Adapting behavioral interventions is complex. Myriad factors complicate process.

HIV prevention researchers describe many frustrations with the process of adapting community-based intervention work to fit into the mold of one of the available evidence-based HIV interventions. Increasingly, states are awarding HIV prevention grants only to community-based organizations that base their prevention work on one of the dozen HIV interventions sanctioned by the CDC and included on the Diffusion of Effective Behavioral Interventions list.