Moving a research-based intervention into practice: Diffusion of the Mpowerment Project Greg Rebchook, Ph.D., Susan Kegeles, Ph.D., & The TRIP Research Team Center for AIDS Prevention Studies University of California, San Francisco NIMH Center Grant No. MH42459
19
Embed
Moving a research-based intervention into practice: Diffusion of the Mpowerment Project Greg Rebchook, Ph.D., Susan Kegeles, Ph.D., & The TRIP Research.
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Moving a research-based intervention into practice: Diffusion
of the Mpowerment Project
Greg Rebchook, Ph.D., Susan Kegeles, Ph.D., &
The TRIP Research Team
Center for AIDS Prevention Studies
University of California, San FranciscoNIMH Center Grant No. MH42459
The Mpowerment Project is an Evidence-based Program
• Tested through randomized-controlled trials (RCTs)
• Listed in CDC’s Compendium• MP was tested and found
effective through RCTs in several communities– Santa Cruz, CA
– Eugene, OR
– Santa Barbara, CA
– Albuquerque, NM
– Austin, TX (analysis pending)
The Mpowerment Project• MP is a community-level project that
is designed to be tailored to each community– Implemented by and for young
gay/bisexual men, ages 18-29
– Not designed for any one racial/ethnic group
– HIV-positive and HIV-negative guys together
• Creates healthy community
• Promotes supportive friendship networks
• Disseminates a norm of safer sex throughout the community
• We are now researching the technology exchange process• Research findings are preliminary, about two-thirds into
the project
We are studying how CBOs implement MP over time
• When organizations contact us for information on MP, we conduct a “staging” interview to determine their interest in the project– Knowledge– Evaluation– Decision– Ready to implement– Implementation– Maintenance– Discontinued– Decided not to implement
• We “restage” them on subsequent contacts as necessary
• Additionally, we interview staff and volunteers at each implementing CBO (and a subset of non-implementers) every 6 months for 18 months to assess:– Barriers and facilitators to
implementation• Organizational level
• Community level
• Intervention level
– Fidelity and adaptation
– Evaluate our technology exchange services (e.g, trainings, TA, etc.)
Technology Exchange Services depend on CBO stage of
$150k-$350k*Did not begin asking this question until part-way into the project
How are CBOs adapting MP?• We have preliminary data from CBOs about which Core
Elements they are implementing as described in our materials, which they are modifying, and which they are not implementing
• We are interviewing 2-5 people at each CBO• We took a conservative approach to classifying
implementation of core elements (e.g., “Yes, we are implementing the core element” required unanimous agreement)
• These are baseline data—before we provided TA to the agencies. Anecdotes from TA-providers indicate that TA helps agencies implement the Core Elements with fidelity
Adoption of MP’s Operating Structure (baseline)
0%10%20%30%40%50%60%70%80%90%
100%
Coordin
ators
Core G
roup
Space
CAB
Volunte
ers
n=69 Implementing CBOs
Not implementingelement
Modified element
Yes-implementingelement
Adoption of MP’s Program Components (baseline)
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
SocialEvents
Venue OR InformalOR
M-groups Publicity
n=69 Implementing CBOs
Not implementingelement
Modified element
Yes-implementingelement
Prevention Research is Moving Into Practice
• MP was originally developed in 3 communities
• We then tested the model in 2 larger, more complex communities
• Today, it is being implemented in over 70 communities (and still counting…)
• MP is being implemented with MSM of color• Successful diffusion of interventions is
facilitated by cooperation between community members, CBOs, health departments, capacity building agencies, funders, trainers, policy-makers, and researchers