A group level intervention, SIHLE is a peer-led, social-skills training intervention aimed at reducing HIV sexual risk behavior among sexually active, African American teenage females, ages 14-18. An adaptation of the SISTA intervention, SIHLE emphasizes ethnic and gender pride, and enhances awareness of HIV risk reduction strategies such as abstaining from sex, using condoms consistently, and having fewer sex partners. It consists of four 3-hour sessions, delivered by two peer facilitators (ages 18-21) and one adult facilitator in a community-based setting.
The sessions are designed for 10-12 African American teenage females. The sessions are gender-specific, culturally relevant and include behavioral skills practice, group discussions, lectures, role-playing, and take-home exercises.
SIHLE targets sexually experienced, African American teenage girls (ages 14-18) who are at risk for acquiring or transmitting HIV/STIs.
Important CDC Update:
The CDC’s strategy for High Impact HIV Prevention involves prioritizing and implementing an optimal combination of cost-effective, scalable interventions based on the current state of the science. This shift should help improve the effectiveness of HIV prevention efforts, reduce HIV incidence, and ultimately increase the possibility of achieving an AIDS-free America. In its ongoing effort to align HIV prevention resources with current surveillance data and this strategy, the Division of HIV/AIDS Prevention (DHAP) at CDC will not offer trainings or capacity building assistance on the following evidence-based interventions (EBIs): AIM, ¡Cuídate!, Focus on Youth, MIP, Nia, RAPP, Safety Counts, SHIELD, SIHLE, SISTA, Street Smart, RESPECT and VOICES/VOCES (except when used with MSM). Some health departments or other funders may continue to support implementation of these EBIs, and the implementation materials for all these interventions will remain on www.effectiveinterventions.org and be available for download. If you have additional questions about this issue, please contact firstname.lastname@example.org.
CDC’s Division of Reproductive Health (DRH) will provide support to their grantees on AIM, ¡Cuídate!, and SIHLE. For further information on DRH’s efforts, please contact Trisha Mueller at 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
How to request SIHLE training and technical assistance As mentioned above, CDC no longer offers SIHLE training support unless you are a CDC Division of Reproductive Health (DRH) grantee. If SIHLE training is desired, you may contact any of the SIHLE master trainers listed below to make individual arrangements to obtain training. All costs associated with receiving SIHLE training will be paid by the requesting agency or individual. Each SIHLE training should include two adult trainers and two peer trainers. A printer friendly version of the SIHLE master trainer list is available under More Info...Relevant Links.
Jacqueline Coleman, MED, MSM
Research and Development
DiClemente RJ, Wingood GM, Harrington KF, Lang DL, Davies SL, Hook EW 3rd, Oh MK, Crosby RA, Hertzberg VS, Gordon AB, Hardin JW, Parker S, Robillard A. (2004). Efficacy of an HIV prevention intervention for African American adolescent girls: a randomized controlled trial. Journal of the American Medical Association, 292(2):171-9.
CDC Policy on Youth Peer Outreach Workers
CDC funded (directly or indirectly) agencies using youth (either paid or volunteer) in program outreach activities need to use caution and judgment in the venues/situations where youth workers are placed. Agencies should give careful consideration to the "age appropriateness" of the activity or venue. Additionally, agencies should comply with all relevant laws and regulations regarding entrance into adult establishments/environments. Laws and curfews should be clearly outlined in required safety protocols developed and implemented by agencies directly and indirectly funded by CDC.
If you have specific questions, please contact your CDC project officer.