AIDS and Behavior

, 12:978

The Challenges of Assessing Fidelity to Physician-Driven HIV Prevention Interventions: Lessons Learned Implementing Partnership for Health in a Los Angeles HIV Clinic

Authors

    • Community Health Outcomes and Intervention Research ProgramThe Saban Research Institute, Childrens Hospital Los Angeles
    • Department of PediatricsKeck School of Medicine, University of Southern California
  • Darshi Balasuriya
    • Community Health Outcomes and Intervention Research ProgramThe Saban Research Institute, Childrens Hospital Los Angeles
  • Gary P. García
    • Office of AIDS Programs and Policy, Los Angeles County Department of Public Health
  • Minya Sheng
    • Community Health Outcomes and Intervention Research ProgramThe Saban Research Institute, Childrens Hospital Los Angeles
  • Jean L. Richardson
    • Department of Preventive MedicineKeck School of Medicine, University of Southern California
  • Susan Stoyanoff
    • Department of Preventive MedicineKeck School of Medicine, University of Southern California
  • Jan B. King
    • Office of AIDS Programs and Policy, Los Angeles County Department of Public Health
Original Paper

DOI: 10.1007/s10461-008-9392-2

Cite this article as:
Iverson, E.F., Balasuriya, D., García, G.P. et al. AIDS Behav (2008) 12: 978. doi:10.1007/s10461-008-9392-2

Abstract

Documenting fidelity to HIV prevention interventions is critical to ensure consistency in intervention implementation and necessary for measuring intervention exposure and, ultimately, outcomes. Significant variation from prescribed protocols or inconsistent implementation can jeopardize the integrity of evaluation research and render outcomes uninterpretable. There is increasing support for HIV prevention models targeting seropositive individuals designed to be delivered by physicians during clinic visits. Assessing fidelity to physician-delivered interventions that occur during clinical exams present unique challenges. This paper presents findings from various data sources designed to track intervention fidelity and exposure to the Partnership for Health intervention, a physician-delivered HIV prevention intervention implemented in an urban community HIV clinic. We present findings from chart abstraction data, patient surveys and exit interviews, and provider qualitative interviews. Lessons learned and recommendations for maximizing the accuracy and validity of fidelity assessment in future evaluations of HIV prevention interventions in primary care settings are considered.

Keywords

HIV preventionSeropositive patientsHIV/AIDSPrimary careFidelity

Copyright information

© Springer Science+Business Media, LLC 2008