Kelly J A, Somlai A M, DiFranceisco W J, Otto-Salaj L L, McAuliffe T L, Hackl K L, Heckman T G, Holtgrave D R, Rompa D
Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee 53202, USA.
Am J Public Health. 2000 Jul;90(7):1082-8. doi: 10.2105/ajph.90.7.1082.
AIDS service organizations (ASOs) rarely have access to the information needed to implement research-based HIV prevention interventions for their clients. We compared the effectiveness of 3 dissemination strategies for transferring HIV prevention models from the research arena to community providers of HIV prevention services.
Interviews were conducted with the directors of 74 ASOs to assess current HIV prevention services. ASOs were randomized to programs that provided (1) technical assistance manuals describing how to implement research-based HIV prevention interventions, (2) manuals plus a staff training workshop on how to conduct the implementation, or (3) manuals, the training workshop, and follow-up telephone consultation calls. Follow-up interviews determined whether the intervention model had been adopted.
The dissemination package that provided ASOs with implementation manuals, staff training workshops, and follow-up consultation resulted in more frequent adoption and use of the research-based HIV prevention intervention for gay men, women, and other client populations.
Strategies are needed to quickly transfer research-based HIV prevention methods to community providers of HIV prevention services. Active collaboration between researchers and service agencies results in more successful program adoption than distribution of implementation packages alone.
艾滋病服务组织(ASO)很少能够获取为其客户实施基于研究的艾滋病预防干预措施所需的信息。我们比较了三种将艾滋病预防模式从研究领域传播给社区艾滋病预防服务提供者的策略的有效性。
对74个艾滋病服务组织的负责人进行访谈,以评估当前的艾滋病预防服务。将艾滋病服务组织随机分配到提供以下内容的项目中:(1)描述如何实施基于研究的艾滋病预防干预措施的技术援助手册;(2)手册加上关于如何实施的员工培训研讨会;(3)手册、培训研讨会和后续电话咨询。后续访谈确定干预模式是否被采用。
为艾滋病服务组织提供实施手册、员工培训研讨会和后续咨询的传播方案,导致基于研究的艾滋病预防干预措施在男同性恋者、女性和其他客户群体中更频繁地被采用和使用。
需要采取策略,将基于研究的艾滋病预防方法迅速传播给社区艾滋病预防服务提供者。研究人员与服务机构之间的积极合作比单独分发实施方案更能成功地采用项目。