The National Diffusion of Effective Behavioral Interventions (DEBI), and the

Role of Training

Adapted from a presentation by the Centers for Disease Control and

Prevention/DHAP and the Academy for Educational Development

Peter McGrath – Rochester NY Behavioral Prevention Training Center

Outline of Presentation

Overview of DEBI Project

The role of training in the diffusion of DEBI interventions.

Process of Requesting/Receiving Training and TA

Main Goal of Diffusion of Effective Behavioral Interventions (DEBI)

To develop and coordinate a national-level

strategy to provide high quality training and TA

on science-based, community-, group- and

individual- level HIV interventions to state- and

community-level HIV programs.

Desired Outcomes of Diffusion of Effective Behavioral Interventions (DEBI)

Enhance CBOs’/HDs’ capacities to design and implement high quality prevention programs.

Reduce HIV infections.

Develop target populations’ assets and promote healthy behaviors.

Knowledge Persuasion Decision Implement. Confirmation

TRAINING TA

Primary Effort

Secondary Effort

Primary Effort

Secondary Effort

Model of Stages in the Diffusion Process: DEBI Project Application

Adapted from E. Rogers, The Diffusion of Innovations, 1995

Adopter Types: Characteristics and Roles in the Diffusion process for DEBI project

Innovators readily understand and apply complex technical knowledge about the intervention, cope well with uncertainty, are risk takers, and willing to “launch” new ideas about the intervention.

Early adopters can exert strong “opinion leadership” in local community, serve as role models, and convey credible subjective evaluation of the intervention.

Adopter Types: Characteristics and Roles in the Diffusion process for DEBI project

Early majority will follow early adopters willingly and can provide important connections within community networks.

Late majority will follow others when system norms favor the intervention and uncertainty about the intervention has been reduced or eliminated.

Laggards will adopt when they feel certain that the intervention will not fail.

Diffusion of Effective Behavioral Interventions:

A Nine-Component Process1 Planning: system individual intervention levels.2 Interest assessments.3 Marketing. 4 Intervention program package design.5 Training curricula/TA guide development.6 Training trainers, coaches, providers. 7 TA to CBOs and HDs implementing programs8 Evaluate process and outcomes.9 Refine diffusion strategy based on lessons

learned.

Key Partners: Preparation and Roles

Trainers Coaches

Who PTCs, CDC, AED, CBA

CBA, Researcher’s staff, CDC, AED, CBOs

Prep Needed

Institutes; Regional trainings. CDC/AED Support.

Institutes, Regional trainings. CDC/AED Support.

Primary Role

Train other trainers, coaches, providers

Provide TA on INTV implementation; guidance onlessons learned

Trainers/Coaches and Audience Served

National-level

Trainers (Researchers;

CDC, CBAs, PTCs,

AED)

Regional- and State-level Trainers (PTCs,

CBAs, HDs)

Providers (CBOs, Clinics,

HDs)

Coaches (CBAs, PTCs, CDC)

Training Characteristics

•Use of Adult Learning Principles

•Build Knowledge and Skills of INTV

•Blended approaches

TA Characteristics

•Responsive, Reality-Based

•Knowledge and Skills of INTV

•Facilitate Adoption/ Reinvention

•Strong Personal Skills

CBO/HD

Adoption/ Implementation

Characteristics of Training and TA Needed forSuccessful Intervention Adoption/Implementation

Other DEBI Training Considerations

Core Program Capacity Courses

- Bridging Theory and Practice

- Selecting EBIs

- Adapting EBIs

- Program Monitoring & Evaluation

Role of Blended / e-learning

Evaluation Framework for DEBI

Formative Evaluation

Process Evaluation

Outcome Monitoring

Needs Assessment CBAs NASTAD STD Clinics CBOs

Training and TA Participation Rates Participant Satisfaction

Implementation Extent Fidelity Adaptation and Reinvention Identify predictors

Interviews Surveys Structured

Discussion

Database Tracking Interviews Surveys Observations

Surveys Interviews Inferential Statistics

Training Request & Delivery Process

Training Request

TrainingPlanning

Training Delivery

Technical Assistance

CDC Project Officer

AED

Logistics

Materials

Regional

NationalCommunications

• On-site

• Phone

• Email

• Web

CDC-funded

Provider

Summary

Community- group-level and individual-level prevention interventions can be an important, highly effective component of state- and community-level prevention programs.

Trainings, Intervention Materials and TA available

Information at: www.effectiveinterventions.org

Thank you