds ratio 2.33), which was sustained 1 year post-intervention.
  • Viral load- Clients were more likely to have a declining viral load over time (p=0.041).
  • Increased appointment adherence, visit constancy, and number of overall medical visits.

Intervention Components

  • Define Intervention Population and Data Measures
  • Secure Stakeholder Buy-In
  • Assess Staff Resources and Gaps
  • Engage Youth-Centered Community Service Partners
  • Assess Local Laws and Regulations
  • Recruit Peer Facilitators, Counselors, and Social Workers
  • Train Staff on Project ACCEPT Procedures and Facilitate Knowledge Exchange
  • Recruit Youth with HIV
  • Increase Youth Skills to Engage in HIV Medical Care and Social Support

Cost Analysis

The Project ACCEPT intervention cost analysis is not currently available. However, you can use the CIE Cost Calculator to create an estimate of the cost of implementing the intervention at your organization.

Challenges and Solutions

Challenge Solution
Client reluctance to engage with health care providers Engage providers who have experience with youth and who competently communicate in a manner that reduces stigma and promotes empathy and compassion. Use peers as client-provider liaisons.
Funding Discuss the following with your organization’s leadership: ways to repurpose existing funding to support specific intervention components; or ways to collaborate with external partners to secure resources to implement Project ACCEPT.
Non-inclusive training curricula and facilitator guides Tailor your training curricula and counseling sessions for gender-diverse youth and ensure that you offer inclusive services.

Supplementary Resources

Publications

Resources

Videos

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