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Session Title: HIV/AIDS Prevention at the Community Level: Innovative Evaluation Approaches
Multipaper Session 531 to be held in the Granite Room Section B on Friday, Nov 7, 9:15 AM to 10:45 AM
Sponsored by the Health Evaluation TIG
Chair(s):
Ann Zukoski,  Oregon State University,  ann.zukoski@oregonstate.edu
Evaluating the Effectiveness of the Baby and Me Tobacco Free Program
Presenter(s):
Anne Gadomski,  Bassett Research Institute Computing Center,  anne.gadomski@bassett.org
Laurie Adams,  Tri County Tobacco Control Program,  lauriea@windstream.net
Nicole Krupa,  Bassett Research Institute Computing Center,  nicole.krupa@bassett.org
Patrick Burdick,  Bassett Research Institute Computing Center,  patrick.burdick@bassett.org
Nancy Tallman,  Bassett Research Institute Computing Center,  nancy.tallman@bassett.org
Nancy Weissflog,  Bassett Research Institute Computing Center,  nancy.weissflog@bassett.org
Paul Jenkins,  Bassett Research Institute Computing Center,  paul.jenkins@bassett.org
Abstract: The Baby & Me Tobacco Free Program is a multi-pronged intervention that includes cessation counseling, biomarker feedback and an incentive program to facilitate prenatal and post-partum smoking cessation. The intervention includes four face-to-face contacts prenatally with a cessation specialist who does counseling and carbon monoxide (CO) testing. For 1 year post-partum, mothers are CO tested every 3 to 4 weeks and, if negative, receive a diaper voucher. Outcomes include biochemically validated monthly abstinence rates and self reported quit rate at 12 months post-partum ascertained by telephone interview. To date, 22 sites (WIC offices and obstetric clinics) in 9 counties in New York State have enrolled 400 women. Preliminary results include 289 women who have completed, on average, between 5 and 6 (mean=5.63) follow-up tests (CO and/or saliva), with a mean passing/quit rate of 93.8%. Among the 45 women who have completed 12 follow-up tests, the mean passing/quit rate is 96.9%.
Examination of Peer Advocates in HIV/AIDS Care and Treatment
Presenter(s):
Marcia Dutcher,  Kansas City Free Health Clinic,  marciad@kcfree.org
Brenda Loscher Hudson,  Kansas City Free Health Clinic,  brendal@kcfree.org
Abstract: The Peer Education Training Site (PETS) project is a Health Resources and Services Administration (HRSA) multiyear funded project to increase the number of trained HIV peer educators and the number of organizations with the capacity to utilize peers in their HIV service delivery. Three sites located in California, Missouri, and New York have developed peer and organization training programs tailored to the assets, needs, and preferences of their individual target populations. Training sessions have been offered since 2006. A cross-site quantitative longitudinal design is used to measure research questions for peers and organizations while a qualitative longitudinal design is used to address research questions for clients of peer advocates. The paper will discuss the research methodologies to evaluate the emerging role of peer advocates in HIV/AIDS care and treatment and how the implementation of a multi-dimensional evaluation design utilized in non-profit health care settings impact evaluation practice and theory.
Evaluating a Community Level HIV and Substance Use Prevention Program: The Fortaleciendo la Comunidad Project
Presenter(s):
Kathryn DeRoche,  Mental Health Center of Denver,  kathryn.deroche@mhcd.org
Antonio Olmos,  Mental Health Center of Denver,  antonio.olmos@mhcd.org
Lydia Prado,  Mental Health Center of Denver,  lydia.prado@mhcd.org
Hollie Granato,  University of Colorado Denver,  hollie.granato@email.cudenver.edu
Shara Shaw,  University of Northern Colorado,  sshaw_dance@yahoo.com
Abstract: The Fortaleciendo la Comunidad project is a HIV, sexual transmitted infections, and substance abuse prevention program designed for and by the Latino community in West Denver. The project includes four programs designed for selected sub-populations in the community deem to have the highest need for prevention including: adolescents, parents, heterosexual adult females, and a community outreach program for injecting drug users and men who have sex with men. In the evaluation, we have determined the progress of the four individual prevention programs, while also evaluating the cumulative affects of the project within the community. The presentation will discuss the evaluation results, the process of increasing evaluation capacity of service organizations within the community, and the process of conducting a community-wide, culturally competent evaluation.
Innovations in HIV/AIDS Prevention and Education: Reining in the Evaluation After We Got Creative
Presenter(s):
Jennifer Camacho Catrambone,  Ruth M Rothstein CORE Center,  jcamacho@corecenter.org
Rebecca Goldberg,  Ruth M Rothstein CORE Center,  rgoldberg@corecenter.org
Jackie Boone,  Ruth M Rothstein CORE Center,  jboone@corecenter.org
Chester J Kelly,  Ruth M Rothstein CORE Center,  ckelly@corecenter.org
Peter McLoyd,  Ruth M Rothstein CORE Center,  pmcloyd@corecenter.org
Abstract: A multidisciplinary team based at a midwestern infectious disease clinic developed this innovative presentation designed to educate its audience (primarily community college students in Chicago) by shocking them into paying attention and taking HIV/AIDS prevention seriously. This approach was developed to combat “prevention fatigue,” a phenomenon in which people have heard HIV/AIDS prevention in the background so often that it seems to have become easier to ignore. This session will first describe the multifaceted and innovative approach our team took and contrast it with more traditional HIV/AIDS prevention messages. Subsequently, presenters will discuss the problems the unique presentation style created for keeping the evaluation methodologically sound, missed evaluation opportunities and their causes, as well as two years worth of evaluation data. Finally, the team will list future directions of the evaluation.

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