242088 Video-phone delivery of an effective behavioral intervention for women living with HIV at community-located intervention stations: Adaptation and implementation challenges and strategies

Monday, October 31, 2011: 9:10 AM

Stephanie L. Marhefka, PhD , Department of Community and Family Health, College of Public Health, University of South Florida, Tampa, FL
Hollie J. Fuhrmann, MA , Department of Community and Family Health, College of Public Health, University of South Florida, Tampa, FL
Jamila Ealey, MPH , Department of Community and Family Health, College of Public Health, University of South Florida, Tampa, FL
Akilah Benton, MPH , Department of Community and Family Health, College of Public Health, University of South Florida, Tampa, FL
Bernice Lopez, BA , Department of Global Health, College of Public Health, University of South Florida, Tampa, FL
Julie Baldwin, PhD , Department of Community and Family Health, College of Public Health, University of South Florida, Tampa, FL
Issues: Numerous behavioral interventions have been developed and found effective for primary and secondary prevention of HIV infection. However, many were designed for in-person delivery, which is not always feasible. Group-based video-conferencing using Internet-based video-phones could expand access to efficacious HIV prevention interventions; yet, the literature provides little guidance regarding adapting interventions for video-phone and implementing video-phone interventions at community-based intervention stations.

Description: The present study explores challenges and solutions for adapting an efficacious HIV prevention intervention, Healthy Relationships, for video-phone delivery and subsequent implementation. Intervention adaption was guided by the ADAPT-IT model (Wingood & DiClemente, 2008) and involved a community advisory board (CAB). The adapted intervention was tested during a single-group pilot trial (n=4) and is currently being tested in a randomized controlled trial.

Lessons Learned: The ADAPT-IT model provided a useful framework for this technology-based adaptation. Major challenges for adaptation and implementation were: 1) video clip transmission--key to Healthy Relationshipsówas delayed over video-phone; 2) although text could be projected as with an in-person white board, the video-phone's small screen limited text quantity and visibility; and 3) not all group facilitators were well-suited to video-group delivery. Critical implementation elements included a dedicated Internet line, real-time technical support, a staff monitor at each intervention station location, and extensive coordination.

Recommendations: Group video-conferencing could expand access to effective behavioral interventions for HIV prevention. Implementing video-groups presents unique challenges; thus, creative solutions are paramount. Additional work must identify the infrastructure and human resources necessary for widespread video-phone intervention delivery.

Learning Areas:
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Program planning
Provision of health care to the public
Public health or related education
Social and behavioral sciences

Learning Objectives:
1. Describe the processes and challenges associated with adapting and implementing HIV prevention interventions for Internet-based group video-conferencing delivery; 2. Identify effective strategies for overcoming challenges of implementing interventions via Internet-based group video-conferencing.

Keywords: Technology, Prevention

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been working in the field of HIV care, treatment, and research for the previous 12 years and I am PhD level researcher
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.