Implementing packaged HIV-prevention interventions for HIV-positive individuals: considerations for clinic-based and community-based interventions.
Providing efficacious human immunodeficiency virus (HIV) prevention services to HIV-positive individuals is an appropriate strategy to reduce new infections. The Centers for Disease Control and Prevention (CDC) has identified interventions with evidence of efficacy for prevention with positives (PwP). Through its process of disseminating evidence-based interventions (EBIs), CDC has attempted to diffuse four of these interventions into practice. One of these interventions has been diffused to community-based organizations, whereas another has been diffused to medical clinics serving HIV-positive people. A third intervention was originally developed with HIV-positive individuals using methadone, but uptake by methadone clinics has not occurred. A fourth intervention for HIV-positive adolescents and young adults has had disappointing adoption levels. Unique implementation challenges have been encountered in various intervention settings. Lessons learned in the dissemination of the first four PwP interventions will facilitate implementation of three new PwP EBIs currently being packaged for dissemination.
Collins
Charles B
CB
Capacity Building Branch, Division of HIV/AIDS Prevention, National Center for HIV, Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, 1600 Clifton Rd. NE, MS E-40, Atlanta, GA 30333, USA. cwc4@cdc.gov
Hearn
Kimberly D
KD
Whittier
David N
DN
Freeman
Anne
A
Stallworth
JoAna D
JD
Phields
Miriam
M
D000293:Adolescent; D000328:Adult; D002487:Centers for Disease Control and Prevention, U.S.; D003151:Community Health Centers; D004059:Diffusion of Innovation; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D006679:HIV Seropositivity / Q000523:psychology*; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008297:Male; D011314:Preventive Health Services / Q000379:methods*; D040242:Risk Reduction Behavior; D012725:Sexual Behavior; D014481:United States; D055815:Young Adult
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