Abstract
HIV represents a significant health burden in the United States. In 2012, the Centers for Disease Control and Prevention (CDC) stopped recommending many once-promoted interventions as part of a shift from one HIV intervention policy, Diffusion of Effective Behavioral Interventions (DEBI), to another, High Impact Prevention (HIP). Twenty-nine staff members from 10 organizations were interviewed to explore how organizations reacted to this shift. Three major themes emerged: (1) Personal experience, community assessment, and epidemiological evidence influenced organizations’ perceptions of efficacy and preference for earlier interventions. (2) Organizations were concerned that HIP interventions were not a good fit for their priority populations. (3) Organizations were frustrated with the top-down approach by the CDC prioritizing HIP interventions over earlier interventions. These results indicate that organizations continue to see value in and provide DEBI interventions. In addition, a more participatory process incorporating qualitative evidence and organizations’ experiences may be necessary to achieve widespread de-implementation of DEBI interventions.
Original language | English (US) |
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Pages (from-to) | 932-943 |
Number of pages | 12 |
Journal | Health Promotion Practice |
Volume | 24 |
Issue number | 5 |
DOIs | |
State | Published - Sep 2023 |
Funding
The authors would like to acknowledge Dr. Sithembile Chitenga for her work on participant recruitment. The Brown School of Social Work and The Center for Public Health Systems Science also provided generous support. The authors have no conflicts of interest to declare. This work was supported through the National Institute of Mental Health, award number R21MH115772-01. Dr. Dolcini was supported by R34MH120512 during manuscript preparation.
Keywords
- high-impact prevention
- HIP
- HIV/AIDS
- implementation science
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
- Nursing (miscellaneous)