A Process Evaluation of an HIV/STI Intervention for Rural African American Youth
Albritton, T.; Hodge-Sallah, S.; Akers, A.; Blumenthal, C.; O'Brien, S.; Council, B.; Muhammad, M.; Corbie-Smith, G.
Qualitative health research 24(7): 969-982
ISSN/ISBN: 1049-7323 PMID: 24939390 DOI: 10.1177/1049732314540053
We evaluated the fidelity and implementation of an HIV/AIDS and sexually transmitted infections intervention for rural African American youth. Using a community-based evaluation approach, community partners and researchers monitored four core process-evaluation components: reach, fidelity, dose delivered, and dose received. Researchers collected evaluation data through session observations, facilitator debriefing interviews, a youth focus group, and a satisfaction survey. For reach, more than half of the participants attended the 13 sessions. Participation varied between 62% and 100%. For fidelity, not all sessions were implemented as intended; multiple modifications occurred across sessions. For dose delivered, some lessons were missing materials and content was omitted; facilitators omitted content when there was insufficient time to complete a lesson. For dose received, engagement varied across lessons but youth reported high levels of satisfaction with the intervention. This formative process evaluation enabled us to identify and address multiple challenges to implementation.