2011

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Session Title: Evaluation Designs for Special Topics: Sex Workers, End of Life, and Adverse Childhood Experiences
Multipaper Session 846 to be held in Sunset on Saturday, Nov 5, 8:00 AM to 9:30 AM
Sponsored by the Human Services Evaluation TIG and the Health Evaluation TIG
Chair(s):
Todd Franke,  University of California, Los Angeles, tfranke@ucla.edu
Is Full Transition or Change in Behavior a Sufficient Desired Impact for an Intervention Project Targeting Female Sex Workers in Nigeria?
Presenter(s):
Muyiwa Oladosun, MiraMonitor Consulting Limited, fso226@yahoo.com
Charles Toriola, MiraMonitor Consulting Limited, stinkinglyrichie@yahoo.com
Femi Oladosu, MiraMonitor Consulting Limited, feoladosu@yahoo.com
Gloria Affiku, MiraMonitor Consulting Limited, gaffiku@yahoo.co.uk
Abstract: An AIDS Impact Mitigation (AIM) project targeted Female Sex Workers (FSW) in 15 states in Nigeria between October, 2006 and October, 2010. The aim was to reduce HIV transmission among FSW through responsible behavior and transition to other trade. End-of-project evaluation surveyed 547 FSW project beneficiaries such of which participated in six focussed group discussion (FGD). Key intervention included involvement in per education and mentoring (PEM) program and income generating activity (IGA). Results Showed that the majority (79%) were involved in PEM, and the majority (93%) had desire to leave the trade. There were statistical significant differences in behavior change between those exposed to PEM and those not exposed in terms of (1) changed behavior (98% vs. 25%), condom use (64% vs. 28% respectively), more interest in leaving the trade (98% vs. 75%), increased risk awareness (33% vs. 6%), and other change indicators produced similar results.
Using Mixed Methods to Evaluate Patient and Family Perceptions of an End of Life Program
Presenter(s):
Sarah Cote, Partners in Care Foundation, sarahdcote@gmail.com
Patricia Housen, Partners in Care Foundation, phousen@picf.org
Yanyang Liuqu, Claremont Graduate University, yanyang.lq@gmail.com
Nelson E Dalla Tor, Presbyterian Intercommunity Hospital, nedallator@hotmail.com
Virag Shah, Presbyterian Intercommunity Hospital, vshah@pih.net
Abstract: Several limitations exist in measuring seriously ill patient quality of life through standardized instruments. Use of mixed methods, combining both quantitative and qualitative measures can overcome these potential limitations by providing rich qualitative data about the patient and family perspectives about their care experience. This session will present findings from an evaluation of a home-based palliative care program for seriously ill patients provided by a family care clinic. Qualitative interviews were conducted to enhance quantitative measures and elicited 1) how and if the consult assisted patients in decision-making, 2) information gained through the consult, 3) any experience associated with the consult (as compared to prior health care experiences), and 4) general thoughts about the team and quality of the experience. Results of these semi-structured interviews will be discussed. The presentation highlights the benefits of mixed method designs for capturing stronger, more complete evidence about key outcomes of interest.
Using Band-Aids When Major Surgery is Indicated: Evaluating the Adverse Childhood Experiences (ACE) Survey's Impact on Trauma Informed Practices
Presenter(s):
Jennifer Williams, Out of the Crossfire Inc, jenniferwilliams.722@gmail.com
Nancy Rogers, University of Cincinnati, nancy.rogers@uc.edu
Brian Powell, University of Cincinnati, powellbb@mail.uc.edu
Abstract: During these constrained economic times, small not-for-profit social service agencies are finding it challenging not only to raise money, but also to effectively target their efforts in order to maximize the use of what little funding is available. Traditionally, small non-profits tend to use a broader, less focused approach to providing services to their clientele, but it should be to their advantage to focus their efforts on one or two critical aspects of client services. By adopting the approach of the Adverse Childhood Experiences (ACE) Study and retrospectively utilizing the approach to re-interpret in-take data, recommendations for more effective client services can be made and implemented. This understanding can contribute to streamlined services that are more effective and useful to program clientele.

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