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Related Experiment Video

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An Affordable HIV-1 Drug Resistance Monitoring Method for Resource Limited Settings

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Adapting HIV prevention evidence-based interventions in practice settings: an interview study.

Rosemary C Veniegas¹, Uyen H Kao, Ricki Rosales

¹UCLA Department of Family Medicine and Center for HIV Identification, Prevention and Treatment Services, Los Angeles, CA, USA. rveniegas@mednet.ucla.edu

Implementation Science : IS

|November 26, 2009

Summary

Community staff adapt human immunodeficiency virus (HIV) prevention interventions through modification and reinvention. Technical assistance is crucial during pre-implementation for effective technology transfer and to ensure interventions align with original goals.

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Area of Science:

Public Health
Health Services Research
Intervention Science

Background:

Evidence-based interventions (EBIs) are adapted to enhance external validity in real-world settings.
Adaptations occur across pre-implementation, implementation, maintenance, and evolution phases.
Two key adaptation categories: modification of intervention characteristics and reinvention (adding/deleting core elements).

Purpose of the Study:

Examine intervention adaptations during human immunodeficiency virus (HIV) prevention technology transfer.
Investigate modifications and reinventions of EBIs.
Understand adaptation processes in community-based settings.

Main Methods:

Qualitative study involving 34 community-based organization staff in Los Angeles.
Two interviews per participant, professionally transcribed.
Interviews coded by two coders with high inter-rater reliability (kappa = 0.73).

Main Results:

Participants described modifications and reinventions across all phases.
No participants reported accessing technical assistance when reinventing interventions.
Staff implemented recommended adaptation steps for new populations and settings.

Conclusions:

Staff frequently modify and reinvent interventions during HIV prevention program translation.
Targeted technical assistance for formative evaluation is needed, especially in the pre-implementation phase.
Continuous fidelity measurement and guidance are essential for effective reinvention and technology transfer.