High Impact for Whom? A Qualitative Analysis of Organization Concerns About the Transition to High-Impact Prevention Policy.

HIV represents a significant health burden in the United States. In 2012, the Centers for Disease Control and Prevention (CDC) stopped recommending many once-promoted interventions as part of a shift from one HIV intervention policy, Diffusion of Effective Behavioral Interventions (DEBI), to another...

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Publicado en:Health Promotion Practice Vol. 24; no. 5; pp. 932 - 944
Autores principales: Reid, Miranda J., Tetteh, Emmanuel K., Ingaiza, Lucy M., Bradley, Cory D., Dolcini, M. Margaret, McKay, Virginia R.
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. Sep2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2023
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      pub: Sage Publications Inc.
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        atl: High Impact for Whom? A Qualitative Analysis of Organization Concerns About the Transition to High-Impact Prevention Policy.
      aug:
        au:
          Reid, Miranda J.
          Tetteh, Emmanuel K.
          Ingaiza, Lucy M.
          Bradley, Cory D.
          Dolcini, M. Margaret
          McKay, Virginia R.
        affil: Washington University in St. Louis, St. Louis, MO, USA
      sug:
        subj:
          HIV Infections Prevention and Control
          Centers for Disease Control and Prevention (U.S.)
          Health Policy
          Implementation Science
          Patient Attitudes
          Human
          Male
          Female
          Adult
          Middle Age
          Case Studies
          Multimethod Studies
          Cross Sectional Studies
          Semi-Structured Interview
          Videoconferencing
          Grounded Theory
          Thematic Analysis
          Descriptive Statistics
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: HIV represents a significant health burden in the United States. In 2012, the Centers for Disease Control and Prevention (CDC) stopped recommending many once-promoted interventions as part of a shift from one HIV intervention policy, Diffusion of Effective Behavioral Interventions (DEBI), to another, High Impact Prevention (HIP). Twenty-nine staff members from 10 organizations were interviewed to explore how organizations reacted to this shift. Three major themes emerged: (1) Personal experience, community assessment, and epidemiological evidence influenced organizations' perceptions of efficacy and preference for earlier interventions. (2) Organizations were concerned that HIP interventions were not a good fit for their priority populations. (3) Organizations were frustrated with the top-down approach by the CDC prioritizing HIP interventions over earlier interventions. These results indicate that organizations continue to see value in and provide DEBI interventions. In addition, a more participatory process incorporating qualitative evidence and organizations' experiences may be necessary to achieve widespread de-implementation of DEBI interventions.
      pubtype: Academic Journal
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        tables/charts
        Journal Article
      ougenre: Article
    language: English
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