Translation of the Risk Avoidance Partnership (RAP) for Drug Treatment Clinic Implementation
This three-year study sought to translate the Risk Prevention Partnerships (RAP), an efficacious community intervention designed to diffuse HIV/hepatitis/STI risk reduction through substance-user networks, for use in substance abuse treatment clinics. Strong evidence of the project’s efficacy when tested in a community research setting suggested the importance† and timeliness of moving it to real-world applications. This Institute for Community Research, which developed and tested the original RAP intervention, and the Hartford Dispensary, a substance abuse treatment clinic, partnered to translate RAP for implementation in community substance abuse treatment clinics, while adhering to the theoretically and empirically identified core components of the RAP model, and to pilot it in one of the dispensary clinics. In doing so, this project sought to understand how the RAP intervention needed to be modified to fit the clinic context, while retaining sufficient integrity and fidelity in relation to the original design such that it achieved the same or similar outcomes among PHA trainees and their contacts, and to learn what happened when it was piloted in the clinic setting. Project staff also sought to develop needed pre-implementation measures of clinic and community readiness and context to prepare for implementing the interventions, as well as process and fidelity measures specific to the adapted RAP-clinic design for use when implementing the intervention in other clinics.
See the curriculum for training Peer Health Advocates (PHAs) here.
Kostick, K., Weeks, M.R., & Mosher, H.I. (2014). Participant and staff experiences in a peer-delivered HIV intervention with drug users. Journal of Empirical Research on Human Research Ethics, 9(1):6-18. PMID: 24572079; PMC4318632.