Description: Module One provides an introduction top the entire manual. It provides a brief description of the materials contained in each of the modules. Additionally handouts and background information on adult learning theory and training and presentation skills are included.

Description: Module Two contains a sample training design of a two hour training on Secondary HIV Prevention. Also included in this section is a role play that can be used as an icebreaker activity.

Description: Module Three contains PowerPoint slides that can be used to provide a brief presentation on the need for Secondary HIV Prevention

Description: Module Four contains materials that can be used to do a presentation on Behavior Change. The materials in this module include:
Behavior Change Exercise: This is a brief exercise to help participants understand the complexity of behavior change, and also introduces the concept of the ?Stages of Change.?
Staging Questions: This is an algorithm for identifying the patient's readiness or stage of change.
Readiness Ruler: The Readiness Ruler is a simple tool to help the clinician ?stage? the client, based on the client's stated readiness for change.
Staging Practice Sheet: This handout contains statements that are characteristics of the various stages of change. Participants try to determine which stage is express by the statement. This is an excellent tool to help participants practice identifying the stages of change based on statements a client might make.
Script for Readiness for Change: This script provides a sample of how the clinician can discuss HIV prevention with patients.

Description: ·This series of powerpoint slides can form the basis of a presentation on the Transtheoretical Model of Behavior Change.

Description: Module Five provides important background information for the trainer on Motivational Interviewing, and handouts for activities that can be used in training others about Motivational Interviewing. The materials in this module include:
Guiding Motivational Interviewing Philosophy; The Five Principles of Motivational Interviewing; Elements of Effective Brief Interventons: These three handouts describe some of the key components of motivational interviewing can be used by the trainer to gain a deeper understanding of motivational interviewing, and can also be used as handouts with participants
The Spirit of Motivational Interviewing: This handout can be used to illustrate the relationship between the five principles of motivational interviewing.
Motivational Interviewing: This series of powerpoint slides can be used to guide a discussion on Motivational Interviewing.
Traps to Avoid; Thomas Gordon's Twelve Roadblocks; Closed and Open-Ended Questions; Listening is a Skill; Double-sided Reflections: These handouts all explore communication techniques and approaches to motivational interviewing
Readiness for Change: This handout provides examples of key questions than can help providers elicit information from the patient that will help the provider identify the patient's readiness to change their behaviors.

Description: Module Six contains handouts and resources that the trainer may find helpful in teaching participants to work effectively with clients around HIV prevention.