FOF (Focus on the Future)

FOF banner image

Focus on the Future (FOF) is a peer-delivered, clinic-based, single-session, individual-level behavioral intervention. FOF aims to educate and motivate clients to use condoms correctly and consistently in order to reduce the spread of HIV and other STDs.

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FOF is based on the Information, Motivation, and Behavioral Skills (IMB) model, which states that people need information, motivation, and practice with a behavior in order to properly learn that behavior. It is also based on Bandura’s Social Learning Theory, which states that people learn new behaviors through observational learning, imitation, and modeling.

Target Population: African American men, who have sex with women (MSW), ages 18-29 who are seeking care in an STD clinic due to reported symptoms of an STD or who have received an STD diagnosis, who have used a condom in the last three months, and who are not knowingly HIV-positive.

FOF Training & Implementation Materials 

Training, technical assistance and funding support for FOF can be requested from CAI. CAI is a nonprofit, tax exempt 501(c)(3) organization that has been working to improve the breadth and quality of health and human services provided to low-income and underserved populations locally, nationally and globally for over 34 years. CAI's mission is to use the transformative power of education and research to foster a more aware, healthy, compassionate and equitable world. For more about CAI, go to www.caiglobal.org.

For information about FOF funding support, training, and technical assistance, contact Billy Sherrod at CAI: 
212.594.7741 ext. 265 or bsherrod@caiglobal.org. To learn more about the FOF intervention, you may visit www.fofintervention.org

FOF implementation materials including the Facilitator's Guide, Technical Assistance Guide, Monitoring & Evaluation Guide, and Promotional & Marketing Materials are available for download on Effectiveinterventions.org. You may also view and download the FOF implementation video. 

Should you have technical questions about FOF, you may contact:
Dean Blevins, PhD., Diffusion Team, Capacity Building Branch, CDC's Division of HIV/AIDS Prevention, 1600 Clifton Road, Mail Stop E-40, Atlanta, GA 30333. Phone: 404.639.3808. Email: Dblevins@cdc.gov

Richard A. Crosby, PhD., Department of Health Behavior, College of Public Health, University of Kentucky, 121 Washington Ave. Lexington, KY 40506-0003. Email: rcros2@email.uky.edu

Research and Development

Crosby,R., DiClemente, R., et. al. (2009) A Brief, Clinic-Based, Safer Sex Intervention for Heterosexual African American Men Newly Diagnosed With an STD: A Randomized Controlled Trial, American Journal of Public Health, 99(1), S96-S103.

Program Review Panel Information

The CDC requires all CDC-funded agencies using the FOF intervention to identify, or establish, and utilize a Program Review Panel and complete Form 0.1113 to document this activity. The intervention researchers and developers are not involved in this activity. This is a CDC requirement for their grantees, and all questions in this regard should be directed to your agency's CDC Project Officer or to the health department funding your agency's implementation of the intervention.

The Program Review Panel guidelines, instructions for completion of Form 0.113, and the form itself are available under the Related Links section of this website.

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Relevant Links

FOF Core Elements

  • The trained Peer Health Advisor (PHA) conducts a customized one-to-one counseling session with the client for 45-60 minutes. 
  • The PHA establishes rapport and a trusting relationship with the client at the beginning of the session.   
  • The PHA teaches correct condom use skills for clients. 
  • The PHA and client discuss condom negotiation skills. 
  • The PHA provides clients with 25+ foils of water-based lubricants and 25+ condoms of their choice from a broad selection of high-end and popular brands. 
  • The PHA clearly communicates the importance of the client protecting his and his community's future by using condoms correctly and consistently with his partner(s).   
  • The PHA shows unconditional respect for men and maintains a non-judgmental environment for the client concerning any risk behaviors disclosed.   
  • The intervention is delivered at a point when the client is feeling vulnerable and is highly concerned about his STD infection status. This may be while he is in the clinic waiting, after a presumptive diagnosis, or after a confirmed lab result.