An adaptation of the Sisters Informing Sisters on Topics about AIDS (SISTA) Project, TWISTA is a social-skills training intervention for African American transgender male to female women. It is aimed at reducing HIV sexual risk behavior. It is comprised of five 2-hour sessions, delivered by peer facilitators in a community-based setting. The sessions are gender-specific and culturally relevant and include behavioral skills practice, group discussions, lectures, role-playing, viewing of prevention videos, and take-home exercises.
Core elements are critical features of an intervention’s intent and design and are responsible for its effectiveness; they must be maintained WITHOUT alteration. Staff providing this intervention must have completed the required training.