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

Author

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  • Margaret Dolcini, M.
  • Gandelman, Alice A.
  • Vogan, Stacy A.
  • Kong, Carol
  • Leak, Tia-Nicole
  • King, A.J.
  • DeSantis, Linda
  • O'Leary, Ann

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 behavioral 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 (Rogers, 1995) and (Rogers, 2005) diffusion of innovations in organizations, that have value for agencies that are translating research to practice.

Suggested Citation

  • Margaret Dolcini, M. & Gandelman, Alice A. & Vogan, Stacy A. & Kong, Carol & Leak, Tia-Nicole & King, A.J. & DeSantis, Linda & O'Leary, Ann, 2010. "Translating HIV interventions into practice: Community-based organizations' experiences with the diffusion of effective behavioral interventions (DEBIs)," Social Science & Medicine, Elsevier, vol. 71(10), pages 1839-1846, November.
    • Handle: RePEc:eee:socmed:v:71:y:2010:i:10:p:1839-1846
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    References listed on IDEAS

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    1. Glasgow, R.E. & Lichtenstein, E. & Marcus, A.C., 2003. "Why Don't We See More Translation of Health Promotion Research to Practice? Rethinking the Efficacy-to-Effectiveness Transition," American Journal of Public Health, American Public Health Association, vol. 93(8), pages 1261-1267.
    2. Jemmott III, J.B. & Jemmott, L.S. & Fong, G.T. & Morales, K.H., 2010. "Effectiveness of an HIV/STD risk-reduction intervention for adolescents when implemented by community-based organizations: A cluster-randomized controlled trial," American Journal of Public Health, American Public Health Association, vol. 100(4), pages 720-726.
    3. Kelly, J.A. & Somlai, A.M. & DiFranceisco, W.J. & Otto-Salaj, L.L. & McAuliffe, T.L. & Hackl, K.L. & Heckman, T.G. & Holtgrave, D.R. & Rompa, D., 2000. "Bridging the gap between the science and service of HIV prevention: Transferring effective research-based HIV prevention interventions to community AIDS service providers," American Journal of Public Health, American Public Health Association, vol. 90(7), pages 1082-1088.
    4. Veniegas, R.C. & Kao, U.H. & Rosales, R. & Arellanes, M., 2009. "HIV prevention technology transfer: challenges and strategies in the real world," American Journal of Public Health, American Public Health Association, vol. 99(S1), pages 124-130.
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    Cited by:

    1. Parker, L. & Maman, S. & Pettifor, A. & Chalachala, J.L. & Edmonds, A. & Golin, C.E. & Moracco, K. & Behets, F., 2013. "Adaptation of a U.S. evidence-based Positive Prevention intervention for youth living with HIV/AIDS in Kinshasa, Democratic Republic of the Congo," Evaluation and Program Planning, Elsevier, vol. 36(1), pages 124-135.
    2. Mario Andres Fernandez & Douglas Shaw, 2013. "Willingness to pay for intervention policies related to HIV/AIDS: a theoretical framework with endogenous risk, perceived effectiveness and altruism," Economics Bulletin, AccessEcon, vol. 33(2), pages 1457-1467.

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