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GRANT WRITING PREPAREDNESS: WEBINAR SERIES. GRANT WRITING PREPAREDNESS: WEBINAR SERIES. A collaboration: Shared Action AIDS Project Los Angeles- C4H Project Asian & Pacific Islander American Health Forum The California STD/HIV Prevention Training Center. TODAY’S WEBINAR:. - PowerPoint PPT Presentation
Citation preview
Presentation by seminar speaker ≈ 45 minQuestion and answer session ≈ 15 min
This Webinar will be recorded and made available through our websites along with copies of the slides
Please use the chat feature to ask questions.
GRANT WRITING PREPAREDNESS:WEBINAR SERIES
GRANT WRITING PREPAREDNESS:WEBINAR SERIES
A collaboration:•Shared ActionAIDS Project Los Angeles-
•C4H ProjectAsian & Pacific Islander American Health Forum
•The California STD/HIV Prevention Training Center
TODAY’S WEBINAR:
California STD/HIV Prevention Training CenterCapacity Building Assistance Program
Gustavo Campos
WAS DEVELOPED BY:
4C A PA C I T Y B U I L D I N G
A SS I S TA N C E P R O G R A M
SelectingEffective Behavioral Interventions
andPublic Health Strategies
5
Agenda
1. Four Steps for selecting an Effective
Behavioral Intervention (DEBI)
2. Defining and describing Public Health
Strategies (PHS) for HIV prevention
3. Integrating PHSs and DEBIs
6
Four Steps for Selecting an Effective Behavioral Intervention (DEBI)
8
This doesn’t look like the
iPad I wanted…
9
10
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12
Knowintimately
13
Knowintimately
Assess CommunityHIV Prevention Needsand Strengths
14
Browse for Gift Options
15
Browse for Gift Options
ExamineBehavioral Interventions
16
What ismyGift
Budget?
17
What ismyGift
Budget?
AssessAgency
Capacity
18
Choose…
19
Choose…
…the appropriate intervention
20
1. Assess community
HIV prevention needs and strengths
2. Examine behavioral interventions & make first match
3. Assess agency
capacity
4. Make final match
of community, DEBI, and
agency
Four steps to select a DEBI
21
Two Questions Must Be Answered:
Which is the best behavioral intervention for
my target population?
Does my agency have the resources to
implement and maintain this behavioral
intervention?
22C A PA C I T Y B U I L D I N G
A SS I S TA N C E P R O G R A M
Key DefinitionsMaking sure we are speaking the
same language
What is a Behavioral Intervention?
It is an activity or group of activities based on
behavioral theory, which are intended to
motivate individuals and/or their social groups
to change their behavior in order to reduce
their health risk.
24
What is DEBI?
The Diffusion of Effective Behavioral Interventions (DEBI) project was designed to bring science-based behavioral HIV prevention interventions to community-based service providers and state and local health departments.
These packaged interventions are colloquially referred as “DEBIs”
25
Levels of InterventionSTRUCTURAL
LEVEL INTERVENTIONS
INDIVIDUAL LEVEL
INTERVENTIONS
POL
Community
PROMISE
Mpowermen
t
MIPPCC
PolicyLaws
SISTA
3MVHealthy Relationships
Respect
D-Up
26
Knowintimately
Step 1: Assess CommunityHIV Prevention Needsand Strengths
27
1. Assess community
HIV prevention needs and strengths
2. Examine behavioral interventions & make first match
3. Assess agency
capacity
4. Make final match
of community, DEBI, and
agency
Four steps to select a DEBI
28
A Reliable Community Assessment includes:
Epidata
PUBLISHEDARTICLES Reports by Local
Organizations
Interviews andfocus groups
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HIV & STD Epi Data
Focus on the Behavioral
Determinants
HIV Risk Factors
HIV Risk Behaviors
How to use Community Assessment Results
Intervention Population
What are HIV Risk Behaviors?
Only those behaviors that can directly pass HIV from one person to another:
1. Unprotected anal and vaginal intercourse
2. Sharing unclean syringes and works
3. Maternal/child contact (pregnancy, delivery, breast feeding)
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HIV & STD Epi Data
Focus on the Behavioral
Determinants
HIV Risk Factors
HIV Risk Behaviors
How to use Community Assessment Results
Intervention Population
What are HIV Risk Factors?
Behaviors or circumstances that increase the
chances that HIV transmission will occur
Some Risk Factors are behavioral
determinants
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HIV & STD Epi Data
Focus on the Behavioral
Determinants
HIV Risk Factors
HIV Risk Behaviors
How to use Community Assessment Results
Intervention Population
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What are Behavioral Determinants?
Things that have been proven to influence risk behaviors
Often have to change BEFORE actual risk behavior can change
Behavioral interventions are designed to change these determinants
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Behavioral Determinants
Intention
Knowledge
Attitudes and beliefs
Perception of risk (and
others)
Self-efficacy
Skills
Values
Perceived norms
Social norms
Social support
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HIV Risk Factors
DepressionEconomic
dependency
Low levels of education
Low skills in condom
negotiation
Low self-efficacy for condom use with main partner
Gets STDs from main partner
Poverty
Doesn’t know
STD makesher more
vulnerable to HIV
Lives in high STD & HIV census
tract
37
HIV Risk Factors
DepressionEconomic
dependency
Low levels of education
Low skills in condom
negotiation
Low self-efficacy for condom use with main partner
Gets STDs from main partner
Poverty
Doesn’t know
STD makesher more
vulnerable to HIV
Lives in high STD & HIV census
tract
Behavioral Determinants: knowledge, self-efficacy, skills in condom negotiation
Doesn’t know
STD makesher more
vulnerable to HIV
Low self-efficacy for condom use with main partner
Low skills in condom
negotiation
38C A PA C I T Y B U I L D I N G
A SS I S TA N C E P R O G R A M
Ready to recognize “behavioral
determinants” in the
daily language people use?
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knowledge • attitudes & beliefs • perceived risk/severity • intentions
self-efficacy • skills • values • perceived norms • social norms • social support
“I know you don’t need to get tested for STDs if
you don’t have symptoms”
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knowledge • attitudes & beliefs • perceived risk/severity • intentions
self-efficacy • skills • values • perceived norms • social norms • social support
“I know you don’t need to get tested for STDs if
you don’t have symptoms”
knowledge
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knowledge • attitudes & beliefs • perceived risk/severity • intentions
self-efficacy • skills • values • perceived norms • social norms • social support
“You can’t walk up and be in the group, you have to bareback to
prove you’re one of us”
42
knowledge • attitudes & beliefs • perceived risk/severity • intentions
self-efficacy • skills • values • perceived norms • social norms • social support
“You can’t walk up and be in the group, you have to bareback to
prove you’re one of us”
social norms
43
knowledge • attitudes & beliefs • perceived risk/severity • intentions
self-efficacy • skills • values • perceived norms • social norms • social support
“I mean…we use condoms, but I don’t think you’re expected to do that with a ‘regular’ partner”
44
knowledge • attitudes & beliefs • perceived risk/severity • intentions
self-efficacy • skills • values • perceived norms • social norms • social support
“I mean…we use condoms, but I don’t think you’re expected to do that with a ‘regular’ partner”
perceived norms
45
knowledge • attitudes & beliefs • perceived risk/severity • intentions
self-efficacy • skills • values • perceived norms • social norms • social support
“Getting HIV isn’t that
bad; you just have to
take a bunch of pills”
46
knowledge • attitudes & beliefs • perceived risk/severity • intentions
self-efficacy • skills • values • perceived norms • social norms • social support
“Getting HIV isn’t that
bad; you just have to
take a bunch of pills”
perceived risk/severity
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With history of STDs
Urban Community
Narrowing your Population Intervention
African American
MSMage 24-34
Has not been tested for HIV in over 2 years
You might choose any of these
groups as your DEBI intervention
population
STD history & has not been tested for HIV in over 2 years
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Browse for Gift Options
Step 2: ExamineBehavioral Interventions
49
1. Assess community
HIV prevention needs and strengths
2. Examine behavioral interventions & make first match
3. Assess agency
capacity
4. Make final match
of community, DEBI, and
agency
Four steps to select a DEBI
50
How to Learn about DEBIs
Go to www.effectiveinterventions.org
Use the Behavior Change Logic Models
Review the Behavioral Determinants
Read the DEBI Fact Sheets
Also review: CDC procedural guidance & research
article on the intervention
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How do DEBIS work?In this Intervention Population
TheseHIV Risk Behaviors and Factors
Which lead to these
Outcomes
Which will be influenced by these Intervention Activities
Include these Behavioral Determinants
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Intervention Outcomes
Immediate Intermediate Long Term
Changes in behavioral determinants
Decrease in HIV risk behaviors
Decrease in new cases of HIV
The measured changes expected from the DEBI
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Behavioral Determinants
of HIV RiskBehaviors
InterventionActivities
IntendedOutcomes
(Immediate, Intermediate
& Long-term)
Behavior Change Logic Model
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Problem Statement“Black gay men and other Black MSM are at risk for HIV infection because of HIV risk behaviors, low levels of health-promoting behaviors, and the high background prevalence of HIV and STDs among Black MSM. A combination of social, cultural, and personal factors influences these behaviors”
Example: “Many Men Many Voices”Logic Model
57
- Lack of knowledge
- Low perception of risk
- Lack of skills
- Low self-efficacy
- Lack of social support
Group sessions involving
discussions and role plays about:
- Roles & risks of tops & bottoms
- STD & HIV interactions
- Harm reduction
- Partner communication
-Condom negotiation
-Increase knowledge of the
interaction between STDs & HIV (immediate)
-Perception of risk increases
(immediate)
- Reduced frequency of
unprotected anal sex (intermediate)
- HIV infections decrease (long
term)
Behavioral Determinants Activities Outcomes
Example: “Many Men Many Voices”Logic Model
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First Match
Your • Intervention
Population• HIV Risk
Behaviors • Behavioral
Determinants
DEBIs• Intervention
Population• HIV Risk
Behaviors• Behavioral
Determinants
Find a few DEBIs with the best Match
59
What ismyGift
Budget?
Step 3: AssessAgency
Capacity
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1. Assess community
HIV prevention needs and strengths
2. Examine behavioral interventions & make first match
3. Assess agency
capacity
4. Make final match
of community, DEBI, and
agency
Four steps to select a DEBI
61
How do I know that I have adequate capacity?
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Agency Assessment Overview
Do we have the capacity to:
Plan and put in place new programs and services?
Recruit and retain and work with the intended intervention population?
Implement and maintain the DEBIs initially chosen from 1st Match?
63
Tools for Capacity Assessment
Agency Readiness Self-Assessment Tool
Program Implementation Plans
CDC’s Procedural Guidance for each DEBI
Fact Sheets, Starter Kit, Administrator’s Preview Guide, Technical Assistance Guide
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How to Access the Tools
Go to www.effectiveinterventions.org
Click on specific DEBI on left
Click on Resources and Tools on right
Also check training requirements
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Step 4: Choose…
…the appropriate interventionFinal Match of Community, DEBI,
and Agency
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1. Assess community
HIV prevention needs and strengths
2. Examine behavioral interventions & make first match
3. Assess agency
capacity
4. Make final match
of community, DEBI, and
agency
Four steps to select a DEBI
72
Two Questions Must Be Answered:
Which is the best behavioral intervention for
my target population?
Does my agency have the resources to
implement and maintain this behavioral
intervention?
73
Public Health Strategies (PHS) For HIV Prevention
Defining and Describing
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What are Public Health Strategies?
Public Health Strategies are time tested protocols used by public health practitioners in the prevention, screening, diagnostic, or treatment processes. They are based on established principles of public health; including primary, secondary, and tertiary prevention, and may include a range of activities.
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Current Public Health Strategies for HIV Prevention
HIV Counseling, Testing and Referral (CTR)
Comprehensive Risk Counseling & Services (CRCS) for Uninfected/ PLWH
Rapid HIV Testing in Nonclinical Settings
Incorporating HIV into the Medical care of PLWH
Partner Services
ResourcesPlanning
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Does my agency have the adequate capacity for a specific PHS ?
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ReviewCDC's Procedural Guidance for CBOs
Implementation Planning and Program Objectives Tools
Monitoring and Evaluation (M&E) Key Activities
http://www.effectiveinterventions.org/en/PublicHealthStrategies.aspx
Integrating PHSs and DEBIs
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Some things go well
together…
81
Public Health Strategy
DEBI DEBI
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Counseling, Testing & Referral
Personalized Cognitive Counseling (PCC) Respect
Comprehensive Risk Reduction Counseling and
Services (CRCS)
CLEAR
Webinar May 10 @ 11:00 am. www.stdhivtraining.org
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Incorporating Prevention into the Medical Care of
PLWH
Partnership for Health
85C A PA C I T Y B U I L D I N G
A SS I S TA N C E P R O G R A M
What is the potential new role of
CBOS in helping to deliver public
health strategies?
Selecting Effective Behavioral Interventions Course
April 20-21, 20 118:30- 5:00 pm
Oakland, CaliforniaCall (510) 625-6000 or visit www.stdhivtraining.org
for information
87C A PA C I T Y B U I L D I N G
A SS I S TA N C E P R O G R A M
Thank You!For questions contact: Gustavo Campos, MS
Developing an Evaluation Plan April 12, 2011 at 11am (PST)
Grant Writing April 15, 2011 at 11am (PST)
Oscar Marquez: [email protected]
GRANT WRITING PREPAREDNESS:WEBINAR SERIES
AIDS Project Los Angeles- Shared Actionwww.sharedaction.org
C4H Project at the Asian & Pacific Islander American Health Forum
www.capacity4health.org
The California STD/HIV Prevention Training www.stdhivtraining.org
GRANT WRITING PREPAREDNESS:WEBINAR SERIES
90