Measuring Implementation Fidelity for Culturally-Adapted HIV Prevention Intervention


minoritymalesThis study, co-written by Mary Hatch-Maillette and Don Calsyn of the Pacific Northwest Node, along with colleagues from the CTN, assessed the reliability of the Fidelity Rating and Skill Evaluation (FRASE) instrument, a scale developed for use with the Real Men Are Safe-Culturally Adapted (REMAS-CA) intervention. REMAS-CA is a an adaptation for ethnically diverse men of the original REMAS, an HIV prevention intervention for men in substance abuse treatment, found effective in reducing sexual risk behaviors in National Drug Abuse Treatment Clinical Trials Network protocol CTN-0018.

Results showed that the FRASE was a reliable instrument for measuring the fidelity of REMAS-CA delivery, and therapists achieved adequate adherence and competence after training, demonstrating significant improvement over time. Sessions 4 and 5 of the REMAS-CA were found to contain the most challenging modules for therapists to deliver.

Conclusions: These findings offer some guidelines for increasing counselor competence in implementing REMAS-CA for research or clinical practice. Specifically, more effort should be spent on training counselors to implement the emotionally charged discussion and the specific skill building present in Sessions 4 and 5.

Citation: Hatch-Maillette MA, Burlew AK, Turnbull S, Robinson M, Calsyn DA. Measuring Fidelity to a Culturally Adapted HIV Prevention Intervention for Men in Substance Abuse Treatment. Journal of Substance Abuse Treatment 2013;45(4):363-369.

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