Applying CBPR principles to disseminate and implement an efficacious HIV prevention intervention for Latino men to diverse community-based organizations

Background: Although Latino communities bear a disproportionate burden of HIV, evidence-based HIV prevention interventions for Latino men are lacking. HoMBReS Por un Cambio is an intervention developed by our community-based participatory research (CBPR) partnership in which lay health advisors (known as Navegantes) are trained and supported to promote sexual health among members of their soccer team-based social networks. This intervention was found to be efficacious in reducing HIV risk among immigrant Latino men in the southeastern US.

Methods: To facilitate dissemination, uptake, and sustainability of HoMBReS Por un Cambio, our CBPR partnership is studying the dissemination and implementation process with an AIDS service organization, a Latino-serving organization, and a county public health department. Using an iterative, collaborative process, academic and community partners developed a comprehensive toolkit to build organizations’ capacity to implement and sustain HoMBReS Por un Cambio with fidelity.

Results: The toolkit contains 13 sections that support all aspects of intervention planning, implementation, monitoring, and sustainability. The sections were based on partner-identified implementation needs and domains from “scale-up and spread,” a framework for facilitating dissemination of interventions. We identified lessons learned from the Toolkit development process regarding using CBPR to create dissemination and implementation tools and addressing the needs and priorities of diverse community-based organizations.

Conclusion: This project explores and informs processes in developing comprehensive tools for dissemination and implementation guided by CBPR principles, based in the real-world experiences of community-based organizations, and rooted in the emerging science of dissemination and implementation research.