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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.

AUTHORS SEARCH LINK
Ann Kathleen Burlew search mail
Calsyn, Donald A. search mail
Hatch-Maillette, Mary A. search mail
Robinson, Michael search
Sharriann Turnbull search
PROTOCOLS
NIDA-CTN-0018 search www
PARTICIPATING NODES
Pacific Northwest (Lead) search www
New England Consortium search www
Pacific Region search www
Southern Consortium search www
Southwest search www

Supported by a grant from the National Institute on Drug Abuse to the University of Washington Alcohol and Drug Abuse Institute.
The materials on this site have neither been created nor reviewed by NIDA.
Updated 8/2013 -- http://ctndisseminationlibrary.org/display/1018.htm
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