Lessons Learned From Dissemination of Evidence-Based Interventions for HIV Prevention

Abstract

In 1999, IOM issued a report that recommended that the Centers for Disease Control and Prevention should disseminate evidence-based HIV prevention interventions (EBIs) to be implemented by health departments, community-based organizations, drug treatment centers, and clinics. Based on these recommendations, the Diffusion of Effective Behavioral Interventions Project was initiated in 2000 and began disseminating interventions into public health practice. For 15 years, the Centers for Disease Control and Prevention has disseminated 29 EBIs to more than 11,300 agencies. Lessons were identified during the 15 years of implementation regarding successful methods of dissemination of EBIs. Lessons around selecting interventions for dissemination, developing a dissemination infrastructure including a resource website (https://effectiveinterventions.cdc.gov), and engagement with stakeholders are discussed. A continuous development approach ensured that intervention implementation materials, instructions, and technical assistance were all tailored to the needs of end users, focus populations, and agency capacities. Six follow-up studies demonstrated that adopters of EBIs were able to obtain comparable outcomes to those of the original efficacy research. The Diffusion of Effective Behavioral Interventions Project may offer guidance for other large, national, evidence-based public health dissemination projects.

Barriers and facilitators to implementing evidence-based interventions among third sector organisations: a systematic review

“…While efforts are arguably being made to improve the reporting of interventions (e.g. through the TIDieR checklist [ 96 ]), this is a fairly recent development, and many EBIs, such as DEBIs, do not always include sufficient descriptions of intervention components [ 90 ]. Also, simply reporting on intervention components is not enough; efforts must also be made to consider whether, and if so, how, different components can be effectively adapted to different contexts and populations [ 97 ].…”

The Adaptome

“…The Blueprints for Violence Prevention, 22 National Registry of Effective Programs and Practices (www.nrepp.samhsa.gov), CDC's Effective Interventions: HIV Prevention that Works (www.effectiveinterventions.org; Collins et al 23 ), and the National Cancer Institute's Research-Tested Intervention Programs (http://rtips.cancer.gov/rtips/index.do) are repositories of evidence-based preventive interventions available for the settings and populations that have relevant behavioral health needs. How does the field harness all of this local implementation (and likely adaptation) to learn more about the effectiveness and optimization of the evidence-based practices than would ever be possible through efficacy and effectiveness trials?…”

Letting Go: Conceptualizing Intervention De‐implementation in Public Health and Social Service Settings

“…Low value Around 2006 the Centers for Disease Control and Prevention disseminated a suite of evidence-based behavioral HIV prevention interventions to local organizations (Collins & Sapiano, 2016;Johns et al, 2016). Due to continued investment in biomedical research, pre-and postexposure prophylaxis (PreP and PEP) have demonstrated such high efficacy that it is now more cost-effective to provide PreP and PEP to those who are at highest risk for HIV rather than provide behavior change interventions to a more general population (Holtgrave, 2010).…”