McKleroy Vel S, Galbraith Jennifer S, Cummings Beverley, Jones Patricia, Harshbarger Camilla, Collins Charles, Gelaude Deborah, Carey James W
Centers for Disease Control and Prevention, CDC, Atlanta, GA 30333, USA.
AIDS Educ Prev. 2006 Aug;18(4 Suppl A):59-73. doi: 10.1521/aeap.2006.18.supp.59.
Many HIV prevention funding agencies require the use of evidence-based behavioral interventions (EBIs) previously shown to be effective through rigorous outcome evaluation. Often, the implementing agency's setting or target population is different than those in the original implementation and evaluation. The Centers for Disease Control and Prevention Division of HIV/AIDS Prevention, in collaboration with internal and external partners, developed draft guidance to adapt an EBI to fit the cultural context, risk determinants, risk behaviors, and unique circumstances of the agency without competing with or contradicting the core elements and internal logic. The guidance described in this article provides a systematic approach to help agencies identify the most appropriate intervention for their target population and agency capacity, monitor the process, and evaluate the outcomes of the adapted intervention. This guidance, currently being piloted with five community-based organizations, will be revised and disseminated at the conclusion of project activities.
许多艾滋病预防资助机构要求采用基于证据的行为干预措施（EBIs），这些措施先前已通过严格的结果评估证明是有效的。通常，实施机构的环境或目标人群与最初实施和评估时的不同。美国疾病控制与预防中心艾滋病预防司与内部和外部合作伙伴合作，制定了指导草案，以使基于证据的行为干预措施适应文化背景、风险决定因素、风险行为以及该机构的独特情况，同时又不与核心要素和内在逻辑相冲突或矛盾。本文所述的指导意见提供了一种系统方法，以帮助各机构确定最适合其目标人群和机构能力的干预措施，监测实施过程，并评估适应性干预措施的效果。该指导意见目前正在五个社区组织中进行试点，将在项目活动结束时进行修订并予以发布。
