An Empirical Assessment of Implementation, Adaptation, and Tailoring: The Evaluation of CDC's National Diffusion of VOICES/VOCES
Abstract
The Centers for Disease Control and Prevention (CDC), through its Diffusion of Effective Behavioral Interventions (DEBI) program, trained over 260 agencies on VOICES/VOCES between August 2003 and April 2005. ORC Macro conducted interviews with agency staff 3 months after receiving VOICES/VOCES training. This article discusses the diffusion of VOICES/VOCES; agencies' adoption, adaptation, and implementation of this intervention; and needs for ongoing proactive technical assistance (TA) for agencies to successfully integrate behavioral interventions into their programs. The vastmajority of agencies implemented VOICES/VOCES with fidelity to the core elements, and agencies successfully adapted the intervention to make it more appealing to target populations. TA is needed for interventions to be successfully adapted and implemented with fidelity to the core elements, and to ensure program sustainability. More effective interventions of short duration and minimum complexity to easily match with existing resources and conditions of agency capacity among HIV prevention providers in the community are needed.
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Coaching, technical assistance, and teacher support provided continuously matter for implementation fidelity.
“Technical assistance, teacher support or coaching on an on-going basis is important to fidelity of implementation (e.g., Fagan et al. 2008; Harshbarger et al. 2006).”
From Translational research in South Africa: evaluating implementation quality using a factorial design (2012) · cites this paper as Harshbarger et al. 2006
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- Authors
- Harshbarger, C., Simmons, G., Coelho, H., Sloop, K., & Collins, C.
- Affiliations
- Centers for Disease Control and Prevention (US)
- Venue
- AIDS Education and Prevention
- Publisher
- Guilford Publications
- Published
- 2006-08
- Volume
- 18
- Issue
- supp
- Pages
- 184-197
- ISSN
- 0899-9546 (ISSN-L)
- OpenAlex
- W2134345327
- Cited by
- 72
- References
- 26
- Citations by year
- 2024: 1 · 2022: 3 · 2021: 1 · 2020: 2 · 2019: 5 · 2018: 3 · 2017: 2 · 2016: 3 · 2015: 4 · 2014: 7 · 2013: 3 · 2012: 11
- FWCI
- 9.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- AIDS Education and Prevention (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Keywords
- HIV prevention, intervention adaptation, technical assistance, program sustainability
- MeSH terms
- Black or African American, Centers for Disease Control and Prevention, U.S., Diffusion of Innovation, Female, Health Promotion, Hispanic or Latino, Humans, Interviews as Topic, Male, United States, Program Evaluation, Health Behavior, HIV Infections, Empirical Research, Risk Reduction Behavior
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