title: Impact of Human Resources on Implementing an Evidence-Based HIV Prevention Intervention.
abstract: Evidence-based interventions (EBIs) often require competent staff, or human resources (HR), for implementation. The empirical evidence characterizing the influence of HR fluctuations on EBI delivery is limited and conflicting. Using the Interactive Systems Framework, we explored staff fluctuation and the subsequent influence on RESPECT, an HIV prevention EBI. We conducted interviews with staff in two waves (n = 53, Wave I; n = 37, Wave II) in a national sample of organizations delivering RESPECT (N = 29). We analyzed interviews qualitatively to describe changes among RESPECT staff and explore the subsequent influences on RESPECT implementation. Organizations reported downsizing, turnover, and expansion of staff positions. Staff changes had multiple influences on RESPECT implementation including clients reached, fidelity to specific RESPECT protocols, and overall sustainability of RESPECT over time. HR fluctuations are common, and our analyses provide an initial characterization of the relationship between HR fluctuation and EBI implementation. Given the prominent influence of HR on EBI implementation, the Interactive Systems Framework is a useful guiding tool for future examinations.
authors.affiliation: Hallie E. Ford Center for Healthy Children and Families, School of Social and Behavioral Health Sciences, College of Public Health and Human Sciences, 2631 SW Campus Way, Oregon State University, Corvallis, OR, 97330, USA. Virginia.McKay@oregonstate.edu.
authors.forename: Virginia R
authors.initials: VR
authors.lastname: McKay
authors.affiliation: Hallie E. Ford Center for Healthy Children and Families, School of Social and Behavioral Health Sciences, College of Public Health and Human Sciences, 2631 SW Campus Way, Oregon State University, Corvallis, OR, 97330, USA.
authors.forename: M Margaret
authors.initials: MM
authors.lastname: Dolcini
authors.affiliation: Hallie E. Ford Center for Healthy Children and Families, School of Social and Behavioral Health Sciences, College of Public Health and Human Sciences, 2631 SW Campus Way, Oregon State University, Corvallis, OR, 97330, USA.
authors.forename: Joseph A
authors.initials: JA
authors.lastname: Catania
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D057191:Capacity Building / Q000379:methods*; D019317:Evidence-Based Medicine / Q000379:methods*; D015658:HIV Infections / Q000517:prevention & control*; D006801:Humans; D007407:Interviews as Topic; D008137:Longitudinal Studies; D008875:Middle Aged; D036301:Qualitative Research
keywords: Evidence-based intervention; HIV prevention; Human resources; Interactive Systems Framework