Translating HIV interventions into practice: Community-based organizations’ experiences with the diffusion of effective behavioral interventions (DEBIs)

Abstract

Efficacious behavioral interventions developed to address the spread of HIV/STIs are currently being disseminated in the USA through a national diffusion program (DEBI) spearheaded by the Centers for Disease Control and Prevention (CDC). Understanding how interventions are translated to real world settings is necessary to further scientific knowledge of this process and to facilitate future translation efforts in public health. Prior studies have begun to elucidate how agencies translate behavioral interventions into practice, but further work is needed. Guided by the ADAPT framework, we examined agencies’ assessment, preparation, and implementation of interventions. Our qualitative interview-based study focused on six community-based agencies in California (United States) funded to implement three group-level HIV interventions. Findings showed considerable variation in the extent to which agencies engaged in assessment and broad-based preparation and in the ease with which agencies implemented the interventions. The findings provide insight into the process that agencies undergo in the translation of effective behavioural interventions and illustrate how agencies can inform logic models that guide translation. We also identify relevant dimensions of existing models, including the ADAPT framework and Roger’s (1995 and Roger’s (2005) diffusion of innovations in organizations, that have value for agencies that are translating research to practice.

The influence of social determinants on evidence-based behavioral interventions—considerations for implementation in community settings

“…The present study grew out of a broader investigation that aimed to improve our understanding of the adoption, adaptation, and implementation of HIV behavioral interventions [41]. The broader study focused on concepts in the innovative-decision process in Rogers's diffusion of innovations theory [12], which are also reflected in the ADAPT framework [41, 42].…”

“…The broader study focused on concepts in the innovative-decision process in Rogers's diffusion of innovations theory [12], which are also reflected in the ADAPT framework [41, 42]. …”

The Angel and the Devil on your shoulder: Friends mitigate and exacerbate 21st birthday alcohol-related consequences.

“…Whereas couples therapy is quite different from incorporating friends into alcohol interventions, this area of research provides a foundation for prevention approaches that incorporate close others over individual treatment. For example, research on HIV prevention among adolescents has examined the inclusion of friends in interventions (Dolcini et al, 2010; Fang et al, 1998; Harper et al, 2012; Morrison et al, 2007). In line with the present findings, Morrison et al (2007) found HIV prevention among adolescents to be moderated by friendship closeness.…”

Impact of Human Resources on Implementing an Evidence-Based HIV Prevention Intervention

“…Supervisors are intended to help contribute to the fidelity of the program across providers by helping individual providers deliver the program appropriately. Several studies suggest that staff fluctuations, especially turnover, have a significant impact on organizations’ ability to implement RESPECT (30–32). Consequently, this program provides an appropriate context for examining the influence of organizational capacity, especially human resources, on EBI implementation.…”