Medical College of Wisconsin
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Providers' perceptions of and receptivity toward evidence-based HIV prevention interventions. AIDS Educ Prev 2011 Apr;23(2):105-17

Date

04/27/2011

Pubmed ID

21517660

Pubmed Central ID

PMC4076697

DOI

10.1521/aeap.2011.23.2.105

Scopus ID

2-s2.0-79955588340 (requires institutional sign-in at Scopus site)   22 Citations

Abstract

Since 1999, the Centers for Disease Control and Prevention have trained over 10,000 service providers from more than 5,000 agencies to implement evidence-based HIV prevention interventions through its Diffusion of Effective Behavioral Interventions DEBI) program. Based on in-depth, semistructured interviews with a convenience sample of 22 HIV prevention service providers from eight agencies in Wisconsin who participated in DEBI training, this article explores providers' motivations for attending DEBI training, perceptions of the utility and value of the DEBI program, and criticisms of the program. Providers indicated that they attended training as part of general skill-building efforts, as a way to improve services through the adoption of evidence-based interventions, and to better meet client needs. DEBI training participants were critical of the program's "top down" approach, perceived lack of fit between the DEBI and their target populations, and what they perceived as a lack of evidence that the interventions would work with their particular populations. These results suggest that in order for the DEBI program to be more widely accepted, the experiences and expertise of providers need to be more fully integrated into the processes of developing, disseminating, and adapting evidence-based HIV prevention interventions.

Author List

Owczarzak J, Dickson-Gomez J

Author

Julia Dickson-Gomez PhD Professor in the Institute for Health and Humanity department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Diffusion of Innovation
Evidence-Based Medicine
HIV Infections
Health Behavior
Health Knowledge, Attitudes, Practice
Health Promotion
Humans
Interviews as Topic
Program Evaluation
United States
Wisconsin