Operational Fidelity to an Evidence-Based HIV Prevention Intervention for People Living with HIV/AIDS
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Evidence-based interventions are often disseminated in public health education with little known about their operational fidelity. This study examined the delivery of intervention components (operational fidelity) of a widely disseminated HIV prevention program designed for people living with HIV/AIDS named Healthy Relationships. Two hundred ninety-nine agencies that had been trained in the intervention by the Centers for Disease Control and Prevention were contacted, and 122 (41%) completed confidential interviews. Among the 93 agencies that implemented the program, 39 (40%) adapted at least one core element activity, and 21 (23%) dropped an activity. Most adaptations were intended to improve the community fit of the intervention. Agencies believed that funders demand that they implement the intervention with fidelity. Models of technology transfer that emphasize behavior change processes rather than specific curriculum content may advance prevention program dissemination.
KeywordsEvidence-based interventions HIV prevention Operations research
The authors thank Charles Collins at the Centers for Disease Control and Prevention for providing the list of participating agencies; Daniel O’Connell, James Tesoriero, and Haven Battles at the New York State Department of Health for discussions regarding study design; and Jennifer Galbraith for sharing measures from previous research. This project was supported by grants from the National Institute of Mental Health (NIMH) grants R01-MH71164 and R01-MH82633.
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