Translation of the Risk Avoidance Partnership (RAP) for Implementation in Outpatient Drug Treatment Clinics
Bibliographic Data
Scientific literature increasingly calls for studies to translate evidence-based interventions into real-world contexts balancing fidelity to the original design and fit to the new setting. The Risk Avoidance Partnership (RAP) is a health promotion intervention originally designed to train active drug users to become Peer Health Advocates. A theoretically driven approach was used to adapt RAP to fit implementation in outpatient methadone treatment clinics and pilot it with clinic patients. Ethnographic observations and process tracking documented the RAP translation and pilot experience, and clinic and community characteristics relevant to program implementation. Clinic administrators, staff, and patients were interviewed on their values, capacities, interest in RAP, perceived challenges of implementing RAP in drug treatment clinics, and experiences during the pilot. Findings indicated that RAP core components can be met when implemented in these settings and RAP can fit with the goals, interests, and other programs of the clinic. Balancing fidelity and fit requires recognition of the mutual impacts RAP and the clinic have on each other, which generate new interactions among staff and require ongoing specification of RAP to keep abreast of clinic and community changes. Collaboration of multiple stakeholders significantly benefited translation and pilot processes
Business · Fidelity · General partnership · Intervention (counseling · Medical education · Outpatient clinic · Psychological intervention · Community Health and Development · Computer Science · Health Policy Implementation Science · Medicine · Mental Health and Patient Involvement · Nursing · Psychology
Evaluating the Relevance, Generalization, and Applicability of Research
The Cultural Adaptation of Prevention Interventions
New Health Promotion Movement
Assessing organizational readiness for change
A conceptual framework for implementation fidelity
A theory of organizational readiness for change
A guiding framework and approach for implementation research in substance use disorders treatment.
Implementation fidelity in community‐based interventions
Fostering implementation of health services research findings into practice
HIV Prevention Among Injection Drug Users
Participant and Staff Experiences in a Peer-Delivered HIV Intervention with Injection Drug Users
Core Implementation Components
Organizational Readiness for Stage-Based Dynamics of Innovation Implementation
Advances in Bridging Research and Practice
Changing Drug Users' Risk Environments
Bridging the Gap Between Prevention Research and Practice
Four Keys to Success (Theory, Implementation, Evaluation, and Resource/System Support)
Social psychological dynamics of enhanced HIV risk reduction among peer interventionists
Reconsidering Community-Based Health Promotion
| Unique citing works | 1 |
|---|---|
| Citations per year | 0,13 |
| Citation span | 2018 - 2018 (1) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 1 |