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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. [doi: 10.1016/j.jsat.2013.05.009]

Mary A. Hatch-Maillette, PhD (Alcohol & Drug Abuse Institute, University of Washington, PN Node), Ann Kathleen Burlew, PhD (Crossroads Center, OV Node), Sharriann Turnbull (Howard University), Michael Robinson (Wake Forest University), Donald A. Calsyn, PhD (Alcohol & Drug Abuse Institute, University of Washington, PN Node).

A fidelity measure was developed for use with Real Men Are Safe-Culturally Adapted (REMAS-CA), an HIV prevention intervention for ethnically diverse men in substance abuse treatment developed as an outgrowth of National Drug Abuse Treatment Clinical Trials Network protocol CTN-0018 (Reducing HIV/STD Risk Behaviors: A Research Study for Men in Drug Abuse Treatment). The aims of this ancillary investigation of data from that project were to: 1) assess the reliability of the Fidelity Rating and Skill Evaluation (FRASE); 2) measure improvement in therapist competence and adherence over time while delivering REMAS-CA; and 3) identify which modules of REMAS-CA were most difficult to deliver.

Conclusions: 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 REMAS-CA were found to contain the most challenging modules for therapists to deliver. 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 the counselors to implement the emotionally charged discussion and the specific skill building present in Sessions 4 and 5. (Article, Peer-Reviewed, PDF, English, 2013)

Keywords: Adoption of interventions | African Americans | Assessment | Community health services | Condom use | Counselors | CTN platform/ancillary study | Cultural competence | Fidelity of implementation | Fidelity Rating and Skill Evaluation (FRASE) | Hispanics and Latinos | Gender-specific interventions | HIV/AIDS | Minority groups | Real Men Are Safe (REMAS) | Real Men Are Safe - Culturally Adapted (REMAS-CA) | Screening and assessment instruments | Sexual risk behavior | Sexually transmitted diseases | Journal of Substance Abuse Treatment (journal)

Document No: 1018, PMID: 23810229, PMCID: PMC3742658

Submitted by CTN Dissemination Librarians, 8/13/2013.

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Supported by a grant from the National Institute on Drug Abuse to the University of Washington Alcohol and Drug Abuse Institute.
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