Methods: Over four years, Hennepin County replicated SSI in 19 diverse clinic settings in collaboration with multiple community partners and health educators. Within each clinic, 968 participants were randomly assigned to either receive SSI or were offered the clinic’s standard of care. Web-based surveys, administered at enrollment and nine months later, assessed impacts on knowledge, attitudes, motivation, and intentions related to sexual risk-taking behaviors, as well as the behaviors themselves. Program staff and the external evaluator closely monitored implementation.
Results: At the nine month follow-up, results show that SSI was implemented with fidelity and positively impacted intentions to use condoms, refusal skills, and recent unprotected sex. The organizational factors that enabled the County and its community partners to replicate SSI while maintaining quality included partner selection decisions, innovative fidelity monitoring approaches, a peer support network, and using implementation data for continuous feedback.
Conclusions: These early findings are an important step in understanding the organizational and provider contexts that influence the ability to replicate evidence-based programs and achieve positive impacts on a broader scale.