Behavioral interventions have been a crucial tool for the prevention of HIV transmission since early in the epidemic. The Centers for Disease Control and Prevention (CDC) has provided funding for evidence-based behavioral interventions (EBIs) at health departments and community-based organizations (CBOs) since 2004. From 2006 to 2015, CDC funded 25 CBOs to evaluate one or more of seven EBIs designed to prevent HIV through the Community-based Organization Behavioral Outcomes Project (CBOP) as implemented outside of a research setting. For each EBI, CBOP showed that most HIV risk behaviors improved after the intervention, and improvements were similar to those observed in research studies. Our findings show that behavioral interventions can be successfully implemented in real-world settings. Although the focus of HIV prevention has largely shifted toward biomedical interventions in recent years, successful implementation often depends on behavioral components. Lessons from CBOP can inform future efforts to develop and implement behavioral interventions for HIV and other areas of public health.

自流行初期以来，行为干预一直是预防HIV传播的关键工具。自2004年以来，疾病控制与预防中心（CDC）为卫生部门和社区组织（CBO）的循证行为干预（EBI）提供了资金。从2006年到2015年，CDC资助了25个CBO评估一个或多个七家EBI旨在通过在研究机构之外实施的基于社区的组织行为成果项目（CBOP）来预防艾滋病毒。对于每个EBI，CBOP显示，干预后大多数HIV危险行为得到改善，并且改善与研究中观察到的类似。我们的发现表明，行为干预可以在现实环境中成功实施。尽管近年来，艾滋病毒的预防重点已转向生物医学干预，但成功的实施通常取决于行为成分。《国际收支平衡计划》的经验教训可以为将来制定和实施针对艾滋病毒和其他公共卫生领域的行为干预措施提供参考。