A “Common Factors” Approach to Developing Culturally Tailored HIV Prevention Interventions

Jill Owczarzak, Sarah D. Phillips, Olga Filippova, Polina Alpatova, Alyona Mazhnaya, Tatyana Zub, Ruzanna Aleksanyan

Research output: Contribution to journalArticle

Abstract

The current dominant model of HIV prevention intervention dissemination involves packaging interventions developed in one context, training providers to implement that specific intervention, and evaluating the extent to which providers implement it with fidelity. Research shows that providers rarely implement these programs with fidelity due to perceived incompatibility, resource constraints, and preference for locally generated solutions. In this study, we used the concept of “common factors,” or broad constructs shared by most evidence-based HIV prevention interventions, to train service providers to develop their own programs. We recruited eight Ukrainian HIV prevention organizations from regions with HIV epidemics concentrated among people who inject drugs. We trained staff to identify HIV risk behaviors and determinants, construct behavior change logic models, and develop and manualize an intervention. We systematically reviewed each manual to assess intervention format and content and determine whether the program met intervention criteria as taught during training. All agencies developed programs that reflected common factors of effective behavior change HIV prevention interventions. Each agency’s program targeted a unique population that reflected local HIV epidemiology. All programs incorporated diverse pedagogical strategies that focused on skill-building, goal-setting, communication, and empowerment. Agencies struggled to limit information dissemination and the overall scope and length of their programs. We conclude that training service providers to develop their own programs based on common elements of effective behavior change interventions can potentially transform existing processes of program development, implementation, and capacity building. Expanding this model will require committed training and support resources.

Original languageEnglish (US)
Pages (from-to)347-357
Number of pages11
JournalHealth Education and Behavior
Volume43
Issue number3
DOIs
StatePublished - 2015

Fingerprint

HIV
Capacity Building
Training Support
Program Development
Information Dissemination
Product Packaging
Risk-Taking
AIDS/HIV
Common Factors
Epidemiology
Communication
Organizations
Research
Pharmaceutical Preparations
Population

Keywords

  • dissemination and implementation
  • HIV/AIDS
  • international health
  • qualitative methods
  • substance use

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Public Health, Environmental and Occupational Health

Cite this

A “Common Factors” Approach to Developing Culturally Tailored HIV Prevention Interventions. / Owczarzak, Jill; Phillips, Sarah D.; Filippova, Olga; Alpatova, Polina; Mazhnaya, Alyona; Zub, Tatyana; Aleksanyan, Ruzanna.

In: Health Education and Behavior, Vol. 43, No. 3, 2015, p. 347-357.

Research output: Contribution to journalArticle

Owczarzak, J, Phillips, SD, Filippova, O, Alpatova, P, Mazhnaya, A, Zub, T & Aleksanyan, R 2015, 'A “Common Factors” Approach to Developing Culturally Tailored HIV Prevention Interventions', Health Education and Behavior, vol. 43, no. 3, pp. 347-357. https://doi.org/10.1177/1090198115602665
Owczarzak, Jill ; Phillips, Sarah D. ; Filippova, Olga ; Alpatova, Polina ; Mazhnaya, Alyona ; Zub, Tatyana ; Aleksanyan, Ruzanna. / A “Common Factors” Approach to Developing Culturally Tailored HIV Prevention Interventions. In: Health Education and Behavior. 2015 ; Vol. 43, No. 3. pp. 347-357.
@article{c90cf766fd6548919dc9db9c49cac2d4,
title = "A “Common Factors” Approach to Developing Culturally Tailored HIV Prevention Interventions",
abstract = "The current dominant model of HIV prevention intervention dissemination involves packaging interventions developed in one context, training providers to implement that specific intervention, and evaluating the extent to which providers implement it with fidelity. Research shows that providers rarely implement these programs with fidelity due to perceived incompatibility, resource constraints, and preference for locally generated solutions. In this study, we used the concept of “common factors,” or broad constructs shared by most evidence-based HIV prevention interventions, to train service providers to develop their own programs. We recruited eight Ukrainian HIV prevention organizations from regions with HIV epidemics concentrated among people who inject drugs. We trained staff to identify HIV risk behaviors and determinants, construct behavior change logic models, and develop and manualize an intervention. We systematically reviewed each manual to assess intervention format and content and determine whether the program met intervention criteria as taught during training. All agencies developed programs that reflected common factors of effective behavior change HIV prevention interventions. Each agency’s program targeted a unique population that reflected local HIV epidemiology. All programs incorporated diverse pedagogical strategies that focused on skill-building, goal-setting, communication, and empowerment. Agencies struggled to limit information dissemination and the overall scope and length of their programs. We conclude that training service providers to develop their own programs based on common elements of effective behavior change interventions can potentially transform existing processes of program development, implementation, and capacity building. Expanding this model will require committed training and support resources.",
keywords = "dissemination and implementation, HIV/AIDS, international health, qualitative methods, substance use",
author = "Jill Owczarzak and Phillips, {Sarah D.} and Olga Filippova and Polina Alpatova and Alyona Mazhnaya and Tatyana Zub and Ruzanna Aleksanyan",
year = "2015",
doi = "10.1177/1090198115602665",
language = "English (US)",
volume = "43",
pages = "347--357",
journal = "Health Education and Behavior",
issn = "1090-1981",
publisher = "SAGE Publications Inc.",
number = "3",

}

TY - JOUR

T1 - A “Common Factors” Approach to Developing Culturally Tailored HIV Prevention Interventions

AU - Owczarzak, Jill

AU - Phillips, Sarah D.

AU - Filippova, Olga

AU - Alpatova, Polina

AU - Mazhnaya, Alyona

AU - Zub, Tatyana

AU - Aleksanyan, Ruzanna

PY - 2015

Y1 - 2015

N2 - The current dominant model of HIV prevention intervention dissemination involves packaging interventions developed in one context, training providers to implement that specific intervention, and evaluating the extent to which providers implement it with fidelity. Research shows that providers rarely implement these programs with fidelity due to perceived incompatibility, resource constraints, and preference for locally generated solutions. In this study, we used the concept of “common factors,” or broad constructs shared by most evidence-based HIV prevention interventions, to train service providers to develop their own programs. We recruited eight Ukrainian HIV prevention organizations from regions with HIV epidemics concentrated among people who inject drugs. We trained staff to identify HIV risk behaviors and determinants, construct behavior change logic models, and develop and manualize an intervention. We systematically reviewed each manual to assess intervention format and content and determine whether the program met intervention criteria as taught during training. All agencies developed programs that reflected common factors of effective behavior change HIV prevention interventions. Each agency’s program targeted a unique population that reflected local HIV epidemiology. All programs incorporated diverse pedagogical strategies that focused on skill-building, goal-setting, communication, and empowerment. Agencies struggled to limit information dissemination and the overall scope and length of their programs. We conclude that training service providers to develop their own programs based on common elements of effective behavior change interventions can potentially transform existing processes of program development, implementation, and capacity building. Expanding this model will require committed training and support resources.

AB - The current dominant model of HIV prevention intervention dissemination involves packaging interventions developed in one context, training providers to implement that specific intervention, and evaluating the extent to which providers implement it with fidelity. Research shows that providers rarely implement these programs with fidelity due to perceived incompatibility, resource constraints, and preference for locally generated solutions. In this study, we used the concept of “common factors,” or broad constructs shared by most evidence-based HIV prevention interventions, to train service providers to develop their own programs. We recruited eight Ukrainian HIV prevention organizations from regions with HIV epidemics concentrated among people who inject drugs. We trained staff to identify HIV risk behaviors and determinants, construct behavior change logic models, and develop and manualize an intervention. We systematically reviewed each manual to assess intervention format and content and determine whether the program met intervention criteria as taught during training. All agencies developed programs that reflected common factors of effective behavior change HIV prevention interventions. Each agency’s program targeted a unique population that reflected local HIV epidemiology. All programs incorporated diverse pedagogical strategies that focused on skill-building, goal-setting, communication, and empowerment. Agencies struggled to limit information dissemination and the overall scope and length of their programs. We conclude that training service providers to develop their own programs based on common elements of effective behavior change interventions can potentially transform existing processes of program development, implementation, and capacity building. Expanding this model will require committed training and support resources.

KW - dissemination and implementation

KW - HIV/AIDS

KW - international health

KW - qualitative methods

KW - substance use

UR - http://www.scopus.com/inward/record.url?scp=84967205146&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84967205146&partnerID=8YFLogxK

U2 - 10.1177/1090198115602665

DO - 10.1177/1090198115602665

M3 - Article

C2 - 27178497

AN - SCOPUS:84967205146

VL - 43

SP - 347

EP - 357

JO - Health Education and Behavior

JF - Health Education and Behavior

SN - 1090-1981

IS - 3

ER -