Text for Figures and Slides in TB Behavioral
and Social Science Research Forum Proceedings
DIFFUSION OF EFFECTIVE BEHAVIORAL INTERVENTIONS
Agatha Eke, Ph.D.
Behavioral Scientist,
Division of HIV/AIDS Prevention,
Centers for Disease Control and Prevention
Slide #1: Diffusion of Effective Behavioral
Interventions (DEBI)
Capacity Building Branch
Division of HIV/AIDS Prevention
CDC
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Slide #2: Handoff Between Research (PRB)
and Practice (CBB)
- SYNTHESIS
- REP
- DEBI
- FAST TRACK
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Slide #3: Goal of Diffusion of Effective
Behavioral Interventions (DEBI) Project
To develop and coordinate a national-level strategy to provide high quality
training, technical assistance, and other capacity building activities
to diffuse science-based HIV interventions to state- and community-level
HIV programs.
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Slide #4: Diffusion of Effective Behavioral Interventions:
A Nine-Step Process
- Planning: system level; individual intervention level
- Needs assessments and Customer Profiling
- Marketing and Satellite Broadcast
- Intervention program package design
- Training curricula/TA guide development
- Training trainers, coaches, providers
- TA to CBOs and HDs implementing programs
- Evaluate process and outcomes
- Refine diffusion strategy based on lessons learned
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Slide #5: DEBI Three Phases
- Planning Phase (12-months): design/pilot/ conduct interest/needs
assessment; produce pkg. copies; design/pilot evaluation tools; build
partnerships; plan marketing & diffusion strategy; develop/pilot
TOT/TOC, TOF guide, & TA Guide
- Implementation Phase (3-months): train master trainers &
coaches (“Training Institute”)
- Roll-Out Phase (24-months): train 700 agency facilitators,
provide TA, evaluate process, monitor outcomes
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Slide #6: Training Components
- Curricula design to teach prevention providers the methods to implement
the intervention.
- Intervention institutes to teach trainers how to train direct prevention
service providers.
- Regional, state-wide, and local intervention trainings to widely
diffuse the intervention technology to direct prevention service providers.
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Slide #7: Intervention Training Curricula
- Approved by original researchers
- Highly explicit, detailed guidance
- Based on Adult Learning Principles
- Appropriate for as a TOT or direct provider curriculum
- Piloted/revised prior to major roll-out.
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Slide #8: Intervention Institutes
Train the Trainer/Coach
- Researcher involvement
- Intensive skill-building around the intervention
- Develops trainer/coach partnerships
- Develops training/coaching implementation plans
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Slide #9: Regional, state-wide, and local
intervention trainings
- Coordinated by AED
- Provided by training teams
- Intervention manuals and other intervention materials will be distributed
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Slide #10: Training Partners
- CBB Training Team
- Prevention Training Centers
- Education Training Network
- CBA Trainers
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Slide #11: Family of Coaches
- CBA Priority Area 2 Providers
- BSSV
- CBB Science Application Team
- Health Department capacity building providers
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Slide #12: Coaching
Coaching is on-site, phone, or e-mail technical consultation by a mentor
or role-model technical assistance or capacity building provider
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Slide #13: Other supports for diffusing effective
interventions
- Satellite Broadcasts
- Chat rooms or list serve
- Newsletters
- Follow-up conference calls
- Distribution of package updates
- Conference affinity session for current users of an intervention
package
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Slide #14: 2002: Started Blending REP &
DEBI
In REP’s Year 1, DEBI:
- Helps REP PIs with their TOF curriculum
- Provides TA Guide template
- Develops a TOT/TOC curriculum
- Starts planning diffusion strategy with REP PI
In REP’s Year 2, DEBI:
- Observes facilitator training
- Trains trainers & coaches
- Has coaches observe REP implementation
- Makes plans for package production
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Slide #15: Lessons Learned
- In order to move research to practice, an active partnership is needed
at all stages among communities, researchers, prevention agencies and
diffusion agents.
- Need to strengthen communication between communities, applied scientists,
researchers, and all partners.
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Slide #16: Lessons Learned
- Diffusion is a multidisciplinary effort that includes people with
shared vision: peers, frontline staff, community/agency change agents,
curriculum writers, trainers, TA providers, researchers, and agency
administrators.
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Slide #17: Lessons Learned
- Understanding more about the relationship between agency capacity
and implementing with fidelity will improve diffusion efforts.
- What researchers identify as an “effective intervention” be not be
perceived as “effective” by the community.
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Slide #18: Lessons Learned
- Everybody wants to “adapt” interventions to make them their own.
- Adaptation and tailoring are absolutely critical to maintaining the
efficacy of the intervention.
- “Playing” with or implementing part of an intervention may build
conceptual utility and lead to adoption.
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Slide #19: Lessons Learned
Successful diffusion involves overcoming many myths such as:
- CBOs don’t want or can not handle science based interventions.
- Researchers and communities do not work well together
- Interventions can not be changed or updated
- Interventions are meant to replace the current work of communities
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Slide #20: For more information
Visit the Disseminating Effective Behavioral Interventions (DEBI) website
at:
http://www.effectiveinterventions.org
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