The GOALS framework was developed in response to key findings from the sexual health research literature

Patients report wanting to talk about sexual health concerns with their providers. However, patients report fear of embarrassing their provider as a reason for not broaching sexuality and are concerned that their provider may dismiss their sexual health concerns.

And from the provider perspective XYZ.

GOALS helps make sexual health history conversations easier and better for patients and providers.

Universal HIV/STI screening and biomedical prevention education is more beneficial and cost-effective than risk-based screening


Emphasizing benefits—rather than risks—is more successful in motivating patients toward prevention and care behavior


Positive interactions with healthcare providers promote engagement in prevention and care


Patients want their healthcare providers to talk with them about sexual health

In collaboration with the New York City Department of Health and Mental Hygiene, Bureau of HIV., Sarit A. Golub, PhD, MPH, launched the GOALS Approach in 2019.

See GOALS in Action