An agency capacity model to facilitate implementation of evidence-based behavioral interventions by community-based organizations.
The Centers for Disease Control and Prevention (CDC) implemented the Diffusion of Effective Behavioral Interventions Project to disseminate evidence-based behavioral interventions to community-based HIV prevention providers. Through development of intervention-specific technical assistance guides and provision of face-to-face, telephone, and e-mail technical assistance, a range of capacity-building issues were identified. These issues were linked to a proposed agency capacity model for implementing an evidence-based intervention. The model has six domains: organizational environment, governance, and programmatic infrastructure; workforce and professional development; resources and support; motivational forces and readiness; learning from experience; and adjusting to the external environment. We think this model could be used to implement evidence-based interventions by facilitating the selection of best-prepared agencies and by identifying critical areas of capacity building. The model will help us establish a framework for informing future program announcements and predecisional site visit assessments, and in developing an instrument for assessing agency capacity to implement evidence-based interventions.
Collins
Charles
C
Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA. cwc4@cdc.gov
Phields
Miriam E
ME
Duncan
Ted
T
D002487:Centers for Disease Control and Prevention, U.S.; D018672:Community Health Planning / Q000458:organization & administration*; D019317:Evidence-Based Medicine; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control*; D015438:Health Behavior; D006284:Health Plan Implementation; D006290:Health Planning Technical Assistance; D006801:Humans; D017146:Models, Organizational; D015969:National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division; D009316:National Institutes of Health (U.S.); D011314:Preventive Health Services / Q000458:organization & administration*; D011635:Public Health Administration; D014481:United States / Q000453:epidemiology