Jeffries William L, Garrett Sherese, Phields Miriam, Olubajo Babatunde, Lemon Emily, Valdés-Salgado Raydel, Collins Charles B
Division of HIV/AIDS Prevention, National Center for HIV/AIDS Viral Hepatitis, STD and TB Prevention, Centers for Disease Control and Prevention (CDC), 1600 Clifton Road, MS E-40, Atlanta, GA, 30329, USA.
Population Health Sciences Division, SciMetrika, LLC, 2987 Clairmont Road, Suite 220, Atlanta, GA, 30329, USA.
AIDS Behav. 2017 Oct;21(10):3000-3012. doi: 10.1007/s10461-017-1813-7.
The Centers for Disease Control and Prevention provides trainings to support implementation of five evidence-based HIV prevention interventions (EBIs) for men who have sex with men (MSM): d-up: Defend Yourself!; Many Men, Many Voices; Mpowerment; Personalized Cognitive Counseling; and Popular Opinion Leader. We evaluated trainees' implementation of these EBIs and, using multivariable logistic regression, examined factors associated with implementation. Approximately 43% of trainees had implemented the EBIs for which they received training. Implementation was associated with working in community-based organizations (vs. health departments or other settings); acquiring training for Mpowerment or Popular Opinion Leader (vs. Personalized Cognitive Counseling); having ≥3 funding sources (vs. one); and having (vs. not having) sufficient time and necessary EBI resources. Findings suggest that implementation may vary by trainee characteristics, especially those related to employment setting, EBI training, funding, and perceived implementation barriers. Efforts that address these factors may help to improve EBI implementation among trainees.
疾病控制与预防中心提供培训,以支持针对男男性行为者(MSM)实施五项循证HIV预防干预措施(EBI):“保护自己!”;“众多男性,众多声音”;“增强权能”;“个性化认知咨询”;以及“大众意见领袖”。我们评估了学员对这些EBI的实施情况,并使用多变量逻辑回归分析了与实施相关的因素。约43%的学员实施了他们接受培训的EBI。实施情况与在社区组织工作(相对于卫生部门或其他机构)、接受“增强权能”或“大众意见领袖”培训(相对于“个性化认知咨询”)、拥有≥3个资金来源(相对于1个)以及有(相对于没有)足够时间和必要的EBI资源有关。研究结果表明,实施情况可能因学员特征而异,尤其是那些与就业机构、EBI培训、资金以及感知到的实施障碍相关的特征。解决这些因素的努力可能有助于提高学员中EBI的实施情况。