Wingood Gina M, DiClemente Ralph J
Department of Behavioral Science and Health Education and the Center for AIDS Research, Emory University, Atlanta, GA 30322, USA.
AIDS Educ Prev. 2006 Aug;18(4 Suppl A):161-70. doi: 10.1521/aeap.2006.18.supp.161.
The Centers for Disease Control and Prevention (CDC) currently promotes an HIV prevention intervention for young adult African American women, known as SISTA, through the Diffusion of Effective Behavioral Interventions (DEBI) program. Nationally, more than 700 agencies have completed a 1-week CDC-funded training to implement SISTA. Agencies that have been trained in SISTA are also eligible to receive training in a newly published HIV prevention intervention for African American adolescent females, known as SiHLE (Sistering, Informing, Healing, Living, and Empowering), as well as to receive training in a newly published prevention intervention for women living with HIV, known as WiLLOW (Women Involved in Life Learning From Other Women). All three of these HIV prevention interventions, target African American females, are designed to reduce HIV sexual risk behaviors and share similar theoretical, core, and methodological elements. The diffusion of innovation paradigm suggests that if potential adopters perceive one innovation as being closely related to another innovation, it may be useful to promote a cluster of innovations, rather than to treat each new innovation separately. This article examines how promotion of a suite of HIV interventions for African American females may facilitate adoption of the three evidence-based HIV interventions for this population.
美国疾病控制与预防中心(CDC)目前通过有效行为干预推广项目(DEBI),推行一项针对成年非裔美国女性的艾滋病毒预防干预措施,即“姐妹情深干预措施”(SISTA)。在全国范围内,700多家机构已完成了为期一周的由CDC资助的培训,以实施SISTA。接受过SISTA培训的机构也有资格接受一项新发布的针对非裔美国青少年女性的艾滋病毒预防干预措施培训,即“姐妹关怀、告知、治愈、生活与赋权”(SiHLE),以及接受一项新发布的针对感染艾滋病毒女性的预防干预措施培训,即“从其他女性身上学习生活的女性”(WiLLOW)。所有这三项针对非裔美国女性的艾滋病毒预防干预措施旨在减少艾滋病毒性风险行为,并具有相似的理论、核心和方法要素。创新扩散范式表明,如果潜在采用者认为一项创新与另一项创新密切相关,那么推广一系列创新可能会比分别对待每一项新创新更有用。本文探讨了推广一套针对非裔美国女性的艾滋病毒干预措施如何促进该人群采用这三项循证艾滋病毒干预措施。