title: Adoption and implementation of a computer-delivered HIV/STD risk-reduction intervention for African American adolescent females seeking services at county health departments: implementation optimization is urgently needed.
abstract: Although group-delivered HIV/sexually transmitted disease (STD) risk-reduction interventions for African American adolescent females have proven efficacious, they require significant financial and staffing resources to implement and may not be feasible in personnel- and resource-constrained public health clinics. We conducted a study assessing adoption and implementation of an evidence-based HIV/STD risk-reduction intervention that was translated from a group-delivered modality to a computer-delivered modality to facilitate use in county public health departments. Usage of the computer-delivered intervention was low across 8 participating public health clinics. Further investigation is needed to optimize implementation by identifying, understanding, and surmounting barriers that hamper timely and efficient implementation of technology-delivered HIV/STD risk-reduction interventions in county public health clinics.
authors.affiliation: Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Atlanta, GA 30322, USA. rdiclem@emory.edu
authors.forename: Ralph J
authors.initials: RJ
authors.lastname: DiClemente
authors.forename: Erin
authors.initials: E
authors.lastname: Bradley
authors.forename: Teaniese L
authors.initials: TL
authors.lastname: Davis
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Brown
authors.forename: Mary
authors.initials: M
authors.lastname: Ukuku
authors.forename: Jessica M
authors.initials: JM
authors.lastname: Sales
authors.forename: Eve S
authors.initials: ES
authors.lastname: Rose
authors.forename: Gina M
authors.initials: GM
authors.lastname: Wingood
mesh_terms: D000293:Adolescent; D001741:Black or African American; D003194:Computer-Assisted Instruction; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D006284:Health Plan Implementation; D006293:Health Promotion; D006297:Health Services Accessibility; D006801:Humans; D010865:Pilot Projects; D015980:Public Health Practice; D040242:Risk Reduction Behavior; D012749:Sexually Transmitted Diseases / Q000517:prevention & control*; D013997:Time Factors; D016387:Women's Health