CDC’s dissemination of evidence-based behavioral HIV prevention interventions

Abstract

The Division of HIV/AIDS Prevention at the National Center for HIV, Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention seeks to make evidencebased behavioral HIV prevention interventions (EBIs) accessible to HIV prevention providers through a systematic process of identification, packaging, and dissemination. This update synthesizes that process and describes recent efforts to expand the use of EBIs internationally through partnerships between the CDC's Global AIDS Program, academic research centers, and other international and US agencies.

What Can Implementation Science Do for You? Key Success Stories from the Field

“…Nonetheless, some of the limitations of DEBI included local perceptions that the program was too "top-down" heavy, perceived competition with locally grown interventions, and limited community engagement prior to implementation. 17,18 Nonetheless, several of the interventions through DEBI continue to be deployed with similar effectiveness outcomes compared with the original research findings. 15…”

Predicting organizational readiness to implement HIV prevention with couples using practitioners’ intentions: testing a heuristic

“…The current study used baseline and outcome data (6-, 12-, and 18-month follow-up) from an intervention trial (R01-MH080659) that examined implementation of Connect, a couple-based HIVprevention program [10, 19,20]. Organizational readiness was assessed at baseline from the 253 participating facilitators enrolled.…”

Engineering behaviour change in an epidemic: the epistemology of NIH‐funded HIV prevention science

“…In response, the Division of HIV/AIDS Prevention, in coordination with the Institute of Medicine, developed a prevention programme at the end of the 1990s and early 2000s, organised by the tenets of evidence‐based medicine (CDC ). Under this new programme, select evidence‐based behavioural interventions (EBIs) were compiled in The Compendium ; the official, CDC meta‐analytic compilation of EBIs culled from the HIV prevention literature (Collins and Wilson ). To promote their use, the CDC transposed a subset of EBIs into prepackaged, user‐friendly intervention kits called DEBIs (that is, diffusion of effective behavioural interventions) (Collins and Wilson , see Effective Interventions n.d.) mandating their adoption by 38 of 50 state health departments and their CBO affiliates receiving federal dollars for AIDS prevention (Dworkin et al .…”

“…From the perspective of the CDC, health scientists and parts of the public health sector, DEBIs represent the best of ‘evidence‐based’ medicine and are superior technologies when compared to most locally developed interventions (first author interviews with CDC experts, conducted in 2012 and 2013). Evidence‐based interventions are defined by the CDC as those interventions with proven efficacy in clinical trials for reducing risk behaviour for HIV for at least 30 days or longer (Collins and Wilson : 203). Proven efficacy is established through a systematic meta‐analysis of the intervention literature with special attention given to the methodological rigour of a given study, including the quality of the study design, implementation, analysis and strength of evidence (Lyles et al .…”