title: Translation of a comprehensive health behavior intervention for women living with HIV: the SMART/EST Women's Program.
abstract: Translation of behavioral interventions into community settings for people living with HIV/AIDS can decrease the risk of comorbid conditions. This study was designed to determine whether a multiple health behavior intervention for women with HIV/AIDS could be effectively translated into community health centers (CHCs), delivered by CHC primary care staff. Health Resources and Services Administration-supported CHCs in Miami, FL, and the New York metropolitan area participated. Six health behavior domains were assessed at baseline, 6 months, and 12 months post-intervention: nutrition, physical activity, sexual risk behavior, alcohol use, drug use, and tobacco use. Behavioral outcomes were compared between research staff-led and CHC staff-led intervention groups. Research staff and CHC staff outcomes were similar for the majority of outcomes. Results indicate that complex, multicomponent behavioral interventions can be translated into community-based settings with existing CHC staff and can produce clinical effects similar to those achieved by research staff.
authors.affiliation: Department of Psychiatry & Behavioral Sciences, Miller School of Medicine, University of Miami, 1400 NW 10th Ave., Miami, FL 33136 USA.
authors.forename: Deborah L
authors.initials: DL
authors.lastname: Jones
authors.forename: Maria
authors.initials: M
authors.lastname: Lopez
authors.forename: Hannah
authors.initials: H
authors.lastname: Simons
authors.forename: Marleny
authors.initials: M
authors.lastname: Diaz-Gloster
authors.forename: Jonathan N
authors.initials: JN
authors.lastname: Tobin
authors.forename: Stephen M
authors.initials: SM
authors.lastname: Weiss
keywords: Behavioral intervention; Dissemination and implementation; Effectiveness; Fidelity; HIV/AIDS; Risk behavior; Translation; Women