Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
AIDS and Behavior
Published in: AIDS and Behavior 5/2017

01-05-2017 | Original Paper

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

Authors: Virginia R. McKay, M. Margaret Dolcini, Joseph A. Catania

Published in: AIDS and Behavior | Issue 5/2017

Login to get access

Abstract

Evidence-based interventions (EBIs) often require competent staff, or human resources (HR), for implementation. The empirical evidence characterizing the influence of HR fluctuations on EBI delivery is limited and conflicting. Using the Interactive Systems Framework, we explored staff fluctuation and the subsequent influence on RESPECT, an HIV prevention EBI. We conducted interviews with staff in two waves (n = 53, Wave I; n = 37, Wave II) in a national sample of organizations delivering RESPECT (N = 29). We analyzed interviews qualitatively to describe changes among RESPECT staff and explore the subsequent influences on RESPECT implementation. Organizations reported downsizing, turnover, and expansion of staff positions. Staff changes had multiple influences on RESPECT implementation including clients reached, fidelity to specific RESPECT protocols, and overall sustainability of RESPECT over time. HR fluctuations are common, and our analyses provide an initial characterization of the relationship between HR fluctuation and EBI implementation. Given the prominent influence of HR on EBI implementation, the Interactive Systems Framework is a useful guiding tool for future examinations.
Literature
1.
2.
3.
Durlak JA, DuPre EP. Implementation matters: a review of research on the influence of implementation on program outcomes and the factors affecting implementation. Am J Community Psychol. 2008;41(3–4):327–50.CrossRefPubMed
4.
Flaspohler P, Duffy J, Wandersman A, Stillman L, Maras MA. Unpacking prevention capacity: an intersection of research-to-practice models and community-centered models. Am J Community Psychol. 2008;41(3–4):182–96.CrossRefPubMed
5.
6.
Beck AJ, Boulton ML. Trends and characteristics of the state and local public health workforce, 2010–2013. Am J Public Health. 2015;105(S2):S303–10.CrossRefPubMedPubMedCentral
7.
Holtom BC, Mitchell TR, Lee TW, Eberly MB. 5 turnover and retention research: a glance at the past, a closer review of the present, and a venture into the future. Acad Manag Ann. 2008;2(1):231–74.CrossRef
8.
Hausknecht JP, Trevor CO. Collective turnover at the group, unit, and organizational levels: evidence, issues, and implications. J Manag. 2011;37(1):352–88.
9.
McElroy JC, Morrow PC, Rude SN. Turnover and organizational performance: a comparative analysis of the effects of voluntary, involuntary, and reduction-in-force turnover. J Appl Psychol. 2001;86(6):1294.CrossRefPubMed
10.
Kacmar KM, Andrews MC, Van Rooy DL, Steilberg RC, Cerrone S. Sure everyone can be replaced… but at what cost? Turnover as a predictor of unit-level performance. Acad Manag J. 2006;49(1):133–44.CrossRef
11.
Wandersman A, Duffy J, Flaspohler P, et al. Bridging the gap between prevention research and practice: the interactive systems framework for dissemination and implementation. Am J Community Psychol. 2008;41(3–4):171–81.CrossRefPubMed
12.
Wandersman A, Chien V, Katz J. Toward an evidence-based system for innovation support for implementing innovations with quality: tools, training, technical assistance, and quality assurance/quality improvement. Am J Community Psychol. 2012;50(3):445–59.CrossRefPubMed
13.
Ogden T, Fixsen DL. An overview of implementation Science. Zeitschrift für Psychologie. 2015;222(1):4–11.CrossRef
14.
Butterfoss FD, Kegler MC, Francisco VT. Mobilizing organizations for health promotion. In: Glanz K, Rimer BK, Viswanath K, editors. Health behavior and health education: theory, research, and practice. San Francisco: Jossey-Bass Inc; 2008. p. 335–61.
15.
Riley BL, Edwards NC, D’Avernas JR. People and money matter: investment lessons from the Ontario heart health program, Canada. Health Promot Intl. 2008;23(1):24–34.CrossRef
16.
Woltmann EM, Whitley R. The role of staffing stability in the implementation of integrated dual disorders treatment: an exploratory study. JMH. 2007;16(6):757–69.
17.
Woltmann EM, Whitley R, McHugo GJ, et al. The role of staff turnover in the implementation of evidence-based practices in mental health care. Psychiatr Serv. 2008;59(7):732–7.CrossRefPubMed
18.
Rollins AL, Salyers MP, Tsai J, Lydick JM. Staff turnover in statewide implementation of ACT: relationship with ACT fidelity and other team characteristics. Adm Policy Ment Health. 2010;37(5):417–26.CrossRefPubMedPubMedCentral
19.
Bond GR, Drake RE, McHugo GJ, Peterson AE, Jones AM, Williams J. Long-term sustainability of evidence-based practices in community mental health agencies. Adm Policy Ment Health. 2012;41(2):228–36.CrossRef
20.
Williams AC, Potts HWW. Group membership and staff turnover affect outcomes in group CBT for persistent pain. Pain. 2010;148(3):481–6.CrossRefPubMed
21.
Garner BR, Hunter BD, Modisette KC, Ihnes PC, Godley SH. Treatment staff turnover in organizations implementing evidence-based practices: turnover rates and their association with client outcomes. J Subst Abus Treat. 2012;42(2):134–42.CrossRef
22.
Collins C, Harshbarger C, Sawyer R, Hamdallah M. The diffusion of effective behavioral interventions project: development, implementation, and lessons learned. AIDS Educ Prev. 2006;18(4):5–20.CrossRefPubMed
23.
Collins Jr CB, Tomlinson HL. Dissemination, implementation, and adaptation of evidence-based behavioral HIV-prevention interventions through community engagement: the US centers for disease control and prevention (CDC) experience. In: Rhodes DS, editor. Innovations in HIV prevention research and practice through community engagement. New York: Springer; 2014. p. 39–261.
24.
25.
Kamb ML, Fishbein M, Douglas JM, et al. Efficacy of risk-reduction counseling to prevent human immunodeficiency virus and sexually transmitted diseases: a randomized controlled trial. Project RESPECT Study Group. JAMA. 1998;280(13):1161–7.CrossRefPubMed
26.
Kamb ML, Dillon BA, Fishbein M, Willis KL. Quality assurance of HIV prevention counseling in a multi-center randomized controlled trial. Project RESPECT Study Group. Public Health Rep. 1996;111(Suppl 1):99–107.PubMedPubMedCentral
27.
Metcalf CA, Douglas JM, Malotte CK, et al. Relative efficacy of prevention counseling with rapid and standard HIV testing: a randomized, controlled trial (RESPECT-2). Sex Transm Dis. 2005;32(2):130–8.CrossRefPubMed
28.
Gandelman AA, Desantis LM, Rietmeijer CA. Assessing community needs and organization capacity—an integral part of implementing effective evidence-based interventions. AIDS Educ Prev. 2006;18(4 Suppl A):32–43.CrossRefPubMed
29.
McKay VR, Dolcini MM, Conte KP, Catania JA. Adaptations to an HIV counseling and testing intervention from a counselor perspective. J Community Psychol. 2014;42(8):891–906.CrossRef
30.
Dolcini MM, Gandelman AA, Vogan SA, et al. Translating HIV interventions into practice: community-based organizations’ experiences with the diffusion of effective behavioral interventions (DEBIs). Soc Sci Med. 2010;71(10):1839–46.CrossRefPubMedCentral
31.
Hitt JC, Robbins AS, Galbraith JS, et al. Adaptation and implementation of an evidence-based prevention counseling intervention in Texas. AIDS Educ Prev. 2006;18(4 Suppl A):108–18.CrossRefPubMed
32.
Taveras S, Duncan T, Gentry D, Gilliam A, Kimbrough I, Minaya J. The evolution of the CDC HIV prevention capacity-building assistance initiative. J Public Health Manag Pract. 2007;13:S8–15.CrossRef
33.
Catania J, Dolcini M, Gandelman A, Narayanan V, McKay V. Fiscal loss and program fidelity: impact of the economic downturn on HIV/STI prevention program fidelity. Transl Behav Med. 2014;2014(01/11):1–12.
34.
Dolcini MM, Catania J, Gandelman A, Ozer E. Implementing a brief evidence-based HIV intervention: a mixed methods examination of compliance fidelity. Transl Behav Med. 2014;2014(06/20):1–10.
35.
Yin RK. Case study research: design and methods. Thousand Oaks: Sage; 2009.
36.
Glisson C, Schoenwald SK, Kelleher K, Landsverk J, Hoagwood KE, Mayberg S, et al. Therapist turnover and new program sustainability in mental health clinics as a function of organizational culture, climate, and service structure. Adm Policy Ment Health. 2008;35(1–2):124–33 (Epub 2007/12/18).CrossRefPubMed
37.
Garner BR, Hunter BD, Godley SH, Godley MD. Training and retaining staff to competently deliver an evidence-based practice: the role of staff attributes and perceptions of organizational functioning. J Subst Abuse Treat. 2012;42(2):191–200.CrossRefPubMed
38.
Dolcini MM, Davey-Rothwell M, Singh R, Teixeira N, Gandelman A, Catania JA. Deficits in training and quality assurance are associated with poor fidelity in practice settings. Poster presented at the annual NIH dissemination and implementation science conference, Washington, DC; 2015.
39.
Metadata
Title
Impact of Human Resources on Implementing an Evidence-Based HIV Prevention Intervention
Authors
Virginia R. McKay
M. Margaret Dolcini
Joseph A. Catania
Publication date
01-05-2017
Publisher
Springer US
Published in
AIDS and Behavior / Issue 5/2017
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-016-1425-7

Other articles of this Issue 5/2017

AIDS and Behavior 5/2017 Go to the issue

Original Paper

Seroadaptive Strategies of Gay & Bisexual Men (GBM) with the Highest Quartile Number of Sexual Partners in Vancouver, Canada

Original Paper

Minority Men Who Have Sex with Men Demonstrate Increased Risk for HIV Transmission

Brief Report

Knowledge, Stereotyped Beliefs and Attitudes Around HIV Chemoprophylaxis in Two High HIV Prevalence Neighborhoods in New York City

Original Paper

Stigma and Conspiracy Beliefs Related to Pre-exposure Prophylaxis (PrEP) and Interest in Using PrEP Among Black and White Men and Transgender Women Who Have Sex with Men

Brief Report

Demographic Differences in PrEP-Related Stereotypes: Implications for Implementation

Original Paper

Values and Preferences on the Use of Oral Pre-exposure Prophylaxis (PrEP) for HIV Prevention Among Multiple Populations: A Systematic Review of the Literature

ACC 2024 Congress Coverage

Heart Failure Video

Year in Review: Heart failure and cardiomyopathies

Watch now

Watch this official video from ACC.24. Dr. Biykem Bozkurt discuss last year's major advances in heart failure and cardiomyopathies.

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

16-04-2024 Type 2 Diabetes News

Incentivised to exercise

11-04-2024 Lifestyle Modifications News

New intervention for STEMI-related cardiogenic shock

10-04-2024 Myocardial Infarction News

» View more highlights on the ACC 2024 congress hub page

Image Credits