Collins Charles, Harshbarger Camilla, Sawyer Richard, Hamdallah Myriam
Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road N.E., MS E-40, Atlanta, GA 30333, USA.
AIDS Educ Prev. 2006 Aug;18(4 Suppl A):5-20. doi: 10.1521/aeap.2006.18.supp.5.
Implementation of evidence-based HIV/STD prevention interventions can play an important role in reducing HIV and sexually transmitted diseases. This article describes the development, implementation, and lessons learned of the Diffusion of Effective Behavioral Interventions (DEBI) project, a strategy funded by the Centers for Disease Control and Prevention to diffuse evidence-based, group- and community-level HIV/STD prevention interventions to health departments and community-based organizations nationwide. The article specifically provides an overview of the rationale, description, and theoretical foundation of the project; a review of marketing efforts, including assessment of interests, needs, and capacities relative to the project; a description of project products, their purpose, approach employed to develop them, and their use by implementers; a description of the project's training coordination functions and activities; technical assistance issues; an overview of process and outcome evaluation components; new developments in response to feedback; and a discussion of future directions for DEBI. Project successes and challenges are addressed to inform future efforts to diffuse prevention interventions.
实施基于证据的艾滋病毒/性传播疾病预防干预措施在减少艾滋病毒和性传播疾病方面可发挥重要作用。本文介绍了有效行为干预措施推广（DEBI）项目的开展、实施情况及经验教训。该项目是一项由疾病控制与预防中心资助的战略，旨在向全国卫生部门和社区组织推广基于证据的、针对群体和社区层面的艾滋病毒/性传播疾病预防干预措施。本文具体概述了该项目的基本原理、描述及理论基础；对推广工作的回顾，包括对与项目相关的兴趣、需求和能力的评估；对项目产品的描述、其用途、开发所采用的方法以及实施者对其的使用情况；对项目培训协调功能和活动的描述；技术援助问题；对过程和结果评估组成部分的概述；针对反馈的新进展；以及对DEBI未来方向的讨论。文中阐述了项目的成功之处和挑战，为今后推广预防干预措施的工作提供参考。
