238159 Progressive Prevention for Parishioners: The Adaptation of an HIV Intervention for African American Older Adult Women in Faith-Based Institutions

Tuesday, November 1, 2011

Nikia D. Braxton, MPH, CHES , Behavioral Sciences and Health Education, Emory University, Atlanta, GA
Tiffaney L. Renfro, MSW , Rollins School of Public Health, Emory University, Atlanta, GA
LaShun R. Robinson, PhD , Behavioral Sciences & Health Education, Emory University, Atlanta, GA
Gina M. Wingood, ScD MPH , Rollins School of Public Health and Center for AIDS Research, Emory Univeristy, Atlanta, GA
Anita C. Conner, MPH , Department of Behavioral Sciences and Health Education, Emory University Rollins School of Public Health, Atlanta, GA
African American mature women represent the fastest growing group of individuals living with HIV. We describe how the ADAPT-ITT Model was used to adapt SISTA, a CDC-evidence-based intervention for young African American women, to enhance its relevance for African American women 35-55 years of age.

Applying the ADAPT-ITT Model, university researchers partnered with the Church Advisory Board (CAB) of a large church and; Assessed middle age and older women's HIV risk via focus groups with the Women's Ministry, Health Ministry, and HIV/AIDS Ministry in conjunction with elicitation interviews of church pastors and elders, Decided to use the SISTA HIV Intervention, Administered theatre tests with the target population to facilitate adapting the SISTA HIV curricula, Topic experts from the church further enhanced the relevancy of the SISTA curricula for faith settings, Integrated feedback from focus groups, topic experts and theatre testing to create the final HIV curricula, known as Ladies First, Trained facilitators to implement Ladies First, and Testing of the efficacy of Ladies First in a randomized trial is currently underway.

Expertise and flexibility of researchers, CAB members and the community is essential to ensure relevancy of a faith-based HIV curricula that adheres to the core elements of the original SISTA intervention.

A guideline for the structured process of adapting interventions must be disseminated not only in medical settings but also social settings such as, faith institutions. Applying ADAPT-ITT to modify interventions can enhance fidelity to the original intervention, ownership, efficacy and cultural relevance to the adapted intervention.

Learning Areas:
Planning of health education strategies, interventions, and programs

Learning Objectives:
Discuss the 8-step model to adapt HIV interventions to include a religious focus. Describe the significance of utilizing a Church Advisory Board (CAB) to assist in the adaptation process.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I am the director and lead health educator for programs that target African Americans such as HIV prevention, mental health and substance abuse prevention and treatment programs.
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.