viviendo valiente aids arms, inc
DESCRIPTION
Viviendo valiente Project overview Other Latinos = 17% Importance of Viviendo Valiente Latinos - 38% of the 2,368,139 Dallas Co. population (Census, 2010) Mexicans - 83% of Dallas Co. Latino population (Pew Hispanic Center) Dallas area Latinos were most likely to receive late dx - 2005-09 (Ryan White, 2010) 36% - AIDS dx within one year of HIV dx (Ryan White, 2010) 29% - AIDS dx within one month of HIV dx (Ryan White, 2010) Mexican = 83% Core Objectives Identify and recruit HIV positive and at-risk individuals of Mexican descent, 18 years of age or older Link and engage HIV+ individuals in care/treatment Remove barriers to testing and careTRANSCRIPT
VIVIENDO VALIE
NTE
A I DS A R M S , I N
C .
M A R T H A A . G U E R R E R O , B A
P R O G R A M D I R E C T O R
M A N I S H A H . M A S K A Y , P h . D .
P R I N C I P A L I N V E S T I G A T O R
E X E C U T I V E D I R E C T O R , C O M M U N I T Y & C L I E N T S E R V I C E S
VIVIENDO VALIENTE PROJECT OVERVIEWImportance of Viviendo Valiente Latinos - 38% of the 2,368,139 Dallas Co. population (Census, 2010) Mexicans - 83% of Dallas Co. Latino population (Pew Hispanic Center) Dallas area Latinos were most likely to receive late dx - 2005-09
(Ryan White, 2010) 36% - AIDS dx within one year of HIV dx (Ryan White, 2010) 29% - AIDS dx within one month of HIV dx (Ryan White, 2010)
Mexican = 83%
Other Latinos = 17%
Core ObjectivesIdentify and recruit HIV positive and at-risk
individuals of Mexican descent, 18 years of age or older
Link and engage HIV+ individuals in care/treatmentRemove barriers to testing and care
VIVIENDO VALIENTE PROJECT OVERVIEW
What makes this project unique and innovative?Use of a multi-layered approach to promote prevention, HIV testing and linkage to care, address stigma and other key factors to promote engagement:• Family and community orientation• Community engagement using a health/wellness
approach• Significant collaboration with community partners
within and outside of the HIV continuum of care• Leveraging of opportunities provided by cultural,
festive, sports and other events
PARTNERS AND COLLABORATORS
Internal Programs Intensive linkage to care Case management Prevention Behavioral Health Peabody Health Ctr. Trinity Health/Wellness
Ctr. The
Community Partners Los Barrios Unidos Clinic LULAC Dallas Rainbow
Council Univision DFW Trans Pride Initiative Proyecto Inmigrante Kaliente (Gay, Latino bar) Mexican Consulate …
Strengthen Collaborations
Latino Cultural Center Teatro Dallas AIDS Interfaith Network AIDS Education & Training
Ctr Dallas Concilio Dallas City Council County Commissioners …
INTERVENTION DESCRIPTION Service delivery setting • Dallas County
Priority population • Mexican, 18 or older, positive
or at high risk for HIV
Staffing• 3 Promotores de Salud (PdS)• Data Management Specialist• Program Director• Principal Investigator
INTERVENTION DESCRIPTION Viviendo Valiente services and activities will occur at the community, family , group and individual level and will include–
• Community assessment to understand needs, barriers and ‘what matters’ to priority population• Community events planned and implemented in partnership with priority
population, the advisory board and community partners• framed by overall health & wellness objectives• set within cultural, festive, health, and family themes• providing HIV education and testing when appropriate
• Family level relationship building by PdS to build trust, address stigma, promote healthy behaviors
• Group intervention, Eban to be tailored for priority population and provided to participants
• Individual guidance and support provided by PdS to promote linkage to care for HIV positive individuals and ensure retention
INTERVENTION DESCRIPTION Recruitment strategies –
• Engage priority population to clarify needs, barriers to care, preferences• Outreach at community events by volunteers and PdS• Social media • Traditional referrals
Enrollment and linkage to care strategy –• Motivational Interviewing to achieve readiness• Use of the Intensive Linkage to Care strategy based on ARTAS• Strategic use of incentives to promote participation
Retention strategy -• Ongoing engagement with PdS and/or case manager to resolve barriers to care• EBAN intervention to promote empowerment• Engagement with activities sponsored by the HIVE and Viviendo Valiente• Close monitoring of attendance at medical and other appointments and quick
follow up when appointments are missedClient incentives –
• Strategically provided to promote participation in study activities, getting tested, attendance at medical appointments and retention
LOCAL EVALUATION Goals and objectives of the local evaluation• To determine whether the key components of the Viviendo Valiente
model were developed and implemented as set forth in the plan• To determine whether existing AIDS Arms programs provide culturally
congruent services to the priority population• To evaluate the effectiveness of the EBAN intervention for the priority
population • To select one critical priority area brought forth by the Community
Assessment for further in depth study
IRB: who will prepare protocol and which IRB will you work with? • AIDS Arms Evaluator/PI• Independent IRB - TBD
LOCAL EVALUATION Methods to be used• Focus groups• Surveys• Key informant and client interviews• Client record review
Desired study participants and their role in the evaluation• As previously described
Data collection instruments and strategies to be employed • TBD
LOCAL EVALUATION Data analysis approaches to be used • TBD
Agency’s dissemination of key findings• Workshops offered through local, regional and national forums
including conferences• Meetings with partner agencies through the AIDS Arms Network of
Affiliated Agencies, Ryan White Planning Council, etc.• White papers• Articles published in journals focusing on practice and services.• Others TBD
PROJECT TIMELINE FOR YEAR 1Start up activities (months 1-6)• Notify key stakeholders • Hire/train program director and
staff• Form local evaluation team/plan• Initiate IRB approval process.• Engage collaborators• Create Advisory Council
Evaluation planning & implementation • Participate in initial meeting with
ETAC
Initiation of demonstration project (months 7-12)• Conduct community assessment • Develop marketing materials• Develop protocols • Launch programs and activities• Conduct process monitoring• Modify Eban Model to be Mexican-centric
Key programmatic milestones• Program Director hired• Process of PdS selection started
¡GRACIAS!
Martha A. Guerrero, BAProgram Director | Viviendo Valiente
Manisha H. Maskay, Ph.D.Principal Investigator
Executive Director, Community and Client Services | AIDS Arms, [email protected]
214.521.5191