Where is the faith? Using a CBPR approach to propose adaptations to an evidence-based HIV prevention intervention for adolescents in African American faith settings.

African American adolescents are at increased risk for HIV/AIDS. Using a community-based participatory researchapproach, we engaged three black churchesin adapting an evidence-based HIV prevention intervention, Focus on Youth (FOY)+ImPACT, for faithsettings. To identify potential adaptations to increase FOY’s relevance, utility, and efficacy for faithsettings, we conducted eight focus groups pre- and post-intervention. Recommendations for maintaining FOY’s core elements and enhancing its cultural authenticity include the following: incorporating faithtools, building pastor capacity, strengthening parent–child communication skills, and expanding social support for parents and youth. Engaging faithcommunities in adapting and implementing evidence-based HIV prevention programs could reduce HIV/AIDS disparities.