Lessons Learned From the Field-Testing of Healthy Love: An HIV Prevention Intervention for Black Women

Health Promot Pract. 2017 May;18(3):381-390. doi: 10.1177/1524839917696711. Epub 2017 Mar 22.

Abstract

Background: Healthy Love is a brief, highly interactive, single-session, group-level HIV prevention intervention designed for African American women that is effective at reducing sex risk behaviors and increasing condom use and HIV testing among participants. The Centers for Disease Control and Prevention, through a contract, developed a user-friendly intervention package that would allow organizations to adopt and implement Healthy Love with fidelity.

Method: Training and implementation materials were developed to support original research protocols, and piloted and revised to conduct field-testing with case study agencies (CSAs). Three CSAs were selected to deliver the intervention over a 3-month period to test the utility of intervention materials and feasibility of implementation.

Results: All CSAs were able to successfully deliver 10 sessions with a total of 185 women ranging from 18 to 59 years of age. Successes and challenges encountered in training, preimplementation activities, and intervention delivery are described.

Discussion: Lessons learned from training, technical assistance, and process monitoring and evaluation informed final package revisions. Research to practice recommendations are shared as is guidance for future implementations of Healthy Love. The research to practice process used is a model approach for developing a comprehensive intervention package and will support the adoption of Healthy Love by other organizations.

Keywords: Black/African American; HIV/AIDS; behavior change; health education; health promotion; minority health; process evaluation; program planning and evaluation; sexual health.

MeSH terms

  • Acquired Immunodeficiency Syndrome / prevention & control
  • Adolescent
  • Adult
  • Black or African American*
  • Centers for Disease Control and Prevention, U.S.
  • Condoms / statistics & numerical data
  • Cultural Competency
  • Female
  • HIV Infections / prevention & control*
  • Health Knowledge, Attitudes, Practice*
  • Health Promotion / organization & administration*
  • Humans
  • Middle Aged
  • Program Evaluation
  • Risk-Taking
  • Safe Sex
  • United States
  • Young Adult