The process of adaptation of a community-level, evidence-based intervention for HIV-positive African American men who have sex with men in two cities.
We describe the process of adapting a community-level, evidence-based behavioral intervention (EBI), Community PROMISE, for HIV-positive African American men who have sex with men (AAMSM). The Centers for Disease Control and Prevention (CDC) Map of the Adaptation Process (MAP) guided the adaptation process for this new target population by two community-based organizations (CBOs) working in partnership with two research organizations. We describe five steps of the MAP, assessment, selection, preparation, pilot, and implementation, and the use of qualitative interviews, field observations, and a cross-sectional survey. We recommend: (1) development of a centralized interactive website, listserv, or other resources where agencies adapting EBIs can share tools, materials, experiences, lessons learned, and best practices; (2) strengthening Funding Opportunity Announcements by funding incrementally in phases linked to the MAP; and (3) research should examine (a) whether EBIs adapted by CBOs remain efficacious and (b) the best "fit" between the cultural and climate characteristics of effective collaborations between community- and research-based organizations.
Program in Human Sexuality, University of Minnesota Medical School, Department of Family Medicine and Community Health, Minneapolis, MN 55454, USA. brobinson@umphysicians.umn.edu
Beatrice E
BE
Robinson
Jennifer S
JS
Galbraith
Sharon M
SM
Lund
Autumn R
AR
Hamilton
Michael D
MD
Shankle
D000328:Adult; D001741:Black or African American; D001521:Behavior Therapy; D001900:Boston; D003256:Community Participation; D003430:Cross-Sectional Studies; D003466:Cultural Characteristics; D003625:Data Collection; D019317:Evidence-Based Medicine; D006679:HIV Seropositivity / Q000208:ethnology*; D018451:Homosexuality, Male / Q000208:ethnology*; D006801:Humans; D008297:Male; D008910:Minnesota; D019982:Organizational Case Studies; D016730:Program Development