208990 Eliminating Disparities in Espaņa: Applying the ADAPT-ITT Model for the Adaptation of an Evidence-Based US HIV Intervention for Adolescents in Madrid

Monday, November 9, 2009

Nikia D. Braxton, MPH, CHES , Behavioral Sciences & Health Education, Emory University, Atlanta, GA
Maripaz Bermudez, PhD , Psicologia, Universidad de Grananda, Granada, Spain
Deja L. Er, MPH , Rollins School of Public Health, Emory University, Atlanta, GA
Maria Teresa Ramiro Sanchez, PhD , Psicologia, Universidad de Grananda, Granada, Spain
Ralph J. DiClemente, PhD , Rollins School of Public Health and Center for AIDS Research, Emory Univeristy, Atlanta, GA
Issues: In an era where migration into Madrid is prevalent, new HIV/AIDS infections among Latin American immigrants are increasing at alarming rates. Vulnerability to acquiring HIV/AIDS is attributed to poverty, cultural barriers, and decreased access to healthcare. While efforts have been made to eliminate disparities among adult immigrants, adolescents have yet to be adequately addressed. We describe the ADPAT-ITT Model to facilitate adaptation of an HIV intervention defined as evidence-based by the CDC.

Description: Applying the ADAPT-ITT Model, US and Spain researchers: Assessed adolescents HIV risk via focus groups and literature reviews, Decided to adapt the SIHLE Intervention, Administered theatre tests with Spanish adolescents, Produced 1st draft of adaptation, Topic experts were identified, Integrated feedback from focus groups, topic experts and literature reviews, Trained staff to implement adapted intervention, and Testing of the efficacy of the adapted SIHLE in a randomized trial is currently underway.

Lessons Learned: Expertise of local researchers, adolescents and community is essential to ensure understanding of the local environment. Moreover, flexibility is required by the researchers to adapt the intervention.

Recommendations: Madrid must formulate policies and create programs needed to make immigration a healthy and socially productive process. This would not only enhance the health of recent immigrants but also reduce the economic burden associated with treating sexually transmitted infections, including HIV, on Madrid government. Guidelines for the structured process of adapting evidence-based interventions must be disseminated globally. Applying ADAPT-ITT to adapt interventions enhances fidelity to the original research and cultural congruence to the new population.

Learning Objectives:
Describe the 8-step model to adapt evidence-based HIV interventions.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was responsible for assisting the agency with utilizing the adaptation model and served as a topic expert for the curriculum content. I have nearly 10 years of experience adapting, implementing, and conducting trainings on various evidence-based HIV prevention interventions locally, nationally, and internationally.
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.

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