title: 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.
authors.affiliation: Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA. UZZ9@cdc.gov
authors.forename: Camilla
authors.initials: C
authors.lastname: Harshbarger
authors.forename: Gretchen
authors.initials: G
authors.lastname: Simmons
authors.forename: Helen
authors.initials: H
authors.lastname: Coelho
authors.forename: Kira
authors.initials: K
authors.lastname: Sloop
authors.forename: Charles
authors.initials: C
authors.lastname: Collins
mesh_terms: D001741:Black or African American; D002487:Centers for Disease Control and Prevention, U.S.; D004059:Diffusion of Innovation; D036262:Empirical Research; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D015438:Health Behavior; D006293:Health Promotion / Q000458:organization & administration*; D006630:Hispanic or Latino; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D015397:Program Evaluation; D040242:Risk Reduction Behavior; D014481:United States