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This Article Full Text Full Text (PDF) Data Supplement All Versions of this Article: AJPH.2007.124263v1 99/S1/S124    most recent Submit a response View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Veniegas, R. C. Articles by Arellanes, M. Search for Related Content PubMed PubMed Citation Articles by Veniegas, R. C. Articles by Arellanes, M. Related Collections HIV/AIDS Prevention Public Health Practice

Rosemary C. Veniegas, PhD, Uyen H. Kao, MPH, Ricardo Rosales, BA and Melissa Arellanes

Rosemary C. Veniegas and Uyen H. Kao are with the Center for HIV Identification, Prevention, and Treatment Services, University of California, Los Angeles. Rosemary C. Veniegas is also with the Department of Family Medicine, University of California, Los Angeles. Ricardo Rosales is with the City of Los Angeles AIDS Coordinator's Office. Melissa Arellanes is an undergraduate student researcher at the University of California, Los Angeles.

Correspondence: Requests for reprints should be sent to Rosemary C. Veniegas, PhD, UCLA Department of Family Medicine, 10880 Wilshire Blvd, Suite 1800, Los Angeles, CA 90024 (e-mail: rveniegas{at}mednet.ucla.edu).

Objectives. We examined implementation of evidence-based interventions for HIV prevention at community-based organizations in Los Angeles County, CA.

Methods. We conducted 2 waves of interviews with 34 organization staff members. We analyzed activities reported by staff in the phases (preimplementation, implementation, and maintenance and evolution) and activities defined by the technology transfer model for evidence-based HIV prevention interventions.

Results. Staff members were able to select, adapt, and implement evidence-based HIV prevention interventions despite challenges in each phase of technology transfer. Preimplementation challenges included lack of information and poor fit between the interventions and organizations' clients. Implementation challenges included retention of participants across intervention sessions and staff turnover. A challenge in the maintenance and evolution phase was enhancing staff skills in outcome monitoring and cost analyses.

Conclusions. Technical assistance must be matched to the specific challenges found in each phase of technology transfer. Successful transfer of evidence-based HIV prevention interventions will depend on their continued uptake and use by organization staff. This study highlights directions for improving communications regarding appropriate modifications to these interventions and for organizational planning to continue adapted interventions.