Exploring Implementation and Fidelity of Evidence-Based Behavioral Interventions for HIV Prevention: Lessons Learned From the Focus on Kids Diffusion Case Study
Open accessAbstract
Evidence-based interventions (EBIs) are used in public health to prevent HIV infection among youth and other groups. EBIs include core elements, features that are thought to be responsible for the efficacy of interventions. The authors evaluate experiences of organizations that adopted an HIV-prevention EBI, Focus on Kids (FOK), and their fidelity to the intervention's eight core elements. A cross-sectional telephone survey was administered to 34 staff members from organizations that had previously implemented FOK. Questions assessed how the organization adhered to, adapted, dropped, or altered the intervention. None of the organizations implemented all eight core elements. This study underscores the importance for HIV intervention researchers to clearly identify and describe core elements. More effort is needed to reflect the constraints practitioners face in nonresearch settings. To ensure intervention effectiveness, additional research and technical assistance are needed to help organizations implement HIV prevention EBIs with fidelity.
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In some cases, major adaptations may be made to core program components due to preference or limited time and resources, despite evidence that those core components are effective and/or necessary to address the needs of different populations.
“However, in some cases, major adaptations may be made to the core program components due to preference or limited time and resources, despite evidence that those core components are effective and/or necessary to address the needs of different populations (43).”
From The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care (2018) · cites this paper as [43]
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References 22 · Cited by 63
Research works printed but not linked: 3
- Center for Substance Abuse Prevention . Finding the balance: Program fidelity and adaptation in substance abuse prevention (Conference ed.) Substance Abuse and Mental Health Services Administration; Rockville, MD: Jun, 2002. [Google Scholar]
- Education, Training, and Research Associates & CDC . Adaptation guidance for science-based pregnancy, STD and HIV prevention education programs for adolescents. ETR Associates; Scotts Valley, CA: (in press) [Google Scholar]
- Galbraith J. An examination of the reinvention process of a health promotion program: The changes and evolution of FOK HIV prevention program. University of Maryland; College Park: 2004. [Google Scholar]
- Authors
- Galbraith, J. S., Stanton, B., Boekeloo, B., King, W., Desmond, S., Howard, D., Black, M. M., & Carey, J. W.
- Affiliations
- Centers for Disease Control and Prevention (US)
- Wayne State University (US)
- University of Maryland, College Park (US)
- University of Maryland, Baltimore (US)
- Corresponding author
- Galbraith, Jennifer S.
- Venue
- Health Education & Behavior
- Publisher
- SAGE Publications
- Published
- 2008-04-29
- Volume
- 36
- Issue
- 3
- Pages
- 532-549
- ISSN
- 1090-1981 (ISSN-L)
- 1552-6127
- PMC
- PMC3932338
- OpenAlex
- W2042952785
- Cited by
- 63
- References
- 22
- Citations by year
- 2025: 2 · 2024: 1 · 2022: 3 · 2020: 2 · 2019: 3 · 2018: 4 · 2017: 3 · 2016: 5 · 2015: 7 · 2014: 8 · 2013: 3 · 2012: 8
- FWCI
- 8.99
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Health Education & Behavior (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (R01AA012257)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Keywords
- HIV prevention, evidence-based interventions, intervention fidelity, core components, implementation, youth, diffusion of innovations, organizational adaptation, technical assistance
- MeSH terms
- Cross-Sectional Studies, Diffusion of Innovation, Health Promotion, Humans, Interviews as Topic, Program Evaluation, HIV Infections, Program Development, Evidence-Based Medicine, Guideline Adherence
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