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Research tested interventions are seldom ready for wide spread use. Successful intervention adaptation to clinical settings demands an iterative process with target audience feedback. We describe the adaptation process of implementing an NCI research tested HPV vaccine intervention, Women's Stories, to a community clinic context (Planned Parenthood). Five phases are described for the adaptation of content and the development of a health kiosk intervention delivery system: (a) informant interviews with the target audience of young adult, predominantly African-American women, (b) translating HPV vaccine decision narratives into prevention messages, (c) health kiosk interface design, (d) conducting a usability study of the health kiosk intervention product, and (e) conducting a waiting room observational study. Lessons learned and challenges in adapting prevention interventions to clinical settings are discussed.


This is a pre-copy-editing, author-produced PDF of an article accepted for publication in Translational Behavioral Medicine, volume 8, issue 5, in 2018 following peer review. The definitive publisher-authenticated version

Hopfer, S., Ray, A. E., Hecht, M. L., et al. (2018). Taking an HPV vaccine research-tested intervention to scale in a clinical setting. Translational Behavioral Medicine, 8(5), 745-752. doi: 10.1093/tbm/ibx066

is available online at DOI: 10.1093/tbm/ibx066.


Society of Behavioral Medicine



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