Evaluating the implementation of the RESPECT HIV prevention intervention in combination with HIV testing among MSM

Background: As part of its high-impact prevention effort, CDC supports the dissemination of effective HIV prevention behavioral interventions nationally. RESPECT is a counseling intervention that explores a client's HIV risk factors and develops a risk reduction plan. The intervention protocol allows for stand-alone implementation or delivery in combination with HIV testing. Methods: In 2011, four community-based organizations (CBOs) delivering two-session RESPECT to MSM were funded to participate in an assessment of intervention implementation. Methods included documentation of activities, client feedback on the counselor and intervention, observations of intervention sessions, and staff questionnaire. Results: Data from 245 clients indicate that CBOs were able to enroll MSM and implement RESPECT with fidelity to the core elements (elements thought to be responsible for the intervention's effectiveness). Among clients returning for session 2, 81% achieved the goals outlined in the risk reduction plan developed in session 1. Of the three CBOs that implemented RESPECT in combination with HIV testing, 110 MSM clients (45%) received a rapid HIV test. There was no difference in intervention content when RESPECT was delivered alone or in combination with HV testing. Conclusions: CBOs were able to enroll MSM and deliver two-session RESPECT according to intervention protocol. Capturing the perspectives of CBO staff members and clients created investment in the assessment process and improved evaluation capacity. CBOs can integrate multiple evaluation activities into existing programs, including HIV testing, with modest effort by staff and minimal disruption to clients.