title: An intervention to help community-based organizations implement an evidence-based HIV prevention intervention: the Mpowerment Project technology exchange system.
abstract: Considerable resources have been spent developing and rigorously testing HIV prevention intervention models, but such models do not impact the AIDS pandemic unless they are implemented effectively by community-based organizations (CBOs) and health departments. The Mpowerment Project (MP) is being implemented by CBOs around the U.S. It is a multilevel, evidence-based HIV prevention program for young gay/bisexual men that targets individual, interpersonal, social, and structural issues by using empowerment and community mobilization methods. This paper discusses the development of an intervention to help CBOs implement the MP called the Mpowerment Project Technology Exchange System (MPTES); CBOs' uptake, utilization and perceptions of the MPTES components; and issues that arose during technical assistance. The seven-component MPTES was provided to 49 CBOs implementing the MP that were followed longitudinally for up to two years. Except for the widely used program manual, other program materials were used early in implementing the MP and then their use declined. In contrast, once technical assistance was proactively provided, its usage remained constant over time, as did requests for technical assistance. CBOs expressed substantial positive feedback about the MPTES, but felt that it needs more focus on diversity issues, describing real world implementation approaches, and providing guidance on how to adapt the MP to diverse populations.
authors.affiliation: Center for AIDS Prevention Studies, University of California, San Francisco, 50 Beale Street, Suite 1300, San Francisco, CA 94105, USA. susan.kegeles@ucsf.edu
authors.forename: Susan M
authors.initials: SM
authors.lastname: Kegeles
authors.forename: Gregory
authors.initials: G
authors.lastname: Rebchook
authors.forename: Lance
authors.initials: L
authors.lastname: Pollack
authors.forename: David
authors.initials: D
authors.lastname: Huebner
authors.forename: Scott
authors.initials: S
authors.lastname: Tebbetts
authors.forename: John
authors.initials: J
authors.lastname: Hamiga
authors.forename: David
authors.initials: D
authors.lastname: Sweeney
authors.forename: Benjamin
authors.initials: B
authors.lastname: Zovod
mesh_terms: D000163:Acquired Immunodeficiency Syndrome; D001727:Bisexuality; D003153:Community Health Services / Q000379:methods*; D019058:Community Networks; D055317:Evidence-Based Practice / Q000379:methods*; D015658:HIV Infections / Q000517:prevention & control*; D006293:Health Promotion / Q000379:methods*; D018451:Homosexuality, Male; D006801:Humans; D008297:Male; D009938:Organizations; D015397:Program Evaluation; D014481:United States