Skip to main content
Top
Published in: Journal of Prevention 4/2010

01-08-2010 | Original Paper

Operational Fidelity to an Evidence-Based HIV Prevention Intervention for People Living with HIV/AIDS

Authors: Seth C. Kalichman, Katie Hudd, Giorgio DiBerto

Published in: Journal of Prevention | Issue 4/2010

Login to get access

Abstract

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.
Literature
go back to reference Bunnell, R., Mermin, J., & DeCock, K. (2006). HIV prevention for a threatened continent: Implementing positive prevention in Africa. Journal of the American Medical Association, 296(7), 855–858.CrossRefPubMed Bunnell, R., Mermin, J., & DeCock, K. (2006). HIV prevention for a threatened continent: Implementing positive prevention in Africa. Journal of the American Medical Association, 296(7), 855–858.CrossRefPubMed
go back to reference Centers for Disease Control, Prevention. (2003). Advancing HIV prevention: New strategies for a changing epidemic—United States, 2003. Morbidity and Mortality Weekly Report, 52(15), 329–332. Centers for Disease Control, Prevention. (2003). Advancing HIV prevention: New strategies for a changing epidemic—United States, 2003. Morbidity and Mortality Weekly Report, 52(15), 329–332.
go back to reference Collins, C., Harshbarger, C., Sawyer, R., & Hamdallah, M. (2006). The diffusion of effective behavioral interventions project: Development, implementation, and lessons learned. AIDS Education and Prevention, 18(4 Suppl A), 5–20.CrossRefPubMed Collins, C., Harshbarger, C., Sawyer, R., & Hamdallah, M. (2006). The diffusion of effective behavioral interventions project: Development, implementation, and lessons learned. AIDS Education and Prevention, 18(4 Suppl A), 5–20.CrossRefPubMed
go back to reference Crepaz, N., Lyles, C. M., Wolitski, R. J., Passin, W. F., Rama, S. M., Herbst, J. H., et al. (2006). Do prevention interventions reduce HIV risk behaviours among people living with HIV? A meta-analytic review of controlled trials. AIDS, 20(2), 143–157.CrossRefPubMed Crepaz, N., Lyles, C. M., Wolitski, R. J., Passin, W. F., Rama, S. M., Herbst, J. H., et al. (2006). Do prevention interventions reduce HIV risk behaviours among people living with HIV? A meta-analytic review of controlled trials. AIDS, 20(2), 143–157.CrossRefPubMed
go back to reference Dworkin, S., Pinto, R., Hunter, J., Rapkin, B., & Remien, R. (2008). Keeping the spirit of community partnerships alive in the scale up of HIV/AIDS prevention: Critical reflections on the roll out of DEBI (Diffusion of Effective Behavioral Interventions). American Journal of Community Psychology, 42(1), 51–59.CrossRefPubMed Dworkin, S., Pinto, R., Hunter, J., Rapkin, B., & Remien, R. (2008). Keeping the spirit of community partnerships alive in the scale up of HIV/AIDS prevention: Critical reflections on the roll out of DEBI (Diffusion of Effective Behavioral Interventions). American Journal of Community Psychology, 42(1), 51–59.CrossRefPubMed
go back to reference Galbraith, J. S., Stanton, B., Boekeloo, B., King, W., Desmond, S., Howard, D., et al. (2009). Exploring implementation and fidelity of evidence-based behavioral interventions for HIV prevention: Lessons learned from the focus on kids diffusion case study. Health Education & Behavior, 36(3), 532–549.CrossRef Galbraith, J. S., Stanton, B., Boekeloo, B., King, W., Desmond, S., Howard, D., et al. (2009). Exploring implementation and fidelity of evidence-based behavioral interventions for HIV prevention: Lessons learned from the focus on kids diffusion case study. Health Education & Behavior, 36(3), 532–549.CrossRef
go back to reference Harshbarger, C., Simmons, G., Coelho, H., Sloop, K., & Collins, C. (2006). An empirical assessment of implementation, adaptation, and tailoring: The evaluation of CDC’s National Diffusion of VOICES/VOCES. AIDS Education and Prevention, 18(4 Suppl A), 184–197.CrossRefPubMed Harshbarger, C., Simmons, G., Coelho, H., Sloop, K., & Collins, C. (2006). An empirical assessment of implementation, adaptation, and tailoring: The evaluation of CDC’s National Diffusion of VOICES/VOCES. AIDS Education and Prevention, 18(4 Suppl A), 184–197.CrossRefPubMed
go back to reference Iverson, E. F., Balasuriya, D., García, G. P., Sheng, M., Richardson, J. L., Stoyanoff, S., et al. (2008). The challenges of assessing fidelity to physician-driven HIV prevention interventions: Lessons learned implementing partnership for health in a Los Angeles HIV clinic. AIDS and Behavior, 12(6), 978–988.CrossRefPubMed Iverson, E. F., Balasuriya, D., García, G. P., Sheng, M., Richardson, J. L., Stoyanoff, S., et al. (2008). The challenges of assessing fidelity to physician-driven HIV prevention interventions: Lessons learned implementing partnership for health in a Los Angeles HIV clinic. AIDS and Behavior, 12(6), 978–988.CrossRefPubMed
go back to reference Kalichman, S. C. (2005). Positive prevention: A sourcebook for HIV transmission risk reduction among people living with HIV-AIDS. New York, NY: Springer. Kalichman, S. C. (2005). Positive prevention: A sourcebook for HIV transmission risk reduction among people living with HIV-AIDS. New York, NY: Springer.
go back to reference Kalichman, S. C., Belcher, L., Cherry, C., & Williams, E. (1997). Primary prevention of sexually transmitted HIV infections: Transferring behavioral research to community programs. Journal of Primary Prevention, 18(2), 149–172.CrossRef Kalichman, S. C., Belcher, L., Cherry, C., & Williams, E. (1997). Primary prevention of sexually transmitted HIV infections: Transferring behavioral research to community programs. Journal of Primary Prevention, 18(2), 149–172.CrossRef
go back to reference Kalichman, S. C., Cherry, C., Pope, H., White, D., Cain, C., & Kalichman, M. (2007). Altering key characteristics of a disseminated effective behavioral intervention for HIV-positive adults: The “Healthy Relationships” experience. Journal of Primary Prevention, 28(2), 145–153.CrossRefPubMed Kalichman, S. C., Cherry, C., Pope, H., White, D., Cain, C., & Kalichman, M. (2007). Altering key characteristics of a disseminated effective behavioral intervention for HIV-positive adults: The “Healthy Relationships” experience. Journal of Primary Prevention, 28(2), 145–153.CrossRefPubMed
go back to reference Kalichman, S. C., Rompa, D., Cage, M., DiFonzo, K., Simpson, D., Austin, J., et al. (2001). Effectiveness of an intervention to reduce HIV transmission risks in HIV-positive persons. American Journal of Preventive Medicine, 21(2), 84–92.CrossRefPubMed Kalichman, S. C., Rompa, D., Cage, M., DiFonzo, K., Simpson, D., Austin, J., et al. (2001). Effectiveness of an intervention to reduce HIV transmission risks in HIV-positive persons. American Journal of Preventive Medicine, 21(2), 84–92.CrossRefPubMed
go back to reference Kraft, J. M., Mezoff, J. S., Sogolow, E. D., Neumann, M. S., & Thomas, P. A. (2000). A technology transfer model for effective HIV/AIDS interventions: Science and practice. AIDS Education and Prevention, 12(Suppl A), 7–20.PubMed Kraft, J. M., Mezoff, J. S., Sogolow, E. D., Neumann, M. S., & Thomas, P. A. (2000). A technology transfer model for effective HIV/AIDS interventions: Science and practice. AIDS Education and Prevention, 12(Suppl A), 7–20.PubMed
go back to reference Lyles, C., Kay, L., Crepaz, N., Herbst, J., Passin, W., Kim, A., et al. (2007). Best evidence interventions: Findings from a systematic review of HIV prevention interventions for U.S. populations at high-risk, 2000–2004. American Journal of Public Health, 97(1), 133–143.CrossRefPubMed Lyles, C., Kay, L., Crepaz, N., Herbst, J., Passin, W., Kim, A., et al. (2007). Best evidence interventions: Findings from a systematic review of HIV prevention interventions for U.S. populations at high-risk, 2000–2004. American Journal of Public Health, 97(1), 133–143.CrossRefPubMed
go back to reference McKleroy, V. S., Galbraith, J. S., Cummings, B., Jones, P., Harshbarger, C., Collins, C., et al. (2006). Adapting evidence-based behavioral interventions for new settings and target populations. AIDS Education and Prevention, 18(4 Suppl A), S59–S73.CrossRef McKleroy, V. S., Galbraith, J. S., Cummings, B., Jones, P., Harshbarger, C., Collins, C., et al. (2006). Adapting evidence-based behavioral interventions for new settings and target populations. AIDS Education and Prevention, 18(4 Suppl A), S59–S73.CrossRef
go back to reference Rebchook, G. M., Kegeles, S. M., Huebner, D., & The TRIP Research Team. (2006). Translating research into practice: The dissemination and initial implementation of an evidence-based HIV prevention program. AIDS Education and Prevention, 18(4 Suppl A), 119–136.CrossRefPubMed Rebchook, G. M., Kegeles, S. M., Huebner, D., & The TRIP Research Team. (2006). Translating research into practice: The dissemination and initial implementation of an evidence-based HIV prevention program. AIDS Education and Prevention, 18(4 Suppl A), 119–136.CrossRefPubMed
go back to reference Richardson, J. L., Milam, J., McCutchan, A., Stoyanoff, S., Bolan, R., Weiss, J., et al. (2004). Effect of brief safer-sex counseling by medical providers to HIV-1 seropositive patients: A multi-clinic assessment. AIDS, 18(8), 1179–1186.CrossRefPubMed Richardson, J. L., Milam, J., McCutchan, A., Stoyanoff, S., Bolan, R., Weiss, J., et al. (2004). Effect of brief safer-sex counseling by medical providers to HIV-1 seropositive patients: A multi-clinic assessment. AIDS, 18(8), 1179–1186.CrossRefPubMed
go back to reference Rotheram-Borus, M. J., Swendeman, D., & Flannery, D. (2009a). Family wellness, not HIV prevention. AIDS and Behavior, 13(3), 409–413.CrossRefPubMed Rotheram-Borus, M. J., Swendeman, D., & Flannery, D. (2009a). Family wellness, not HIV prevention. AIDS and Behavior, 13(3), 409–413.CrossRefPubMed
go back to reference Rotheram-Borus, M., Swendeman, D., Flannery, D., Rice, E., Adamson, D., & Ingram, B. (2009b). Common factors in effective HIV prevention programs. AIDS and Behavior, 13(3), 399–408.CrossRefPubMed Rotheram-Borus, M., Swendeman, D., Flannery, D., Rice, E., Adamson, D., & Ingram, B. (2009b). Common factors in effective HIV prevention programs. AIDS and Behavior, 13(3), 399–408.CrossRefPubMed
go back to reference Ryan White HIV/AIDS Treatment Extension Act, 42 U.S.C. § 300ff (2009). Ryan White HIV/AIDS Treatment Extension Act, 42 U.S.C. § 300ff (2009).
go back to reference Stanton, B., Cole, M., Galbraith, J., Li, X., Pendleton, S., Cottrel, L., et al. (2004). Randomized trial of a parent intervention: Parents can make a difference in long-term adolescent risk behaviors, perceptions, and knowledge. Archives of Pediatric Adolescent Medicine, 158(10), 947–955.CrossRef Stanton, B., Cole, M., Galbraith, J., Li, X., Pendleton, S., Cottrel, L., et al. (2004). Randomized trial of a parent intervention: Parents can make a difference in long-term adolescent risk behaviors, perceptions, and knowledge. Archives of Pediatric Adolescent Medicine, 158(10), 947–955.CrossRef
Metadata
Title
Operational Fidelity to an Evidence-Based HIV Prevention Intervention for People Living with HIV/AIDS
Authors
Seth C. Kalichman
Katie Hudd
Giorgio DiBerto
Publication date
01-08-2010
Publisher
Springer US
Published in
Journal of Prevention / Issue 4/2010
Print ISSN: 2731-5533
Electronic ISSN: 2731-5541
DOI
https://doi.org/10.1007/s10935-010-0217-5

Other articles of this Issue 4/2010

Journal of Prevention 4/2010 Go to the issue