BACKGROUND: Evidence-based interventions that are being delivered in real-world settings are adapted to enhance the external validity of these interventions. The purpose of this study was to examine multiple intervention adaptations made during pre-implementation, implementation, maintenance, and evolution phases of @entity1 @entity465 virus HIV prevention technology transfer. We examined two important categories of adaptations -- modifications to key characteristics, such as activities or delivery methods of interventions and reinvention of the interventions including addition and deletion of core elements. METHODS: Study @entity1 were thirty-four community-based organization staff who were implementing evidence-based interventions in Los Angeles, California. @entity1 were interviewed twice and interviews were professionally transcribed. Transcriptions were coded by two coders with good inter-rater reliability (kappa coefficient = 0.73). Sixty-two open-ended codes for adaptation activities, which were linked to 229 transcript segments, were categorized as modifications of key characteristics or reinvention. RESULTS: @entity1 described activities considered modifications to key characteristics and reinvention of evidence-based interventions during pre-implementation, implementation, and maintenance phases. None of the @entity1 reported accessing technical assistance or guidance when reinventing their interventions. Staff executed many of the recommended steps for sound adaptation of these interventions for new populations and settings. CONCLUSION: Staff reported modifying and reinventing interventions when translating @entity645 prevention programs into practice. Targeted technical assistance for formative evaluation should be focused on the pre-implementation phase during which frequent modifications occur. Continuous or repeated measurements of fidelity are recommended. Increased technical assistance and guidance are needed to ensure that reinventions are evaluated and consistent with the aims of the original interventions. Providing strategic technical assistance and written guidance can facilitate effective @entity645 prevention technology transfer of evidence-based interventions.

Adapting XXXX prevention evidence-based interventions in practice settings: an interview study.

@entity1 :: ('9606', 'Species') :: ['participants', 'human', 'Participants'] @entity465 :: ('MESH:D007153', 'Disease') :: ['immunodeficiency'] @entity645 :: ('57667', 'Species') :: ['HIV']
@entity645 :: (57667,Species) :: ['HIV']
