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

1. 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

2. Overview of DEBI Project The role of training in the diffusion of DEBI interventions. Process of Requesting/Receiving Training and TA Outline of Presentation

3. 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. Main Goal of Diffusion of Effective Behavioral Interventions (DEBI)

4. Enhance CBOs’/HDs’ capacities to design and implement high quality prevention programs. Reduce HIV infections. Develop target populations’ assets and promote healthy behaviors. Desired Outcomes of Diffusion of Effective Behavioral Interventions (DEBI)

5. Model of Stages in the Diffusion Process: DEBI Project Application Knowledge Persuasion Decision Implement. Confirmation TRAINING TA Primary Effort Secondary Effort Primary Effort Secondary Effort Adapted from E. Rogers, The Diffusion of Innovations, 1995

6. 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

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

8. Planning: system individual intervention levels. Interest assessments. Marketing. Intervention program package design. Training curricula/TA guide development. Training trainers, coaches, providers. TA to CBOs and HDs implementing programs Evaluate process and outcomes. Refine diffusion strategy based on lessons learned. Diffusion of Effective Behavioral Interventions: A Nine-Component Process

9. Key Partners: Preparation and Roles

10. Regional- and State-level Trainers (PTCs, CBAs, HDs) National-level Trainers (Researchers; CDC, CBAs, PTCs, AED) Providers (CBOs, Clinics, HDs) Coaches (CBAs, PTCs, CDC) Trainers/Coaches and Audience Served

11. 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

12. Core Program Capacity Courses - Bridging Theory and Practice - Selecting EBIs - Adapting EBIs - Program Monitoring & Evaluation Role of Blended / e-learning Other DEBI Training Considerations

14. Training Request & Delivery Process Training Request TrainingPlanning Training Delivery Technical Assistance AED CDC Project Officer Logistics CDC-funded Provider • On-site • Phone • Email • Web Materials Regional Communications National

15. 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 Summary