141st APHA Annual Meeting

In This section

288842
Supporting quality adaptations of evidence-based interventions: A review of adaptation guidance and a decision-making process for violence prevention practitioners

Tuesday, November 5, 2013 : 4:30 PM - 4:50 PM

Leah Perkinson, MPH , Division of Violence Prevention, Centers for Disease Control and Prevention, Atlanta, GA
Kimberley Freire, PhD, MPH , Division of Violence Prevention, Centers for Disease Control and Prevention, Atlanta, GA
Shari Miller, PhD , Crime, Violence and Justice Family Research Program, RTI International, Research Triangle Park, NC
Marni Kan, PhD , Risk Behavior and Family Research Program, RTI International, Research Triangle Park, NC
Stephanie Hawkins, Ph.D. , Crime, Violence and Justice Family Research Program, RTI International, Research Triangle Park, NC
Background: CDC's Division of Violence Prevention (DVP) supports efforts to enhance the implementation and adaptation of evidence-based interventions (EBIs) in violence prevention. Since practice and research settings differ, practitioners may adapt EBIs to align with their local context. However, some changes may reduce an EBI's effect on intended outcomes. To support these efforts, DVP conducted an environmental scan of adaptation guidance and, in collaboration with RTI, developed an Implementation and Adaptation Package (the Package) for practitioners. We will discuss a systematic process and strategies that practitioners can use to determine whether adaptations are needed and what should be adapted; to make the adaptations; to pilot test the adaptations; and to modify the adapted materials. Methods: We identified adaptation guidance through expert contacts and a web-based search that included 17 EBI registries. We then conducted six interviews with practitioners about the usefulness of the guidance. To inform Package development, we conducted interviews with practitioners, convened an expert panel, and piloted the Package with four sites implementing violence prevention EBIs. Results: We identified 25 adaptation guidance documents and will present consistencies and variations in approaches. We also developed an adaptation decision-making process that includes a hybrid of approaches identified in the environmental scan. Conclusions: Practitioners report wanting guidance on how to successfully implement EBIs within their local context. The Package is the first document designed to inform quality adaptations to EBIs in violence prevention. It reflects a number of approaches to adaptation and was informed by practitioner feedback on usability and usefulness.

Learning Areas:
Administer health education strategies, interventions and programs
Implementation of health education strategies, interventions and programs
Public health or related research

Learning Objectives:
Identify areas of variation and consistency in available adaptation guidance Describe the development of the Implementation and Adaption Package Describe how the Implementation and Adaptation Package captures and builds upon existing guidance Explain how the Implementation and Adaptation Package can be a useful tool in making quality adaptations that do not compromise a program’s core components

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a research fellow with experience in program planning, implementation and evaluation, and provide overall support to a Robert Wood Johnson Foundation funded project focused on examining adaptations of evidence-based interventions in violence prevention. The project includes two mixed-method studies, a systematic review of literature related to adaptation, and a review of adaptation guidance accessible to practitioners.
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.