291421
Implementing and adapting a community level HIV prevention intervention
Wednesday, November 6, 2013
Jane Mezoff, DrPH,
Program Evaluation Branch, Division of HIV/AIDS Prevention, CDC, Atlanta, GA
Alberto Curotto, PhD,
Center for AIDS Prevention Studies, University of California - San Francisco, San Francisco, CA
Greg Rebchook, PhD,
Center for AIDS Prevention Studies/Prevention Research Center, University of California, San Francisco, San Francisco, CA
Janet Heitgerd, PhD,
Program Evaluation Branch, Division of HIV/AIDS Prevention, CDC, Atlanta, GA
Gary Uhl, PhD,
Division of HIV/AIDS Prevention; Program Evaluation Branch, Centers for Disease Control and Prevention, Atlanta, GA
Susan Kegeles, PhD,
Center for AIDS Prevention Studies/Prevention Research Center, University of California, San Francisco, San Francisco, CA
Issues: Current surveillance trends show that Human Immunodeficiency Virus (HIV) prevention for young Black and Latino men who have sex with men (MSM) must remain a priority. To more effectively meet these prevention needs, in 2006 CDC funded 12 community-based organizations (CBOs) to implement the Mpowerment Project, a community-level, evidence-based, HIV prevention intervention for young gay and bisexual men. The intervention contains multiple core elements derived from research and theory. Description: We used qualitative methods to collect data about the CBOs, program participants, and Mpowerment intervention adaptation and implementation. A site visit was made to each CBO to collect data and observe programmatic activities when possible. Data were analyzed using an iterative inductive process. Lessons Learned: Each CBO was able to implement Mpowerment, but challenges were identified challenges which ranged from inadequate project space to complete omission of a core element of the intervention. CBOs often adapted core elements to meet the needs of their program participants and CBO contexts. Most of these modifications were creative and beneficial, but others threatened the integrity of the original intervention model such as elimination of the publicity campaign. Recommendations: We present several recommendations for addressing challenges CBOs may face when implementing the MP. These include programmatic issues as well as personnel/staffing issues. These and other recommendations will be presented.
Learning Areas:
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Social and behavioral sciences
Learning Objectives:
Describe the challenges some community-based organizations face when implementing a complex, community level HIV prevention intervention.
Keyword(s): Community-Based Public Health, HIV Interventions
Presenting author's disclosure statement:Qualified on the content I am responsible for because: I have served as a behavioral scientist directing the planning, implementation and/or evaluation of numerous reproductive health promotion/risk reduction efforts.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.