Adapting—changing who receives the intervention or where it is delivered.

Appropriate—includes cultural and community values, gender, language, and age-related considerations.

Cultural competence—addressing the culturally relevant factors, risk behaviors, and risk determinants that place the population at risk for HIV infection. It is more than just having a member of the target population deliver an intervention.

Culture refers to the patterns of behavior (language, thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social groups).

Competence implies having the capacity to work within the context of the cultural beliefs, behaviors, and needs presented by consumers and their communities.

Feasible—includes human and fiscal resources as well as the level of skill attainment agency staff will need to implement the evidence-based intervention.

Formative evaluation—a series of activities through which you gather information needed to adapt and develop your intervention.

Community gatekeepers—people who can help or hinder delivery of an intervention in a particular community or with a particular population.

Logic model—a program plan that links an evidence-based problem statement to intervention activities that address the problem statement.

Recruitment—bringing members of a target population into HIV prevention interventions, programs, and services.

Risk determinants—things (behaviors, environment, circumstances) that put people at risk for HIV infection.

Risk for HIV infection—performing behaviors (in settings with high HIV prevalence or with HIV-infected persons) that put oneself at risk for HIV or other sexually transmitted diseases.

Very high risk for HIV infection—having, within the past 6 months had unprotected sex with a person who is living with HIV, unprotected sex in exchange for money or sex, unprotected sex with multiple (more than five) or anonymous partners, multiple or anonymous needle-sharing partners, or a diagnosis of a sexually transmitted disease.