Exploring Implementation and Fidelity of Evidence-Based Behavioral Interventions for HIV Prevention: Lessons Learned From the Focus on Kids Diffusion Case Study

Galbraith, Jennifer S.; Stanton, Bonita; Boekeloo, Bradley; King, Winifred; Desmond, Sharon; Howard, Donna; Black, Maureen M.; Carey, James W.
June 2009
Health Education & Behavior;Jun2009, Vol. 36 Issue 3, p532
Academic Journal
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.


Related Articles

  • Rapid Oral Testing for HIV Infection.  // Annals of Internal Medicine;8/5/2008, Vol. 149 Issue 3, pI-30 

    The article presents a study to investigate whether a rapid oral HIV test, done in the emergency department, correctly identifies adults with HIV infection. Researchers recruited adults without known HIV disease who attended a large, urban emergency department in Boston, Massachusetts. Results...

  • HIV Prevention for a Threatened Continent. Bunnell, Rebecca; Mermin, Jonathan; De Cock, Kevin M. // JAMA: Journal of the American Medical Association;8/16/2006, Vol. 296 Issue 7, p855 

    The article discusses the development of HIV prevention programs in Africa. The prevalence of HIV infections in sub-Saharan Africa is estimated as of 2005. HIV prevention programs are described, including counseling, HIV testing, and antiretroviral therapy (ART) for HIV-positive persons. The...

  • Current perspectives in HIV post-exposure prophylaxis. Sultan, Binta; Benn, Paul; Waters, Laura // HIV/AIDS - Research & Palliative Care;2014, Vol. 6, p147 

    The incidence of human immunodeficiency virus (HIV) infection continues to rise among core groups and efforts to reduce the numbers of new infections are being redoubled. Post-exposure prophylaxis (PEP) is the use of short-term antiretroviral therapy (ART) to reduce the risk of acquisition of...

  • Should Australia consider opt-out HIV testing? Leidel, Stacy; McConigley, Ruth; Boldy, Duncan; Girdler, Sonya; Wilson, Sally // Australasian Medical Journal;2015, Vol. 8 Issue 1, p30 

    The article discusses the use of the opt-out testing technique for patients with undiagnosed HIV infection in Australia. There are several advantages in adopting the technique including the absence of stigma associated with formal HIV testing in the general population, the prevention of late HIV...

  • Sources Influencing Patients in Their HIV Medication Decisions. Meredith, Karen L.; Jeffe, Donna B.; Mundy, Linda M.; Fraser, Victoria J. // Health Education & Behavior;Feb2001, Vol. 28 Issue 1, p40 

    The authors surveyed 202 patients (54.5% male; 62.4% African American) enrolled at St. Louis HIV clinics to identify the importance of various sources of influence in their HIV medication decisions. Physicians were the most important source for 122 (60.4%) respondents, whereas prayer was most...

  • Learn and live: Physicians' HIV experience. Pinkowish, Mary Desmond // Patient Care;5/15/1996, Vol. 30 Issue 9, p18 

    Focuses on the experience of physicians in treating HIV-infected patients as a survival factor in HIV disease. Study of patients with HIV in the Group Health Cooperative of Puget Sound, Washington; Median survival as based on physician experience; Prescription of prophylaxis prior to developing...

  • Flood damage. Gallagher, John // Advocate;9/7/93, Issue 637, p24 

    Examines the impact of the flooding in the Midwest on the medical care of HIV-positive people. Magnitude of the disaster; Impact on AIDS organizations; Fundraising efforts.

  • The enzymatic antioxidant system in blood and glutathione... Delmas-Beauvieux, Marie-Christine; Peuchant, Evelyne // American Journal of Clinical Nutrition;Jul96, Vol. 64 Issue 1, p101 

    Investigates the effects of selenium or B-carotene supplementation in human immunodeficiency virus (HIV)-infected patients, who are known to have deficiences of selenium and vitamin A. Determination of enzyme activities; Enzymatic defense systems in HIV-infected patients; Effects of...

  • Access to Medical Care for HIV-Infected Individuals Under the Americans with Disabilities Act: A Duty to Treat. Cohen, Jill // American Journal of Law & Medicine;1992, Vol. 18 Issue 3, p233 

    In 1990, Congress enacted the Americans with Disabilities Act (ADA). This Note examines the legislative history of the ADA and uncovers Congress's intent to impose a duty on health care providers to treat people with disabilities unless an individual poses a "direct threat" to the health or...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics