Intervention Implementation Capacity

. Our intervention implementation experience began with the CPOL Intervention Trial, in which the CPOL intervention was implemented in 15 of the 30 rural sites around Zimbabwe randomly assigned (Kasprzyk, et al, 2005; Kasprzyk & Montaño, 2007; NIMH 2007; NIMH 2010). The Trial implemented the adapted diffusion-based behavioral prevention intervention working with chosen Community Popular Opinion Leaders (CPOLs) (NIMH, 2010). This large community-based RCT conducted ethnographic and quantitative data collection, as well as counseling and testing, and STD treatment with a cohort of over 5,500 individuals, all over Zimbabwe in 30 rural communities, with an 81% response rate after the 24-month assessment.

The process of implementation was directly driven by information gathered during an extensive formative phase as described above. The second intervention we implemented was the Family Health Study where we implemented an adaptation of the Project TALC Intervention (Rotheram-Borus, et al., 1997; Rotheram-Borus, et al., 2001; Rotheram-Borus, et al., 2003; Lightfoot, et al., 2000), a Social Learning Theory based intervention (Bandura, 1994; Bandura 1986). The intervention was implemented among families in Zimbabwe where a parent had HIV and their teen children affected by parents’ HIV or AIDS disease. This study was implemented as a Phase Two Comparative Effectiveness trial among 383 families (443 HIV positive adults and 528 teen-aged children) and showed an effect among parents and teens on psychosocial measures (Kasprzyk, et al., 2011; Montaño, et al., 2011; Greek, et al., 2011; Nyandiya-Bundy, et al, 2011), as well as sexual risk behavior (Kasprzyk, et al, 2012). Drs. Nyandiya-Bundy, Kasprzyk, and Montaño, and Mr. Muromo, implemented the Trial of the Family Health Study, starting in September 2007. The study ended in September 2011.

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