RESPECT is an individual-level, client-focused, HIV prevention intervention, consisting of two brief interactive counseling sessions. The intervention is based on the Theory of Reasoned Action and Social Cognitive Theory. The provider follows a structured protocol (counselor cards) to engage in an interactive conversation with the client to: 1) determine what behaviors place the client at risk for HIV (or STDs); 2) use a “teachable moment” to increase the client’s concern about his/her personal HIV risk; and 3) develop a strategy to reduce identified risks.
The RESPECT intervention is designed to support risk reduction behaviors by increasing the client’s perception of his/her personal risks and by emphasizing incremental risk-reduction strategies. Core elements of the intervention are to conduct one-on-one counseling using the RESPECT protocol, utilize a “teachable moment” to motivate clients to change risk-taking behaviors, explore circumstances and context of a recent risk behavior to increase perception of susceptibility, negotiate an achievable step which supports the larger risk reduction goal, and implement and maintain quality assurance procedures. The intervention uses a structured protocol that guides the provider/counselor throughout the sessions. This protocol also helps address barriers to risk reduction and validate previous attempts made by the client.
To learn more about RESPECT, review the RESPECT Fact Sheet
CDC's Important Update on RESPECT Trainings
Attention New CDC Grantees: CDC's Division of HIV/AIDS Prevention (DHAP) no longer offers face to face training or capacity building assistance for the RESPECT program. As an alternative, health professionals and individuals interested in implementing the RESPECT program are encouraged to register for CDC's e-Learning modules for RESPECT. See the section below "Become a RESPECT facilitator online" to learn more.
Some health departments or other funders may continue to support implementation of the RESPECT program. Therefore, implementation materials and RESPECT resources will remain available for download from this site. You may also request information on how to contact RESPECT master trainers to make individual arrangements to obtain training. All costs associated with receiving RESPECT training will be paid by the requesting agency or individual. To request trainer information, please contact email@example.com
For more information on CDC's strategy for High Impact HIV Prevention, please read CDC's Dear Prevention Partner Letter that was released on August 26, 2013
and later on October 9, 2014 for the RESPECT intervention
Become a RESPECT facilitator online!
CDC's RESPECT e-Learning course is great for both new and experienced RESPECT facilitators. The course has four modules and takes approximately 2 hrs and 40 minutes to complete:
- Module 1: Purpose and Goals of RESPECT and Theories and Principles of RESPECT
- Module 2: Core Elements, Key Concepts and Protocol Overview
- Module 3: Conducting a RESPECT Session "Video of Mock Session"
- Module 4: Strategies for Implementing with Client Case Studies
Research and Development
Kamb, M.L., Fishbein, M., Douglas , J.M., Rhodes , F., Rogers , J., Bolan, G., Zenilman, J., Hoxworth, T., Malotte, K., Iatesta, M., Kent, C., Lentz, A., Graziano, S., Beyers, R.H., Peterman, T.A., for the Project RESPECT Study Group. (1998). Efficacy of Risk-Reduction Counseling to Prevent Human Immunodeficiency Virus and Sexually Transmitted Diseases: A Randomized Controlled Trial. Journal of the American Medical Association, 280:1161-67 .
Program Review Panel Information
CDC requires all CDC-funded agencies using the RESPECT 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.