Controlled outcome studies have convincingly established the efficacy of cognitive-behavioral group interventions for promoting change in HIV risk sexual behaviors. It is possible to characterize these successful intervention models based on their similar conceptual underpinnings, behavior change principles, intensity, and cultural tailoring. Unfortunately, the service programs of community-based AIDS prevention organizations rarely reflect the use of these HIV prevention models shown to be efficacious and, based on our preliminary studies, the prevention services of most CBO's consist almost exclusively of AIDS educational presentations. Efforts to disseminate efficacious HIV prevention models from the research arena to frontline HIV prevention service organizations are urgently needed, but there have been no studies to date evaluating how best to facilitate this HIV prevention """"""""technology transfer."""""""" This application proposes HIV prevention mental health services research to evaluate social learning-based strategies to promote the adoption of cognitive-behavioral group intervention models by AIDS prevention CBO's with two target client populations, gay men and high-risk women. Following baseline assessment of the AIDS prevention service activities of 75 CBO's, the organizations will be randomly assigned to one of three experimental dissemination conditions: (1) a control condition where CBO AIDS prevention service activities will be monitored; (2) a """"""""traditional training workshop"""""""" dissemination model in which CBO prevention personnel will be intensively trained in a single workshop to deliver the cognitive- behavioral HIV prevention intervention model; or (3) an """"""""enhanced dissemination"""""""" condition incorporating both the training workshop and ongoing telephone-based consultation, problem-solving, reinforcement, and booster training of model program implementation strategies for CBO's. Probe check data will be collected from CBO clients served by the intervention model to estimate its field efficacy. The dissemination interventions will be evaluated by following each CBO for eighteen months to identify rates and predictors of program model adoption, number of CBO clients served with the program model, and indices of CBO staff satisfaction, CBO client satisfaction, and cost effectiveness with respect to behavior change expected and new HIV infections averted through the dissemination and adoption of more effective HIV prevention approaches. If successful, this research will provide important new information of strategies to promote the dissemination or transfer of HIV prevention technology from the research arena to service providers who urgently need improved HIV prevention models.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
5R01MH054935-04
Application #
2675396
Study Section
Psychobiological, Biological, and Neurosciences Subcommittee (MHAI)
Program Officer
Steinberg, Louis H
Project Start
1995-09-30
Project End
2000-04-30
Budget Start
1998-05-10
Budget End
2000-04-30
Support Year
4
Fiscal Year
1998
Total Cost
Indirect Cost
Name
Medical College of Wisconsin
Department
Psychiatry
Type
Schools of Medicine
DUNS #
073134603
City
Milwaukee
State
WI
Country
United States
Zip Code
53226
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Kelly, J A; Somlai, A M; DiFranceisco, W J et al. (2000) Bridging the gap between the science and service of HIV prevention: transferring effective research-based HIV prevention interventions to community AIDS service providers. Am J Public Health 90:1082-8
Somlai, A M; Kelly, J A; Otto-Salaj, L et al. (1999) Current HIV prevention activities for women and gay men among 77 ASOs. J Public Health Manag Pract 5:23-33
DiFranceisco, W; Kelly, J A; Otto-Salaj, L et al. (1999) Factors influencing attitudes within AIDS service organizations toward the use of research-based HIV prevention interventions. AIDS Educ Prev 11:72-86
Kelly, J A; Otto-Salaj, L L; Sikkema, K J et al. (1998) Implications of HIV treatment advances for behavioral research on AIDS: protease inhibitors and new challenges in HIV secondary prevention. Health Psychol 17:310-9
Kelly, J A; Hoffman, R G; Rompa, D et al. (1998) Protease inhibitor combination therapies and perceptions of gay men regarding AIDS severity and the need to maintain safer sex. AIDS 12:F91-5