HIV Infections Clinical Trial
Official title:
New Orleans AIDS Task Force Adopting and Demonstrating the Adaptation of Prevention Techniques (ADAPT) With Popular Opinion Leader (POL)
Adopting and Demonstrating the Adaptation of Prevention Techniques (ADAPT) is a supplement
to the Centers for Disease Control and Prevention (CDC) Community Based Organization Program
Announcement 04064 (PA 04064). The purpose of ADAPT is to improve the understanding of the
processes needed for adapting evidence-based behavioral interventions to fit new conditions
or populations and to pilot the CDC-developed adaptation guidance. The ADAPT project
responds to concerns from the field that existing interventions do not address the HIV
prevention needs of their specific population. This project seeks to develop guidance for
agencies to engage in the evidence-based adaptation of interventions previously shown to be
effective in evaluation settings for use in real world applications.
The New Orleans AIDS Task Force (NO/AIDS) is one of five grantees funded to use the
adaptation guidance to adapt an intervention packaged by the CDC's Replicating Effective
Programs and disseminated by CDC's Diffusion of Effective Behavioral Interventions. The
agency will adapt Jeff Kelly's Popular Opinion Leader (POL) intervention (Kelly, 2004; Kelly
et al., 1991) for use in Internet venues with seropositive men who identify
ethnically/racially as other than White/Caucasian who have sex with other men (men who have
sex with men [MSM] of color).
Kelly's POL intervention is a community-level, evidence-based HIV prevention intervention
that originally targeted gay and bisexual men in smaller cities throughout the United
States. Kelly's intervention seeks to identify and enlist the support of well-known and
well-liked opinion leaders to take on risk reduction advocacy roles. Opinion leaders attend
sessions to learn how to engage in risk reduction conversations with people in their own
social networks. The opinion leaders help to reshape social norms to encourage safer sex by
helping to create a social environment in which MSM feel comfortable and empowered to make
decisions to avoid high-risk sexual behaviors.
In 2000, NO/AIDS was funded by the CDC to conduct community mobilization. Two components of
that program were Kelly's POL and outreach in Internet chat rooms. Kelly's POL targeted
traditional venues frequented by MSM, such as gay bars. Online outreach in chat rooms was
modeled after standard street outreach, where outreach workers provide HIV/AIDS, sexually
transmitted disease and risk reduction information and referrals. Since the agency started
online outreach, the Internet has continued to grow and it has become a mainstream venue for
MSM to seek sexual partners online while maintaining their anonymity (Benotsch et al., 2002;
Bull et al., 2001). With this trend, the agency realized that the online MSM community
needed to be targeted by multiple behavior change interventions comparable to those
implemented in other at risk venues. The agency included implementation of Kelly's POL
online in chat rooms frequented by MSM as one of the interventions to be funded through the
CDC's PA 04064 (the parent grant). As of August 2004, the agency has been funded under the
parent grant to conduct Kelly's POL online in chat rooms that serve New Orleans, Louisiana,
and the Southeastern U.S. region. This parent grant project shall be referred to as South
POL. Supplemental PA 04064 funding for ADAPT will be used to further adapt South POL to
target seropositive MSM of color. The supplement grant project shall be referred to as South
POL+.
The South POL+ intervention has three main goals: first, to adapt the intervention for use
with adult seropositive MSM of color based on formative evaluation findings; second, to
evaluate and monitor the process of adapting the intervention utilizing the CDC-developed
Adaptation Guidance; and third, to conduct implementation monitoring and evaluation and
evaluation of the implementation of the adapted intervention.
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Time Perspective: Retrospective
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