DEBI Update Charles Collins, Ph.D. Team Leader, Science Application Team Capacity Building Branch Division of HIV/AIDS Prevention National Center for HIV, STD and TB Prevention

2 Evidence-Based Practice Many federal agencies are moving toward evidence-based practice as a way of increasing accountability and ensuring that the US public receives the best possible prevention and treatment services. This approach is based on the concept that federal dollars should be spent on programs that have been demonstrated to work and show positive outcomes.

3 DHAP’s Approach to Evidence- Based Behavioral Interventions DHAP has a model to increase evidence- based practice that includes three steps: –Research Synthesis identifies the best interventions from the research literature. –REP packages those interventions for distribution. –DEBI diffuses the interventions using an 8 step approach.

4 DEBI Interventions diffused by the Prevention Training Centers VOICES/VOCES (as Train-the-trainer) Community PROMISE Respect Healthy Relationships Mpowerment (in partnership with UCSF CAPS) Many Men Many Voices

5 DEBI Trainings provided to CBOs by the PTCs over the last 5 years Interventions# Trainings # CBOs#CBO staff Healthy Relationships PROMISE I,II,III95187 started 55 finished 517 started 127 finished Mpowerment MMMV59131 started 128 finished 338 started 335 finished Respect

6 DEBI Trainings provided to HDs by the PTCs over the last 5 years Interventions# Trainings # HDs#HD staff Healthy Relationships PROMISE I,II,III9556 started 16 finished 137 started 26 finished Mpowerment MMMV5920 started 19 finished 30 started 27 finished Respect181950

7 Trainings that support DEBI Implementation Provided by the PTCs Group Facilitation Recruitment and Retention Monitoring and Evaluation Selecting an EBI

8 Preview of new and upcoming DEBI Interventions

9 SiHLE This intervention is based on the SISTA model (DiClemente and Wingood, 2005) and was found to be effective in HIV risk reduction for young sexually active African American women between the ages of The CDC will diffuse SiHLE in During 2008 pilots will occur.

10 WiLLOW This intervention, based on the SISTA intervention, was found effective in HIV risk reduction in HIV positive African American women (DiClemente and Wingood, 2005). This intervention will also be diffused by CDC in During 2008 pilots will occur.

11 Focus on Youth & IMPACT This intervention by Bonnie Stanton and Jennifer Galbraith works with pre-adolescent and early adolescent African American youth. The intervention has a parent component (IMPACT) that helps African American parents talk with their children about HIV prevention. ETR developed all materials around this intervention as part of their CBA Focus Area 2 work. This intervention was listed in PA as a new DEBI.

12 MIP This intervention, developed by Rafaela Robles at the University of Caribbean in Puerto Rico, uses motivational interviewing with Spanish speaking injecting drug users to promote HIV risk reduction and to accept case management for other social services and possible drug treatment. PROCEED has worked with Dr. Robles to package this intervention as part of their CBA Focus Area 2 work. MIP was listed as a new DEBI in PA

13 D-Up D-Up is a cultural adaptation of the POL intervention which was implemented with African American MSM in North Carolina. The adapted intervention was shown to be efficacious and the CDC has decided to widely diffuse this community level intervention for African American MSM. Piloting all materials will take place in 2008 with diffusion planned for 2009.

14 CLEAR This intervention uses a CRCS format. It was originally designed as an intervention for drug using young HIV positive persons. It may easily be used with other groups also. There are 5 basic sessions. There are 18 additional sessions that are optional and may be used to address a range of health issues and risk behaviors.

15 REP 7 and REP 8 Interventions REP 7: Project Connect Rep 7: Sister to Sister REP 7: START REP 8: Project AIM REP 8: NIA REP 8: !Cuidate! REP 8: SHIELD

16 Conclusion The PTCs have played a significant role in moving evidence-based interventions into practice. They have trained over 642 CBOs on the DEBIs in 5 years. There are new evidence-based interventions that need to be diffused. They are strategic partners in DHAP’s goal of evidence- based prevention practice.